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Town of Oro Valley
Community and Economic Development Department
August 20, 2018
Pusch Ridge Christian Academy
Gary Szanto
9500 N. Oracle Road
Oro Valley, AZ 85704
Gary.szanto@prca.academy.com
RE: Recreation Vehicles (RV's) on the property for the Sower Ministry at Pusch Ridge Christian Academy
Dear Gary,
Staff has evaluated the request to allow permanent parking spaces for RV's at the above referenced
property. The RV's are related to the program that allows Sower members to perform specific duties at
the property while living on -site. The description you provided shows that the RV's will be usually
parked on the property, November through April and may rotate units throughout that time. It appears
that there is space for three RV's at one time.
The zoning code allows ancillary and accessory uses for properties as long as the proposed use is
subordinate to the primary use.
The Town approves the use of RV's parked on the property for the Ministry program which will be
considered an ancillary use for the Christian school and the RV's act as accessory buildings for the
program.
No further action is required on your part other than there may need to be building permits for
electrical services to the pads. Please contact our Building Safety division for permitting details.
Please contact me if you have any further questions or concerns.
Sincerely,
Bayer Vella
Planning Manager
Town of Oro Valley
Bvella@orovalleyaz.gov
520-229-4810
Oro Valley, it's in our nature.
11000 N. La Canada Drive, Oro Valley, Arizona 85737
www.orovalleyaz.gov I phone: (520) 229-4800 1 fax: (520) 742-1022
To: Bayer Vella
Planning and Zoning Administrator
February 5, 2018
Mr. Vella, on behalf of Pusch Ridge Christian Academy, I want to thank you and your staff for your
willingness and your diligence to research the zoning ordinances to find one that would accommodate
us for our herein expressed needs on our campus at 9500 N Oracle Rd. After receiving a call from Patty
Hayes on your staff we have decided that an Accessory Use Permit would be the best option for our
situation so we are asking for one in this memo for the use of the Sower Ministry participants to park
their RVs. The participants engage in our projects approximately 180 days per year from the middle of
November through the middle of April with a rotation of participants and new ones each month. We
have three RV setup locations side by side accessible and attached to our North parking lot on the East
side which are depicted on drawings with this packet. Most of the RVs are Class A. Some participants
chose to buy a dully pickup and a nice Travel Trailer to live in and pull rather than an RV toting a car
behind them.
I have included in this packet a synopsis of the Sower Performance Package and the proficiency level of
each individual sowers' skills.
Thank you for your services in Oro Valley,
Gary W. Szanto
Outdoor and Building Maintenance Manager
Pusch Ridge Christian Academy
9500 N Oracle Rd.
Tucson, Arizona 85704
Cell 520-612-5556
Administration 520-797-0107
�ar Szan+0CD Prca. a Ca04r"�
*H1189110
FEB 06 2018
AY:.................
SOWER PROJECT GUEST GUIDELINES
SOWER Office Phone (903) 882-8070
14771 CR.124 Fax: (903)883-8010
Undale. TX 75771-7825 Wehsite: wmv. snwerministn�=
SOWS-R projects are intended to be attended only b%. SO\\'ER members. At times SOWERS will have
guests While the}' are on projects. SOWERS are reminded that the primar%. objective and commitment
ofthe SOWER Nlinistry is to provide work services to our host ministries. Guests should not detract
from that commitment. The following guidelines concerning guests on projects have been established
to cover most situations. If the guidelines do not cover your guest situation. please use Christian love
and a servant's heart in determining what to do. Do not ask the hosts for favors for _Four Luest and do
not ask tite GL to approve situations that are not covered in the guidelines.
Impact of guests on nroiectlwork
I. Inform the Group Leader (GI-) %%hen you expect to have guests. If guests arrive unCNpectedly and it,n_-
for more than a few hours, the GL should be made m"re of the Visit as soon as practical.
?. A SOWER couple or single shall not have a guest on more than one workday per project.
