Title Page
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Which Building are you inspecting?
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Which department / area are you inspecting?
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Conducted on
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Prepared by : Enter your name
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Document No.
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Add location
Aisles / Exits / Egress
AISLES/EXITS/EGRESS
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Are Aisles/ Exits / Egresses to be inspected in this audit?
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Is the minimum width of any aisle leading to an exit is at least 44 inches wide?
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Are exits marked, free of debris and readily accessible at all times?
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Is emergency lighting operating? (Test by using test button if you can do so from the ground or floor.)
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Can you see marked exits or exit signs from the aisles in your area?
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Are aisles and doorways kept clear; and free of obstructions with trip hazards minimized to permit visibility and movement?
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Are doors not used for egress (closets, offices, etc.) that could incorrectly be thought to be an exit labeled “NOT AN EXIT?”
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Are floor surfaces clean, dry, level, not slippery or sticky and in good condition?
Walking / Working Surfaces / Stairs
WALKING / WORKING SURFACES / STAIRS
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Are walking / working surfaces / stairs to be inspected in this audit?
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Are all floor openings covered?
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Are non-slip surfaces in good condition on steps and platforms?
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Are stairwells clear and handrails in good condition?
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Are mobile work platforms available and used?
LADDERS / SCAFFOLDING
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Are Ladders / Scaffolding to be inspected in this audit?
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Are all step ladders under 20 feet in length?
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Are rubber feet on ladders in good repair?
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Are all ladders inspected and in good condition with no structural damage?
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Are there no metal or aluminum ladders in electrical areas?
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Are ladders being used properly (only one person on ladder at a time and no one standing above the second step down from the top)?
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Are fixed stairs being used (instead of ladders) where regular travel is needed?
Electrical Grounding
ELECTRICAL GROUNDING
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Is Electrical Grounding to be inspected in this audit?
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Are electrical appliances, portable electrical tools, and fixed electrical equipment grounded or UL rated/double insulated and in good repair?
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Do extension cords being used have a grounding conductor and are in good repair?
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Are extension cords used only for temporary wiring applications (60 days max.)? <br>
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Are there any extension cords and surge protectors "daisy chained" together? (Failed response is yes)
Personal Protective Equipment (PPE)
PERSONAL PROTECTIVE EQUIPMENT (PPE): EYE/FACE, RESPIRATORY, HEARING
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Is PPE to be inspected in this audit?
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Are approved safety glasses, face shields, gloves, Tyvek suits, aprons, clothing, and hearing protection used in required areas?
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Are areas clearly marked as a “HEARING PROTECTION, EYE PROTECTION REQUIRED”, as needed?
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Are employees using appropriate respirators for the work being done?
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Are employees using respirators clean-shaven (so mask will seal against face)?
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Are employees using paper respirators (dust masks) trained in their proper use?
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Are respirators clean and stored properly?
Fall Protection
FALL PROTECTION
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Is Fall Protection to be inspected in this audit?
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Is appropriate fall protection provided and used properly (safety harness, lanyard, and if needed, self-retracting lifeline)?
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Is fall protection PPE stored properly, kept clean, and out of direct sunlight?
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Is fall protection PPE inspected and certified semi-annually?
Crane / Hoist / Lifting Devices
CRANE / HOIST / LIFTING DEVICES
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Are Crane / Hoist / Lifting Devices to be inspected in this audit?
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Are all slings, hoists, chains, jacks, and supports certified and tagged with load limits and inspection dates?
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Is the weight of all loads known and is the crane inspected before use by crane operator?
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Does the operator have a full, unrestricted view before lifting load?
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Are all loads being lifted overhead secured?
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Is there no one beneath the load while it is suspended?
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Does the crane operator have a current license or certificate?
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Is the move checklist being used for Critical Lifts?
Equipment
EQUIPMENT
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Is Equipment to be inspected in this audit?
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Proper guarding of any pinch points, rotating collars, cams, chucks, couplings, shafts flywheels, spindles, bolt ends, rotating mechanisms, etc.?
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Are all protective guards (including light curtains and interlocks) in place, effective, and checked daily or before use?
