Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Personnel

SMOKING

  • WORK AREA [name]

  • Are suitable arrangements made for those who wish to smoke?

  • Do you see any evidence of smoking in non-designated smoking areas?

  • INDOOR SMOKING AREA

  • LOCATION [describe exact location]

  • Indoor smoking area approved by VP, Operations

  • Signage

  • Cigarette dispenser provided

  • Cigarette butts on the ground or in garbage bins

  • Explosives or equipment that stores or dispenses flammable liquid within 20 meters (65')

  • OUTDOOR SMOKING AREA

  • LOCATION [describe exact location]

  • Distance to doorway or other entrances >= 3 meters (10')

  • Signage

  • Cigarette dispenser provided

  • Cigarette butts on the ground or in garbage bins

  • Explosives or equipment that stores or dispenses flammable liquid within 20 meters (65')

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