Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Storage and Labeling
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Are chemicals safely stored?
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Do you comply with licensing requirements for the quantities of chemicals (or other dangerous goods) stored at the workplace?
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Are chemicals clearly labeled?
Registers
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Is there a Hazardous Substance/Chemical Register?
Risk Assessments
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Have risk assessments been completed and reviewed for all chemicals?
Material Safety Data Sheets (MSDS)
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Are current MSDS available for all chemicals in the workplace?
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Do workers know about and understand MSDS and have access to them?
Training
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Are workers trained in storage, use, disposal and emergency procedures relating to chemicals?
First Aid and Emergency Procedures
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Do you have first aid facilities to deal with splashes or other chemical emergencies?
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Do you have equipment to deal with accidental release of chemicals?
Personal Protective Equipment
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Is adequate PPE provided?
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Is PPE maintained in accordance with manufacturers' instructions?
Hazards Identified (Planning for Improvement)
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Hazard 1
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Corrective Actions
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Corrective Actions Completed
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Hazard 2
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Corrective Actions
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Corrective Actions Completed
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Hazard 3
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Corrective Actions
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Corrective Actions Completed
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Hazard 4
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Corrective Actions
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Corrective Actions Completed
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Hazard 5
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Corrective Actions
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Corrective Actions Completed
Signature
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Strategic Safety and Training Consultant