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Are all controls and emergency stops clearly identified and within reach of operator?
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Are all emergency stops, safety guards, and safety devices located on equipment and tools working and adjusted properly?
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Are grinder gaps 1/8 inch from bottom of wheel and 1/4 inch from top of wheel?
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Grinding wheel surface not damaged or worn (must be square and no grinding on side of wheel).
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No aluminum found in grinding wheel surface?
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Are fans inspected annually for damage (cracked blades, guards, cords, etc.)?
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Are heat lamps and work light bulbs guarded?
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Are all fixed machines bolted to the floor?
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Do air nozzles have relief valves to decrease pressure to 29 psi or lower?
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Are air disconnects and safety nozzles the correct type (safety relief vents may not be covered or sealed in any way)?
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Are Air lines, vacuum lines, and hydraulic lines free of damage and nothing is hanging from them?
Machinery
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Are you inspecting a specific piece of equipment?
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Tap to add machinery / equipment
Machinery / Equipment
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Machine Type / Name
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Serial Number
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Take a picture of any faulty equipment
Forklift / Powered Industrial Truck
FORKLIFT / POWERED INDUSTRIAL TRUCK
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Are Forklifts / Powered Industrial Trucks to be inspected in this audit?
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Daily inspection performed prior to first use and log entry completed.
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Do all operators have current forklift license?
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Are service valves closed on all propane equipment left inside overnight?
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Harness and lanyard used at all times with Genie Lift?
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Load capacity clearly visible on forklift.
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Are forklifts driven backwards with awkward or bulky loads?
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Are all traffic signs observed? (Operators must stop at stop signs.)
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Are pedestrians given the right-of-way?
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Are safety glasses and seat belt worn while operating the forklift?
Compressed Gas Cylinders
COMPRESSED GAS CYLINDERS
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Are you inspecting Compressed Gas Cylinders?<br>
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Are cylinders legibly marked to clearly identify the gas contained?
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Are cylinders stored away from heat source and do they have separation between flammables and oxidizers?
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Are cylinders located or stored in a manner to prevent them from creating a hazard by tripping, falling, or rolling? The cylinders should be stored upright and chained with protective cap in place (including empty containers).
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Are valve protector caps placed on cylinders when not in use?
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Are flammables and combustibles stored properly?
Ergonomics
ERGONOMICS
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Are you inspecting ergonomics?
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Are there any Ergonomic problems observed with workstation, keyboard, posture, or work habits?
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If ergonomic problems are observed, please include a picture.
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Are Employees advised on the proper lifting techniques?
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Are mechanical lifting aids available for heavy or awkward items?
Emergency, Health, & Safety Information
EMERGENCY, HEALTH & SAFETY INFORMATION
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Are Emergency. Health & Safety information to be inspected in this audit?
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Are area hazard sign visible, legible, understandable and in compliance with regulations?
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Are procedures established for alerting employees of an emergency in the workplace (i.e., fire and shelter)?
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Are fire alarm "Air Horn" locations marked and unobstructed?
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Are sign for emergency numbers, routes, and evacuation routes posted?
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Are the Emergency Response Team Members (ERT) assigned?
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Do employees know who their ERT Members are?
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Name of ERT Member for this work area.
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Does the ERT Member have their numbers readily available, functional?
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Is a copy of the Emergency Action Plan (EAP) for the area available for employees to read?
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Are employees trained on emergency procedures (primary and secondary routes)? Do they know where to go?
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Does the EAP include a way to alert employees, including disabled workers, to evacuate or take other action and include instructions on how to report emergencies?
Hazardous Communication - Chemical Safety
HAZARD COMMUNICATION - CHEMICAL SAFETY
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Is Chemical Safety to be inspected in this audit?
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Do employees know what an SDS (Safety Data Sheet) is, where to find them, and how to use them?
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Is each container of hazardous chemicals in the work area properly labeled by identifying the chemical it contains and marked with health hazards?
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Are all chemicals that are used in the work area in the MSDS Online database?
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Are all chemical containers not in use closed with lids?