3. An loss of work time {72 hourslpr(,ject) resulting from guests on a project should be made up with
work assigned by the Gl-
4. While there is no restriction on SOWF R guests during non -work time. remember the project is not a
vacation spot for SO\\'I RS or guests.
5. SOWER guests who wish to %cork at the project must get permission directly from the host and %%ill be
considered to be a volunteer at the project without connection to the SOWER Ministr,,. Guest(s) ma\
work with SOWERS if approved by the GL. but the SOWER Nlinistr}accepts no responsibilit\ liar attr
guests on a project.
6. Children (under 18) are to be attended at all times \\hile on the host's property.
7. SOWER guests are required to abide b% all SOWER Ministry and host guidelines.
Guest accommodations and host reimbursement
I . Guests planning to visit a project should contact the host directly for permission to come to the project
as guests and the host should be advised if the guest plans to stay with SO\4ERS or if they \\ill be using
separate accommodations.
2. If guests will be staving in commercial lodging. the\- will need host permission only to come on host
property to visit SOWERS.
3. If -fuests stay with SOWERS. the host should be reimbursed generously for the added utilities (i.e..
grater, poorer and serer).
4. If the host provides overnight lodging for guests as a normal part of their ministry. SOWER gue t.i may
make arrangements for lodging with the host and the host should be reimbursed eenerousl.
5. Guests N\ho wish to bring an RV to the project should make parking arrangements directly with the host
without involving SOWERS who are %%orking the project. Guests shall not Let permission through the
SO\\'ER Office. the GL or a SOWER member to brin.an RV onto a host's property. A SOWER
member shall not ask the host for permission to ha%e a guest bring an RAJ to a project.
6. if meals are consumed by guest(s). the host should be reimbursed at the established guest rate.
Itc\ 4-16-07 (entire document)
Group Leader Guidelines for SOWER Projects
The Croup Leader (CL) is the highest SONVER authority on a project. Group Leader assignments are noted in the
SOWERGRAM. The CIL Packet is trailed to the GL's attention at the project. If the GL names in the GRAM and GL Packet differ.
contact the office for clarification. The GL's spouse is assumed to be the Lad% Leader ILL): howe%er. the GL ma} ask for a %ohmteer
to be LL. Both the GL and LL may delegate some responsibilities to other %%illin;; SOWERS on the project. The primar%
responsibilities of the GL are to support the SOWER Policies (i.e. Constitution. Bylaws. Membership Guidelines and (A.
Guidelines): and to help create an atmosphere that is pleasing to our Lord and encouraging to the project host and SON% ERS.
Remember that we as SOWERS are willin_: to cork along side any other Christian Ministrn. The GL is expected to:
Arrive on Thursda% before the prpject begins in order to:
A. Re% iett the Group Leader packet that was mailed to the project office. In particular note the size of SOWERS' RVs shown
on Skill Sheet. If necessar\. assign RV sites based on size of RV sites and SOWER rius. Be a%%are that both the GL and host
recei\e a copy of"I-Iost Guidelines for SOWER Projects"...rep iew that document and be prepared to respond to host
questions. or feel fret to refer the host to the SOWER office for ans,%ers.
13. GL and LL meet with the project host work super\isors to discuss:
a) Work to be done by both men g Indies ... identif% host %%ork super%isors for the men and %%omen. Note: Ifthere is work
for the ladies. they are not expected to do ••hea\-\ janitorial" stork (as defined by LL or each lad\'). The SOWER men
shall not enua¢e in am "heavy construction or concrete stork:' tthich endanuers their health or safer as defined h% the
GL and host, Men should not be asked to work on steep roofs (j4-12). SOWERS shall not be requested by the ho,t to
%%ork on propert} or facilities that are not cotered by the host's 50I(c) (3) or 509(a) except in an emergent% situation
(e.u. to make emcruenc} repairs).
b) Special tools and materials.,.these should be ataitable.
c) RV sites. utilities and facilities locations (office. restrooms. laundry facilit%. ifapplicable. etc.)
d) Phone services... assure 2.1-hour immediate emergency message deli\ery Bert ice is atailable.
e) US Mail... identify the place for drop-off and pickup of SO«•ER mail.
i) Meeting place for do%otions & socials.
