Title Page
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Document No.
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Audit Title
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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
Exits
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Exits (blocked)
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Exit Signs (missing, mounted or damaged)
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Other
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Other
Fire Extinguishers
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Is the Monthly Inspection up to date?
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Are extinguishers mounted and/or have proper signage?
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Other
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Other
Electrical
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Faceplate (missing or damaged)
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Daisy chaining
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Panel Boxes (Are any blocked (should have 3 feet clearance)?) Is there proper signage?
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Other
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Other
Ceiling
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Water Damage
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Ceiling Tiles Missing
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Other
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Other
Housekeeping
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Wet/Slippery Floors (marked if necessary)
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Debris on floor
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Other
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Other
Emergency Evacuation
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Emergency Routes obstructed (doors, hallways leading to)
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No Storage within 18 inches of sprinkler heads
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Escutcheons (not in place)
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Obstructed of fire suppression system, for hoses, etc.
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Sprinkler heads (not flush with ceiling)
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Fire Alarms/pull stations (should not be broken; should be mounted)
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Other
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Other
Hazard Communication (HazCom)
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Are all chemicals properly labelled?
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Have employees been properly trained on HazCom?
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Other
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Other
Other Items
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Other Items
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Other Items
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Select date
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