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Are all chemicals in beakers and flasks labeled with proper NFPA/HMIS label?
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Are all chemicals not actively being used stored in proper flammable or corrosive cabinet?
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Are all chemicals removed from fume hoods and stored in proper cabinets?
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Are all plating/chemical tanks not in use clean, dry, and covered?
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Is grit blast cabinet area clean and garnet hopper emptied daily?
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Is food separated and away from chemicals in the work area?
Satellite Waste Accumulation - B2
SATELLITE WASTE ACCUMULATION - B2
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Are you Inspecting Building 2 Satellite Accumulation?
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1) The waste must be accumulated in a container (not a tank) that is located at or near the point of waste generation. 2) The container must be under the control of the operator of the process generating the waste. 3) The initial date of accumulation (i.e. the date waste was first placed in the container) must be clearly marked on the container and visible for inspection. 4) The total amount of each waste stream present at each satellite accumulation point must not exceed 55 gallons of hazardous waste or 1 quart of acutely or extremely hazardous waste. 5) Within 3 days of reaching the 55 gallon or 1 quart limit, the container must be marked with the date the quantity limit was reached. 6) The generator must not hold the waste on-site for more than one year from the initial date of accumulation, or for longer than 90 days after reaching the 55 gallon or 1 quart satellite accumulation limit, whichever occurs first.
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2-01 Release Booth<br>Waste Release (30 G OT)<br>Complies with the above listed requirements?<br>Emptied Weekly?
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2-02 Layup Bubble<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-03 Release Booth<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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2-04 Weld Shop<br>Used Aerosols (30 G Poly)<br>Complies with the above listed requirements?
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2-05 Autoclave<br>Phenolic Waste (15 G Poly)<br>Complies with the above listed requirements?
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2-06 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-07 Layup<br>BAMS Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-08 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-09 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-13 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-14 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-15 Layup<br>Used Aerosol (30 G Plastic)<br>Complies with the above listed requirements?
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2-16 Layup<br>BAMS Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-17 Tooling<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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2-18 Layup<br>BAMS Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-19 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-20 Tooling<br>Used Aerosol (30 G Plastic)<br>Complies with the above listed requirements?
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2-21 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-22 Layup<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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2-23 Tooling<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-24 Tooling<br>Solvent Rags (40 G Plastic)<br>Complies with the above listed requirements?
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2-25 Layup<br>BAMS Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-26 Layup<br>Used Aerosol (30 G Plastic)<br>Complies with the above listed requirements?
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2-28 THAAD<br>Solvent Rags (14 G Metal)<br>Complies with the above listed requirements?
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2-29 Autoclave<br>Phenolic Filters (5 G Plastic)<br>Complies with the above listed requirements?
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2-30 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-31 Layup<br>Solvent Debris (55 G Metal)<br>Complies with the above listed requirements?
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2-32 Poly Pick<br>Used Batteries (15 G Plastic)<br>Complies with the above listed requirements?
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2-33 Layup<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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2-37 Box Bay<br>Paint Rinse (55 G Plastic)<br>Complies with the above listed requirements?
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2-38 Layup<br>Prepreg Waste (40 G Plastic)<br>Complies with the above listed requirements?
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2-39 90" Reflector Area<br>Solvent Debris (5 G Metal)<br>Complies with the above listed requirements?
Satellite Waste Accumulation - B 3
HAZARDOUS WASTE - SATELLITE WASTE ACCUMULATION
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Are you Inspecting Building 3 Satellite Accumulation?
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1) The waste must be accumulated in a container (not a tank) that is located at or near the point of waste generation. 2) The container must be under the control of the operator of the process generating the waste. 3) The initial date of accumulation (i.e. the date waste was first placed in the container) must be clearly marked on the container and visible for inspection. 4) The total amount of each waste stream present at each satellite accumulation point must not exceed 55 gallons of hazardous waste or 1 quart of acutely or extremely hazardous waste. 5) Within 3 days of reaching the 55 gallon or 1 quart limit, the container must be marked with the date the quantity limit was reached. 6) The generator must not hold the waste on-site for more than one year from the initial date of accumulation, or for longer than 90 days after reaching the 55 gallon or 1 quart satellite accumulation limit, whichever occurs first.
