扉页
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檢查員 Inspect Name
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工號 Staff Number
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日期Date
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指定檢查位置Assigned Inspection Area
审计
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1. Lighting functions normally with lamp shield.<br>照明正常，燈罩無損
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Notification Order/ Maintenance Order 發出的NO或MO
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2. No leakage (oil/water/chemical) in the workplace.<br>沒有油、水或化學品的洩漏
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Notification Order/ Maintenance Order 發出的NO或MO
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3. Floor areas are clean, dry, and free from slip/trip hazards.<br>地板乾淨，乾燥，並沒有滑倒或絆倒的危險
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Notification Order/ Maintenance Order 發出的NO或MO
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4. All electric sockets are in good condition with protective cap.<br>所有插座均狀況良好，並配有保護罩蓋
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Notification Order/ Maintenance Order 發出的NO或MO
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5. Exit signs are in place and function normally.<br>出口指示牌清晰，並操作正常
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Notification Order/ Maintenance Order 發出的NO或MO
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6. Exits and walkways are clear of obstructions.<br>出口及走道沒有放置障礙物
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Notification Order/ Maintenance Order 發出的NO或MO
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7. No defect on safety system, like handrail, guardrail, stairs or working platform.<br>現場安全設施沒有損壞，如扶手、圍欄、爬梯或工作平台等。
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Notification Order/ Maintenance Order 發出的NO或MO
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8. Others (Please specify)<br>其他（請指出）