Workdays and hours.. -establish a work schedule compatible ttith the host ... da\s and times to start work. take break.
cat lunch. and finish stork (ifthe host has no preference. decide these ttithin the group).
h) Get Kees and/or lock codes... for both GI. and LL (gates. cork spaces & offices. as needed for access. phone use. etc),
i) Invite the host to participate in and take a turn in leading detotions and to meet with the !_roup earn in the project to
give them a sense of the project Vision.
2. Welcome SOWERS as they arrive on the project and assiggn sites for RVs. SOWERS should arrite on Fridat or Saturda\... ovt
earlier and preferabl} not later. List earls' arrivals on the t_iroup leader report. Check each arri%al as,ainst the list ut
scheduled SOWERS ttho are assigned RV parkins_ sites. If unscheduled SOWERS arrite at am time to t+ork and the proitct i,
not full. check with SONVLR Office for verification to sta; .
3. Evaluate the capabilities or each SOWER in light of ph%sical limitations and level of skill. and then assign work accordingly,
Refer to Skill Sheets in Group Leader Package and discuss issues with each SOWER as necessar.%.
J. Schedule S conduct a meeting ttith all SOWERS (host attendance is optional) before project begins to:
a) Get acquainted with fello%% SOWERS.
b) Discuss the project. the stork to be accomplished (men and %%omen). and identif% the hoit work super%isors.
c) Establish the work- schedule if not alread\ done ttith the host. Stress our commitment to stork 72 hours month and thow
hours do not include devotions. breaks. meals or travel time. Singles also stork 72 hours month. Emphasize the need for all
SONVERs to work %%ithin the established time schedule. except for emerzencies or urgent circumstances. vthich Should he
discussed with the GL. When possible and safe. missed time should be made up.
d) Schedule devotions time R location and pass around a si_sn-up sheet to schedule devotion leaders. Encourage all SCAVL7RS
to take turns lead ins_ devotions.
e) Complete the Emergent% Notification and Mail Forvtardins, form (list full names and addresses on each side)
)'i I Ime SOWERS sign men's & ladies Skill Sheet (consent for medical treatment).
,) Advise SOWERS of «here the Emereenc. Notification. Men & Ladies Skill Sheet (medical consent form). ke}s and or lack
codes «ill be stored. "These will be accessible 24-7.
h) in case of emeruenc\ or accident that requires medical treatment get the Men S Ladies Skill Sheet (medical consent turn! to
the emer,,ency facility with the SOWER.
i) Read the ''Welcome BONERS" sheet (in each member's Songbook) and re%iew the Project Data Sheet information..
j ) Make safety a priority on the project.
k) Provide information retarding US Mail pick up and delivery. phone location. email arrangements. routine and emer-11Mc:
Re\.9'_S 10
message deli%m. laundry facilities at the project (if applicable). etc.
1) ,Make certain alf ha%e the: RV phone number (if applicable) and establish a s%stem for picking up incoming calls.
m) Appoint alternate GL and LL for times when GL and LL are not available.
n) Ask if any SOWERS are expecting guests... if so. refer to SONVER Project Guest Guidelines.
pit Encourage each SOWER to cam the address and phone number of the project in both Mallet and in s•ehicleW. so project «ill
be notified in case of an accident or an emenuenc%.
pt The I -I.. if necessan. should schedule a separate meeting \%ith the ladies to discuss use of laundr- facilities. and op tionall...
other Echo« ship acti% ities_
q) Take a tour of the project pointing out items of interest (a.,. place for devotions. meeting room. maintenance area. offices of
host staff, RV breaker box. water shut-off valves. (ire extinguishers. etc.).
5. Folloxcing the meeting -tour make copies of the devotion and laundr} schedule for each couple single and post these document .
