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  | ![]() Interviews: Write the results of your interviews here. 
Shift Performance: Write the results of your observations of the shift here. 
Conclusion: The criteria for this objective have/have not been met. You will make a statement on every 
Form 1 you write that the Criteria have (or have not) been met. 
Issue(s): 
C 
C 
Inspector:____________________________ 
Team Leader: ________________________ 
FORM 1 
Appendix 4-28 
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