Title Page
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Conducted on
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Prepared by
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Location
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Personal protective equipment
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Handling and Storage of Material
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Housekeeping and Means of Exit
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Maintenance of Tools and Equipment
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Lifting and Elevating Device and Machinery
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Mechanical and Electrical Safety
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Fire and Emergency Safety
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Hygiene and First aid
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Enviroment
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Others
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Date and Time Inspection
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Inspected and Prepared By: