Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Walking-Working Surfaces
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Are walkways and work areas free from obstructions and tripping hazards?
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Are stairs and platforms in good condition and free from defects?
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Are emergency exit routes free from obstacles or storage items?
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Are emergency exit signs illuminated and visible? Exit routes well-lit?
Electrical Safety
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Are electrical cords and equipment in good condition without signs of damage or wear?
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Are Arc-Flash Warning stickers on all correct equipment?
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Are electrical outlets and panels unobstructed and accessible?
Fire Break Out
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Are fire extinguishers readily accessible and properly charged?
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Are employees trained in fire evacuation procedures?
Lone Working
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Are procedures in place for checking on lone workers regularly?
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Do lone workers have access to communication devices for emergencies?
Facility Safety System Hazards
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When were the safety systems (alarms,sprinklers) last tested?
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Are emergency shutdown procedures clearly communicated and understood?
Ladders
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Are ladders inspected for damage before each use?
Radio Frequency
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Are RF exposure levels monitored and controlled within permissible limits?
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Are employees trained in RF safety procedures?
Manual Material Handling:
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Are employees trained in safe lifting techniques?
Hand and Portable Powered Tools
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Are tools inspected for damage before each use?
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