Title Page
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Document No.
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Location
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Area
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Conducted on
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Personnel
QSHE Office Checks
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Workstations clear and appropriate
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Waste segregated properly
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Exits and walkways clear
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Branch QSHE performance up to date
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Last incident reported Date? - Issued being actioned
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Latest QSHE event communication on display
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Kitchen/ breakout area utilised
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Reception area welcoming
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Fire doors operational
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Extinguishers and First Aid kits complete
Summary and Signoff
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Name and signature of inspector