Title Page
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Responsibility: First Shift Mill Operator
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Prepared by
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Date
DAILY EMMISION
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Daily Emissions and Maintenance Inspection must be inspected and Signed daily
Day
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Day
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Dust Collector DC-222
- No visible emissions during inspection
- Yes; visible emissions
- not running
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Dust Collector DC-223
- No visible emissions during inspection
- Yes; visible emissions
- not running
SIGN OFF
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Note: This is a walkdown that is to be completed daily as specified. If any visible emissions, record in the Notes and assign Action to your supervisor to notify them and schedule a repair
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Completed by (Name and Signature)