Information
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Conducted on
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Complex:
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Area Supervisor
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Inspected by
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Role
Fire Extinguishers
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Fire extinguisher (must do at least 4 units)
Extinguisher
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Location:
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Take picture of extinguisher including signs
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Make sure that the extinguisher is in its designated place and is clearly visible
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Check the visual inspection seal
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Check the gauge to make sure it is in the green, CAP models have a red stem indicator
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Check to make sure it is easily accessible, and no obstructions
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Check and make sure the bracket is in good condition
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Make sure the tag is up to date with inspections
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Fire extinguisher removed and replaced?
Safety Shower / Eye Wash Stations
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Safety shower / Eye Wash Stations (must do at least ? units)
Safety Shower / Eye Wash
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Location:
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Take picture of unit including signs
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Is the area clear and unobstructed for easy use?
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Is the signage ok? Clean? Enough signs? Visible from a distance?
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Portable unit?
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Stationary unit?
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Is the seal intact?
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Is the eye wash solution still within its expiry date?
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Test the unit. Does the water run tepid within a short amount of time?
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If the unit has an alarm, did the alarm sound?
First aid kits
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First Aid Kits (must do at least ? units)
First Aid Kits
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Location:
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Take picture of unit including signs
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Is the area clear and unobstructed for easy use?
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Is the signage ok? Clean? Enough signs? Visible from a distance?
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Is the seal broken on the unit?
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Notify security that the unit has a broken seal and needs checking.
Fuel Station and Hazardous Waste
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Is all garbage removed from the area and house keeping up to company standards?
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Is tank system free of visual signs of damage? (Cracks, dents, rust, corrosion, or leaks)?
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Any cracks in the concrete exterior?
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Any damage on piping and mounts, hose fittings or connections?
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Any damage to support & foundations? (Check beneath tank)
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Is the secondary containment absent of fluid?
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Please release. If filled with oil/ fuel oil residue, please report.
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Obstructions in the tank venting?
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Is tank clearly labelled- warning signs, content ID, etc?
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Are spill control supplies present & well stocked?
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Is the lighting in good order?
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Is there any damage to the drums?
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Do you observe any spills?
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Drum Count
Comments / Actions
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Enter comments
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Enter actions
Review / Sign Off
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Inspection completed by: