Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Personnel
SMOKING
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WORK AREA [name]
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Are suitable arrangements made for those who wish to smoke?
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Do you see any evidence of smoking in non-designated smoking areas?
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INDOOR SMOKING AREA
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LOCATION [describe exact location]
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Indoor smoking area approved by VP, Operations
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Signage
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Cigarette dispenser provided
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Cigarette butts on the ground or in garbage bins
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Explosives or equipment that stores or dispenses flammable liquid within 20 meters (65')
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OUTDOOR SMOKING AREA
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LOCATION [describe exact location]
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Distance to doorway or other entrances >= 3 meters (10')
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Signage
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Cigarette dispenser provided
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Cigarette butts on the ground or in garbage bins
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Explosives or equipment that stores or dispenses flammable liquid within 20 meters (65')