Title Page
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ADCO Safety Observations
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Jobsite Location
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Project Name
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Conducted on
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Prepared by
Electrical Safety Observations
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Electrical Equipment Free of Damage (Extension Cords, Hand-tools, etc)
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Electrical Equipment Damaged (Extension Cords, Hand-tools, etc)
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General Safety
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Forklift and other Mobile Equipment Inspections Completed
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Forklift and other Mobile Equipment Inspections NOT Completed
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Fire Equipment Accessible
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Fire Equipment NOT Accessible
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Chemicals Properly Labeled
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Chemicals MISSING Labels
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Employees Wearing Safety Glasses
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Employees NOT Wearing Safety Glasses
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Employees Wearing Hearing Protection
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Employees NOT Wearing Hearing Protection
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Employees Wearing Proper Gloves/Hand Protection
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Employees NOT Wearing Proper Gloves/Hand Protection
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Tools in Good Condition
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Tools Broken or Improperly Modified
Housekeeping
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Work Areas are clear of Obstacles
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Work Areas have slip, trip and fall hazards
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Gas Cylinders Properly Stored
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Gas Cylinders are NOT Properly Stored
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All Drinking Container Tops are Properly Closed
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Open Top Drinks or Food in Found in the Work Areas