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
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Disconnects have proper covers and covers closed and fastened Yes
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No flexible cords taped or showing sign or wear Yes
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Emergency stop devices
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All controls frunction properly Yes
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Electrical panels accessible Yes
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High Voltage Sign Posted ves
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Floors dry Yes
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Emergency lighting works properly Yes
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No power cords are taped Yes
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Plugs properly attached to cords Yes
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Electric heaters unplugged at the end of the day Yes
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On/Off switches function properly on all equipment Yes
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Power pannels accessible (2 feet on each side and 4 feet in front) ves
