HomeMy WebLinkAboutRISK MANAGEMENT 02/11/2021 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 Records Retention Description(Box/Item Minimum
Records Series Title DAN Schedule Minimum Retention Period numbers,volume,etc.) Dates Covered Retention Destruction(See
Met examples below*)
4.4 Employee Health GS2017-016 Local Retain for 3 years after 3 years of meeting 2015-2017 Safety& Health 12/31/20 Secure recycling
and Safety Rev.0 Government end of calendar year minutes Committee Minutes 2/1/21.
CORE Version and no longer needed
4.1 for agency business
then destroy.
4.4 Employee Health GS2017-016 Local Retain for 3 years after 1 year of committee 2017 Safety& Health 12/31/20 Secure recycling
and Safety Rev.0 Government end of calendar year agendas Committee Agendas 2/1/21.
CORE Version and no longer needed
4.1 for agency business
then destroy.
1.14 Risk GS2010-081 Local Retain for 3 years after 2 Redwells of 2017 2017 Accidents/Incidents 12/31/20 Secure recycling
Management/Insurance Rev. 2 Government date of incident then accidents/incidents 2/1/21.
CORE Version destroy.
4.1
*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 individual]{responsible for invent i e lis d ecords must sign below prior to the Record's Manager approval:
Employee Sgnattr • d Narrie: Melisa Vaal Folmer Division: City Attorney's Office
The Records Manager must sign the�pproval\of thi equeslt prior to the destruction of the listed records:
Records Manager Signature ri Na : Melisa Vaal Folmer Date Approved: 2/1/21
r
The person/people responsible r the destructi n of re rds must sign upon destruction of the listed records:
Employee Signatur • d N Melisa Vaal Folmer Date Records Destroyed: 2/1/21
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.
Form Revised 05/06/2014