Title Page
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Conducted on
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Prepared by
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Location
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When is this inspection being conducted?
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Location:
General Housekeeping
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Are rooms clean and well kept?
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Are the floors in good condition?
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Are the walls in good condition?
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Is the ceiling in good condition?
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Are windows in good condition?
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Are the restrooms in good condition?
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Are doors easy to open and unblocked?
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Are tools kept where they belong and returned after use?
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Notes:
Electrical Safety
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Are light switch and outlet faceplates present and undamaged?
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Do all fluorescent lights have covers or sleeves?
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Are electrical cords intact and being safely used?
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Do electrical panels have a 3 foot clearance?
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Are all wires properly insulated and shielded?
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Notes:
Machine Safety
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Do machines have their guards equipped?
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Are machine parts in good condition?
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Are damaged machines locked and tagged out?
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Fire Safety
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Are fire extinguishers unblocked and in good condition?
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Are the manual alarm pulls accessible?
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Are flammable liquids and chemicals stored properly?
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Do flammable material cabinets have decent clearance?
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Notes:
Emergency Items
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Are evacuation routes posted?
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Are evacuation routes clear and unblocked?
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Are first aid kits available and stocked?
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Are eyewash stations available?
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Are exit signs present and functional?
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Is emergency lighting present and functional?
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Notes:
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Center Safety Officer: