Title Page
What car are you servicing?
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Brief description of car (model, make, color, year, etc.)
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Please include a picture of the car
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Accomplished on
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Completed by
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Are you wearing safety glasses/goggles?
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Are you wearing gloves? (for hand protection)
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Are you wearing the appropriate footwear? (closed, non-slip)
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Are first aid kits easily accessible?
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Have you received training on what to do in case of injury?
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Is there an eye wash station nearby?
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Is there enough ventilation?
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Is the fire alarm system working?
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Are fire extinguishers easily accessible?
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Have you received training on what to do in case of fire?
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Are you aware of the flammable liquids in the car or workspace?
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Are these flammable liquids kept away from ignition sources and points of human contact?
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Do you have the necessary tools for car service work?
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Do you know how to use these tools?
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Do you need assistance from another technician?
Sign Off
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Name and Signature