6, ]Help organize and be responsible for work assignments ("ith the host supervisor). then follo%% upon progress. A, GI., iI'%oLl are
not comfortable leading a particular work task ask sotmeone who is more qualified (sags a ski]I level =4 or =5) to ]cad that %pork
task.
7. Respond to member concems. complaints or problems related to am aspect of the project. host ministr% or SOWER Nlinistr% as
tactfully as possible. and %%ith love and concern. If a problem is identified by group consensus that requires investigation and or
correction. record that problem in the GL repon. The SOWER Office or Board tt ill not tale am action on projcci or personnel.
related problems not submitted in writing, if problems become too difficult or require immediate attention. contact a 7ntstre. If::
Trustee cannot be reached. contact the SbWER Office. If no answer. lease %our name and number and sou a ill he contacts! �a
soon as possible.
S, Recognize and diplomaticall% subdue all communications that could lead to denominational or doctrinal dogma differences.
9. In case an enteroencv or accident that requires medical treatment take the men's R ladies Skill Sheet to the emergency facilit\.
10, Sing the SOWERS theme song "Our Best' (usual],- the I" verse and chorus) at desotions and other gatherings.
11, Before you contact anv local news paper. TV or radio for free inter% iews get permission from the project host and the SOWL P,
office,
12. Conduct a group meeting %%ithout the host present for the purpose of gathering input for the GL Repot. Use this opporiunit\ to
update Project GRANT PLS information. the Project Data Sheet. or the information on SOWER Skill Sheets (to be updated and
signed by the applicable SOWER). At the completion of the project. complete the GL Report (including the section that dons not
invoke _group discussion) and send it (either b\ USMail or email) to the SOWER Office.
13. Fill out the SOWER work Voucher (pa} check). ha%e it signed b,. the host and gi%e one to each couple single.
14. Return Skill sheets to SOWERS prior to their departure.
15. Gi%e the ,Mail Forwardinu information (the left side of the emer__,enc% notification sheet) for depaning SOWERS to the host office
before leaving the project.
16, Group Leader responsibilities end fullossing completion of the la,t cork da, of am gi%en project -month (i%picall} I hursda-, m
P\iI.
Re%: 928 10
MH iR .1lirri ire Gtfideliticn rar 1'Mect ilowt
Following are excerpts from thu SO%VER Membership Guidelines and. eehile subject to change and not comprehensive.
provide a framework within which the project host should expect SOWERS to serve.
SOWER members have agreed that they shall:
• not arrive at projects early. The Group Leader(GL) should arrhe on Thursday before the project begin;.
All others should arrive on Friday or Saturday before the project begins.
• notify the GL and or host as soon as they knon they are going to arrive at a project late due to unforeseen
circumstances.
• not go to a project as an independent. but %sill be there as assigned SOLVER. SOA. Guest. or working
under the "Unscheduled Project Work Participation provision"
• keep pits on leash at all times outside of the rig. clean up after them and not permit them to disturb
others. Be certain pets arc alloieed before signing up for a project:. Not call the project host for aii
exception to the .NO PET rule.
• be flexible and adaptable to the host. GL and other SOWERS.
• refrain from drinking alcoholic beveraces. smoking and the use of tobacco. use recreational drugs and
conduct themselves in a respectable manner Mille on stork projects.
• observe any dress code listed or unlisted at a project. If unlisted. notifj• the office immediately so that the dress
code can be listed in the next SOWERGR NI.
• discuss as a _group and aitenipt to adjust work hours to accommodate the host due to emergencies. host %%ork
schedules. and or other evorkinq volunteers.
• understand that the GI_ is the highest SOIVER authority on the project.
• understand that the GL is the liaison between the host and all SOWERS. Comments. suggestions. etc.
should �-,o through the GL to the host unless the GL has assi_ned another SOWER to be the liaison on the job.
• work with the GL to determine how best the project stork should be done.
• understand that SOWERS are to do every job as the host desires it to be done. The only exception is that tt
must be done safely and be safe when completed.
• not invale the host in inter-SONVER problems.
SOWERS have additionally ag reed that they evill onl entertain any guests as specified in "SOWER cU PST
GUIDELINES"
Folloesina are some of the SOWER Guidelines that pertain to host responsibilities. 11"e understand that %%e cannot tarcc
dour compliance with them: however. esc consider you our partner and your cooperation will help assure a healthy and
lastinu veorkinu relationship %%ith SO%Vf_RS and help us to maintain consistence within our ministry,
Project Hosts are expected to:
• respond in a timely manner to correspondence from the SOWER Office. especially the request for
updated project information that is used to list %our project for the coming year. %Ve do not send "junk mail."
so any correspondence you receive from the S6%VER office should be considered important.
• provide hunk -ups for RVs as described in the SOWFRGRA.Nt and provide a telephone convenient fur
incoming and outgoing calls. twenty-four hours a day. seven daes a week.
• provide a means to receive and deliver routine phone messages and to immediate) deliver emergenc%
messages to SOWERS if a phone line is not provided to the SOWER RVs.
• have all permits on hand when SOWERS arrive.
• provide specific daily %%ork directions if; the SOWER GLs (men and women).
• - as practical, have all material. supplies and special tools on hand when SOWERS arrive.
• not encourage or permit SO\VERS to %%ork as independents. by-passing the regular SOWER project
sign-up procedure.
not encourage ar alltnt• SOWEIIS to arrive at the project early. The GL should arriec on Thursde} t inrr
the project begins. All others should arrive on Frida% or Saturda% before the project begins.
Res:'_ 2 16 Pa_:e 1 of'_'
• welcome SOWERS to remain at the project in their RV sites for one week after the end of the project at no cost
to the SOWERS. \\'hen there is more than one %%eek beween projects. SOWERS ma% request pernti;;nm of
the host to sta% longer and. if approved. either work or reimburse the host _=encrousl` for the additional da%t st
spent on the project. In any case. SO%%'17.RS not assigned to the project shall depart before the next SO\\'E:R
group arrives.
• not make exceptions to established project rules (e.g. pets. dress codes. etc.) on a case-by.case
basis... establish rules and stick to them.
• not require SOWERS to do heavy concrete work.
• not normalh require SM ERS to %%ork on roofs that are steeper than .4 12 slope. SONVER members a ill
inform GL if uncomfortable \%ith a roof for am other) %%ork assignment.
• not request SO\\'ERS to cork on propert\ or facilities that are not cokered b\ wur =01(e) (3) or _509(a) except
in an emergency (e.g. to make emergent} repairs).
• give necessay project keys and lock codes to the GLs to assure appropriate access to project vales.
supply rooms. office doors. telephone and %ark spaces.
• use the SOWER GLs as the liaisons between you and all SOWERS. If you sec a problem with a
SOWER, take it to the GL Tor resolution. If you havea problem %%ith the GL. and cannot work out the
problem with the GL. contact the SOWER Office for guidance.
• do your best to encourag a and roar the relationship bet%%een SOWERS and %our ministry-.
The following actions are not guidelines. but describe how best to work`with SOWERS in order to get the most
accomplished in an atmosphere of Christian love.
• Pray that the Lord +gill send the right number and skill level of people to accomplish His work,
• flan the work ahead of time utilizing the SO\VERS Skill Sheets provided to you.
• Prioritize SO\\'ER aork so \ our most important jobs are worked first.
• Meet with the Group Leaders (both man and womant «hen the% arrive to explain the work to be dome.
introduce the ke\ contact persons and show them where the workspaces and materials are located.
• Inform the Gl. immediately of any changes in the Mork scope. priorities or methods of working.
• Welcome the SO%VERS when they arrive. educate them relative to the purpose and %ision of your ministry
and. in __eneral. make them feel a pan of %our ministry staff or team!
Should any issue or situation arise with which % u need advice or clarification. or which %ou belie%e should be co\ered
by guidelines. and a SOWER Group Leader is either not a\ ailable at wur project or is unable to pro%ide satisfactor\,
information. answers or resolution. please contact the SO%VER Office in Lindale. TX at (903) 882-8070.
Rey: 2 2 16 Page'_ of
Men's and Ladies Skill Sheet
Proficiency Level Explanation
This information is to help you plan and better utilize Sowers on your project.
Please consider this information as you review the numbers on the each SOWERS
Skill Sheet:
0 = Cannot do work in this area.
1= Do not have experience in this area but are willing to help someone doing a
project including these skills.
2 = Have done this type of job in the past but will need supervision and/or
instruction.
3 = Have experience at and are able to complete the job at a limited level of
proficiency.
4 = Comfortable doing and showing others how to perform this skill.
5 = Have done this for a living or picked up as a hobby and are very
comfortable doing as well as teaching others.
I hope the above is helpful.
SOW
'en's and Ladies'
Skill Sheet
Name (Hers)
AZIM 2/2018
GROUP LEADER
WAIVER OF LABILITY I hereby hold harmless SERVANTS ON WHEELS EVER READY (SOWERS) its agents, employee>
members, staff, corporate or other officers and representatives and those ministries and organizations (AKA "projects'f v ;
the SOWER Ministry works or is involved, from any injures sustained to myseJ or my family or any damage to my property v:
traveling to or from any SOWER project or property, or wh..le on any SOWER project or property
COMPENSATION I agree that I will receive no monetary compensation for anytime or labor while participating in a SOWER
project or program. 'will make no unauthorized purchases on behalf of project or the SOWER MINISTRY and will present a val;d
sales slip or invoice for payment of all authorized purchases
CONSENT FOR CRIMINAL BACKGROUND CHECK I give perm ssion for the SOWER Ministry or its agents to obta.n r
req.,Jre information pertaining to any convictions i may have had for state prsv ncz or federa com na aw violation T h
information may include but not be lim led to cony ctions for crimes commuted upon m,nors and/or those of a sexual nature and
may be gathered from any agency to the extent permitted by state provincial and federal law
I have read and understand the current SOWER Ministry Constitution, Bylaws, Membership Guidelines, Admin Policies,
Waiver of Liability, Compensation Agreement, and Consent for both Medical Treatment and Criminal Background Check and
by my signature below, endorse them and agree to abide by the requirements and conditions described in each of them.
X (His) Signature on file in SOWERS Office. Fate, 816/2017
Birthday 512
Mon/Day
X (Her) Signature on file in SOWERS Office. Cate 8/6�2017
Birthday 1/31
Mon/Day
His Fingerprint Check on File v Her Fingerprint Check on File
Anniversary 10
Mon/Day
Permanent Address:
Street or Bcx,#
CITY
STAGE
ZIP CODE
ti•n+cu nvun�a
PHONE # (home)
RV Type MH Length 4C W dth with all sl des extended 10 Elect Plug Size 50
(Camper, TT, FW, MH) (20,30,50 amp:
Fr sicallMedica L mitations (His):
Phys'cal/Medical L mrtations (Hers)
Emergency contact
Proficiency level of 0,1,2,3,4, or 5
(O=Cannot, 1= Helper, 2=Need Supervision, 3=Capable, 4=Comfortable, 5= Very Proficient)
Men's Skill Ladies' Skills
Hcating/AC: 2 Fin sh Drywall 2 Light Cleaning 4 Seviina 3
Auto Mec 4 Plumb ng 3 Heavy Cleaning 2 First Aid 3
Diesel Mech: 4 Roofng 3 Cooking 3 Upholstery 1
Small Engine: 4 Carpentry 3 Baking 3 Landscaping 1 C-17
Electrical 2 Masonry 2 Office Work 4 List Other Ski is
Painting. 3 Welding 4 Computer Nork 3
Carpeting 2 Hvy Equ p Op 5 Tutoring 1
Cement Finisher 2 Tile 2 Painting 3
Install Drywall: 2 Other
Life Occupat'on(s) (His) construction{busing (Hers) medical transcnptionisUsecretary
Rev 1112015
- , edS o R P
po oa C. P, X l- M Q�rac�ko'
..O Years ofS
m U
0
.S°we�min`�'t
SOWER.
