Title Page
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Conducted on
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Conducted by
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Department
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Requirements for Communicating & Reviewing Inspection Results with Plant Management
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1. Is there dust accumulation in the work areas?
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1a. Where in the work area are these accumulations?
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1b. Specify Work Station(s)
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2. Does the dust cloud or dust accumulation interfere with visibility in the area?
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3. Are there leaks in systems containing or transporting dust?
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a. Specify system (i.e. Visor Robot Dust Collector or Visor Robot Duct Work)
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4. Is metallic or conductive dust prevented from entering or accumulating on or around electrical enclosures or equipment?
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5. Are dampers closed on manual lathes not in use?
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Enter machine #
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6. Have all employees working in combustible dust areas been trained on safe work practices and the hazards associated with combustible dust?
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List employees that need training
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7. Do cleaning methods, dry methods (brush, brushes, compressed air) disperse dust in the area?
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8. Is an approved explosion proof vacuum system available to clean up combustible dust?
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Reference for 8a.
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8a. Are all attachments above readily available for use?
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i. What attachments are missing? (check all that apply)
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9. Is the approved explosion proof vacuum system used to clean up combustible dust?
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10. Are accumulations of combustible dust routinely removed from elevated surfaces, including the overhead structure of buildings?
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10a. Specify Work Station(s)
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11. Is compressed air being used to clean surfaces or employee clothing?
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12. Have all employees with housekeeping duties have been trained on proper tools and methods?
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List employees that need training
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13. Are required dust hazard warning signs properly posted?
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14. Are smoking and no smoking areas posted?
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15. Is dust accumulation contained to Combustible Dust Areas only?
Inspection Completion & Signature
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EHS Coordinator
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Inspection is complete and accurate