Title Page
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Client / Site
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Conducted on
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Prepared by
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Department Audited:
- Internal Assembely
- Coil Finish
- Coil Winding
- Insulation
- Tank & Oil
- Electrical Test
- Repair
- Paint
- Tank Weld
- Metal Fab
- Warehouse
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For each different chemical audited in the audit area, use a separate "Chemical Checklist" below:
Chemical Checklist
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List a chemical used in the area:
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Check for leaks, damage to container, and lid/top secured in place.
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Is the primary container for the chemical in good condition?
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Flammable in cabinet, Containers larger than 55gal should be on containment and under cover if stored outside. Ensure incompatible material are separated.
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Is the chemical stored appropriately in the area?
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Label should be legible and have all required information (Name, Manufacturer, Hazard Information, etc)
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Is primary container labeled correctly and label in good condition?
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Is chemical stored in secondary containers for use?
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What type of secondary container is in use?
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Check for leaks, damage to container, and lid/top secured in place.
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Is container appropriate for the material it contains and in good conditon?
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Is secondary container labeled correctly and label in good condition?
