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  • Room Inspected

  • Inspection Date

  • Done by

  • Inspection Location

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  • Door is found closed and locked?

  • If door is open, is any team working inside?

  • Is the team found working inside the room in posession of valid PTW (RAWP, Form 171, etc)

  • Is the PICOW presence?

  • Are all the required safety protections in placed (warning signs, proper PPEs, demarcation areas)?

  • Is the activity performed under proper lighting condition?

  • Is the door properly signalized?

  • Is the fire watcher figure required in this particular room?

  • Has the fire watcher proper communication means?

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