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Safety Actions Required
New Policy / Policy Change Required
Additional or Replacement PPE Required
Increased / Improved Inspections
Equipment Repair or Alteration
Removal of Defective Equipment
Disciplinary Actions Required
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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