Work Schedule
The man of a husband and %%ife %%ork team or a sinule SOWER commits to %cork 72 hours per
project- month. The actual \corkdacs as %\ell as the start. break. lunch. and finish times ma\
,arc to meet the needs of our project hosts. but the follo\\ ing is a "typical" project \\ork
schedule:
7:30 Dc\otions
8:00 Start %%ork
10:00 Break
10:30 Resume %\ ork
12:30 Break for Iunch (\\omen \%ho are \corking «rap up at 1 1:30
1:30 Back to \\ork after Iunch
3:30 finished for the day
If a woman elects to %%ork (and most do aho are able). she also starts "ork at 8:00AM.
A SOWER Project typically starts on the first Monday of the month and lasts for three
consecutive weeks. A x%ork "\%eck" is four da%s. typically Nlondac through Thursday. and a
%%orkdac is six %%ork- hours long_. The eek follo%%ing completion of project work is a '•free
%%eek.- .Members are free to remain at the project %%ith the host continuing to prop ide RV space
and hooUps. SOWERS mac use that opportunit\ to \ isit the sights in the area. for rest and
relaxation. or the\ mac choose to mo%e on do%\n the road.
Rev: 10/7/13
SOWER Work Calendar
2018
January February March
1/8/2018 - 1/25/2018 2/5/2018 - 2/22/2018 3/5/2018 - 3/22/2018
April May June
4/2/2018 - 4,19,,2018 4/30/2018 - 5/17/2018 5/28/2018 - 6/14/2018
July August September
7/2/2018 - 7/19/2018 7/30/2018 - 8/16/2013 8/27/2018 - 9/13/2018
October November December
10/1/2018 - 10/18/2018 10/29/2018 11/15/2018 11/26/2018 - 12/13/2018
2019
January February March
1/7/2019 � 1/24/2019 2/4/2019 - 2/21/2019 3/4/2019 - 3/21/2019
April May June
4/1/2019 - 4/18/2019 4/29/2019 - 5/16/2019 5/27/2019 - 6/13/209
July August September
7/1/2019 - 7/18/2019 7/29/2019 - 8/15/2019 8/26/2019 - 9/12/2019
October November December
9/30/2019 - 10/17/2019 10/28/2019 - 11/14/2019 11/25/2019 - 12/12/2,-,;9
2020
January February March
1/6/2020 - 1/23/2020 2/3/2020 - 2/20/2020 3/2/2020 3/19/202-:,
April May June
3/30/2020 - 4/16/2020 5/4/2020 - 5/21/2020 6/8/2020 - 6/25/2020
July August September
7/3/2020 - 7/20/2020 8/3/2020 - 8/20/2020 8/31/2020 - 9/17/2020
October November December
10/5/2020 - 10/22/2020 :? 2, 21)20 11/19; 2020 11/30e12020 12/17/20-Ii-? fK
Nb�e,. J6\e,& LnG oh)LA PmwiU ,e,Q - .wuos�. 20 a.o bcJ� CoN u\c�G `IerQ.S
*o C3S Qeq,
SOWER Office SOWER MEMBER Fax: (903) 882-8010
14771 CR 424 REPORT OF ACCIDENT/INCIDENT REPORT Phone: (903) 882-8070
Lindale, TX 7S771 "CONFIDENTIAL" email: sowersCcpsowerministry.ors
rl
This form is to be completed by the Group Leader (GL) or Project Host on accidents requiring medical
attention or an incident that violates rules or conflicts that disrupts the project. Complete and return to
SOWER office.
Accident or Incident (Circle One)
SOWER Member Name and # involved:
Report written by:
Date and Time of Accident/Incident:
Project Name and Location:
Witnesses:
Position: (GL/Host)
Phone #:
Phone #:
Description of Accident/incident: (Observe site & determine facts involved. Describe.)
Corrective. Action Taken:
Was Medical Treatment Required? First Aid Physician Hospital None -
Comments:
Rev:4/29/2013
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