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3-01 Test Lab<br>Solvent Rags (30 G Metal)<br>Complies with the above listed requirements?<br>Emptied Weekly?
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3-02 Test Lab<br>Used Batteries (10 G plastic)<br>Complies with the above listed requirements?
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3-03 Test Lab<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-04 Test Lab<br>Methylene Chloride (5 G Metal)<br>Complies with the above listed requirements?
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3-05 Test Lab<br>Graphite Rinse (5G Plastic)<br>Complies with the above listed requirements?
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3-06 Test Lab<br>Nitric Acid Rinse (55 G Plastic)<br>Complies with the above listed requirements?
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3-07 Test Lab<br>Grey Water (55 G Plastic)<br>Complies with the above listed requirements?
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3-08 Reflector Assembly<br>Used Batteries (5 G Plastic)<br>Complies with the above listed requirements?
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3-09 Reflector Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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3-10 THAAD<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-11 Reflector Assembly<br>Propane Cylinders (5 G Cardboard)<br>Complies with the above listed requirements?
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3-12 THAAD<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-13 THAAD<br>Alkaline Batteries (5 G Plastic)<br>Complies with the above listed requirements?
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3-14 THAAD<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-15 THAAD<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-16 Paint Booth<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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3-17 Paint Booth<br>Solvent Waste (55 G Metal)<br>Complies with the above listed requirements?
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3-18 Paint Booth Mix Room<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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3-19 THAAD<br>Alodine Debris (30 G Poly)<br>Complies with the above listed requirements?
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3-20 THAAD<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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3-21 THAAD<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-22 THAAD Machine Shop<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-23 THAAD Bond Room<br>Solvent Rags (30 G Poly)<br>Complies with the above listed requirements?
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3-24 THAAD<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-25 THAAD<br>Alodine Liquid Waste(20 G Poly)<br>Complies with the above listed requirements?
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3-26 Paint Booth<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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3-27 Test Lab <br>Solvent Waste (2 G Poly)<br>Complies with the above listed requirements?
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3-28 THAAD<br>Solvent Waste (2 G Poly)<br>Complies with the above listed requirements?
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3-29 Paint Booth <br>Flam Loose Pack (55 G Metal)<br>Complies with the above listed requirements?
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3-30 Paint Booth <br>Amine Loose Pack (55 G Poly)<br>Complies with the above listed requirements?
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3-31 Test Lab<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
Satellite Waste Accumulation - B4
HAZARDOUS WASTE - SATELLITE WASTE ACCUMULATION - PLATING
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Are you inspecting B4 Satellite Waste Accumulation?
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Are you Inspecting the plating lab?
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1) The waste must be accumulated in a container (not a tank) that is located at or near the point of waste generation. 2) The container must be under the control of the operator of the process generating the waste. 3) The initial date of accumulation (i.e. the date waste was first placed in the container) must be clearly marked on the container and visible for inspection. 4) The total amount of each waste stream present at each satellite accumulation point must not exceed 55 gallons of hazardous waste or 1 quart of acutely or extremely hazardous waste. 5) Within 3 days of reaching the 55 gallon or 1 quart limit, the container must be marked with the date the quantity limit was reached. 6) The generator must not hold the waste on-site for more than one year from the initial date of accumulation, or for longer than 90 days after reaching the 55 gallon or 1 quart satellite accumulation limit, whichever occurs first.
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4-XXX Plating Shop Red Can<br>Across from Changing Room<br>Complies with the above listed requirements?<br>Emptied Weekly?
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4-XXX Plating Shop Floor Rinse<br>Near Titanium Etch Tanks<br>Complies with the above listed requirements?
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4-XXX Titanium Etch<br>Near Titanium Etch Tanks<br>Complies with the above listed requirements?
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4-XXX Copper 85 Solution<br>Near steps to large plating tanks<br>Complies with the above listed requirements?
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4-XXX Black Oxide Waste<br>Near steps to large plating tanks<br>Complies with the above listed requirements?
