HomeMy WebLinkAboutRISK MANAGEMENT 02/20/2020 City of Bremerton Public Records Destruction Log
The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current,approved minimum retention periods
before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public records whose
minimum retention is other than"Retain until no longer needed for agency business then destroy"(such as records covered in the"Records with Minimal Retention Value"section
of the Local Government Records Retention Schedule(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Date Method of
Records Series Title Records Series Records Retention Minimum Retention Period Description(Box/Item Dates Covered Minimum Destruction(See
DAN Schedule numbers,volume,etc.) Retention
Met examples below*)
4.4 Employee Health GS2017-016 Local Retain for 3 years after 2 redwells 2013 and 2015 updated JSAs 12/31/18 Secure recycling
and Safety— Rev.0 Government end of calendar year and Personal Protective on 2/10/20.
Occupational Health CORE Version and no longer needed Equipment(PPE) Hazard
and Safety Program— 4.0 for agency business Assessments
Administration then destroy
*Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe)
Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litigation or
public records requests, are not needed for audit or other agency business, and shall be destroyed.
The ind'vidual responsible for invent�yi�hg th list drecords must sign below prior to the Record's Manager approval:
Emplo a Si n ur cint)d Name: Melisa Vaal Folmer Division: City Attorney's Office
The Records Manager must sign the a rov of th s re est prior to the destruction of the listed records:
Records Manager ,} >inted Name: Melisa Vaal Folmer Date Approved:2/20/20
The person/people respoble for t e e truc on of records must sign upon destruction of the listed records:
Employe4Sign to • ri ed e: Melisa Vaal Folmer Date Records Destroyed: 2/20/20
The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series GS50-09-06.
RECEIVED
FEB 1 1 2020
OFFICE OF THE
CITY CLERK
Form Revised 05/06/2014