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4-XXX Alodine Waste<br>Near steps to large plating tanks<br>Complies with the above listed requirements?
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Are you inspecting Ceramics ?
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4-10 Used Batteries<br>Cardboard (10 G) <br>Complies with the above listed requirements?
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4-13 Solvent Rags<br>Metal (10 G) <br>Complies with the above listed requirements?
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4-14 Solvent Rags<br>Metal (55 G) <br>Complies with the above listed requirements?
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4-17 Solvent Rags<br>Metal (5 G) <br>Complies with the above listed requirements?
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4-18 Solvent Rags<br>Metal (10 G) <br>Complies with the above listed requirements?
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4-24 Used Aerosols<br>Cardboard (10 G) <br>Complies with the above listed requirements?
Satellite Waste Accumulation - B7
SATELLITE WASTE ACCUMULATION - B 7
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Are you Inspecting Building 7 Satellite Accumulation?
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1) The waste must be accumulated in a container (not a tank) that is located at or near the point of waste generation. 2) The container must be under the control of the operator of the process generating the waste. 3) The initial date of accumulation (i.e. the date waste was first placed in the container) must be clearly marked on the container and visible for inspection. 4) The total amount of each waste stream present at each satellite accumulation point must not exceed 55 gallons of hazardous waste or 1 quart of acutely or extremely hazardous waste. 5) Within 3 days of reaching the 55 gallon or 1 quart limit, the container must be marked with the date the quantity limit was reached. 6) The generator must not hold the waste on-site for more than one year from the initial date of accumulation, or for longer than 90 days after reaching the 55 gallon or 1 quart satellite accumulation limit, whichever occurs first.
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Are you inspecting the tool crib?
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7-01 Tool Crib<br>Used Batteries (10 G Cardboard)<br>Complies with the above listed requirements?<br>Emptied Weekly?
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7-02 Tool Crib<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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Are you inspecting Assembly Area?
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7-03 Assembly<br>Spent Solvent (5 G Metal)<br>Complies with the above listed requirements?
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7-04 Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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7-05 Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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7-06 Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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7-07 Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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7-08 Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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7-18 Assembly<br>Propane Cylinders (30 G Plastic)<br>Complies with the above listed requirements?
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7-15 Back Assembly<br>Used Aerosol (55 G Plastic)<br>Complies with the above listed requirements?
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7-17 Static Test<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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7-26 Assembly<br>Solvent Rags (55 G Metal)<br>Complies with the above listed requirements?
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Are you inspecting Ceramics?
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7-09 Ceramics<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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7-10 Ceramics<br>Empty Containers (55 G Metal)<br>Complies with the above listed requirements?
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7-11 Ceramics<br>Starfire Rags (55 G Metal)<br>Complies with the above listed requirements?
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7-12 Ceramics<br>S200 Waste (55 G Metal)<br>Complies with the above listed requirements?
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7-13 Ceramics<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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7-14 Ceramics<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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7-20 Ceramics<br>Solvent Rags (25 G Metal)<br>Complies with the above listed requirements?
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7-21 Ceramics<br>Batteries (5 G Plastic)<br>Complies with the above listed requirements?
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7-22 Ceramics<br>Starfire Empties (55 G Metal)<br>Complies with the above listed requirements?
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7-25 Ceramics<br>Used Oil (1 G Plastic)<br>Complies with the above listed requirements?
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Are you inspecting CSC?
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7-19 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-24 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-24 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-27 CSC Panel Blank :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-28 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-29 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-32 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-35 CSC Layup :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-38 CSC Layup :<br>Aerosols (30 G Plastic)<br>Complies with the above listed requirements?
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7-43 CSC Panel Blank :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-44 CSC Panel Blank :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-45 CSC Panel Blank :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-58 CSC Layup Face Sheets : 2 Cans :<br>Pre Preg (30 G Metal)<br>Complies with the above listed requirements?
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7-47 CSC Strut Assembly :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-51 CSC Panel Blank :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?
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7-59 CSC Strut Assembly :<br>Solvent Rags (5 G Metal)<br>Complies with the above listed requirements?