Information
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Document No.
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Monthly Shop and Yard Inspection
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Client / Site
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Conducted on
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Location
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Personnel
A. Administrative
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1. HS&E Manual on site
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Name of the person who will correct the issue:
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Date to be completed:
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2. Safety bulletin board c/w alerts
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Name of the person who will correct the issue:
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Date to be completed:
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3. Employee training recorded
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Name of the person who will correct the issue:
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Date to be completed:
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4. Prior inspection reports
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Name of the person who will correct the issue:
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Date to be completed:
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5. ERP plans & contacts posted
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Name of the person who will correct the issue:
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Date to be completed:
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6. ERP/Fire Drills conducted
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Name of the person who will correct the issue:
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Date to be completed:
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7. Updated MSDS Sheets
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Name of the person who will correct the issue:
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Date to be completed:
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8. Emergency exits reflective / illuminated
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Name of the person who will correct the issue:
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Date to be completed:
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9. Visitors access controlled
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Name of the person who will correct the issue:
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Date to be completed:
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10. "No smoking" signs
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Name of the person who will correct the issue:
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Date to be completed:
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B. Entrances into shop area:
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1. Requirement for PPE posted
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Name of the person who will correct the issue:
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Date to be completed:
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2. Hazards, warnings & shop rules
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Name of the person who will correct the issue:
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Date to be completed:
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C. General Safety & Housekeeping
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1. Aisle width & markings
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Name of the person who will correct the issue:
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Date to be completed:
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2. Tools and equipment stored
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Name of the person who will correct the issue:
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Date to be completed:
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3. Floors and aisles dry and clear
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Name of the person who will correct the issue:
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Date to be completed:
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4. Work areas tidy and free of waste
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Name of the person who will correct the issue:
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Date to be completed:
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5. Trip hazards removed or marked
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Name of the person who will correct the issue:
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Date to be completed:
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6. Floor covering in good condition
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Name of the person who will correct the issue:
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Date to be completed:
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7. Exits clear of obstructions
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Name of the person who will correct the issue:
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Date to be completed:
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8. Rails/Guards on walkways > 1.2m
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Name of the person who will correct the issue:
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Date to be completed:
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9. No food or drink in work area
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Name of the person who will correct the issue:
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Date to be completed:
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10. Garbage or waste bins
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Name of the person who will correct the issue:
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Date to be completed:
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11. Workplace hazard signs
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Name of the person who will correct the issue:
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Date to be completed:
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12. Brooms, vacuum available
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Name of the person who will correct the issue:
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Date to be completed:
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13. Floor drains clear
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Name of the person who will correct the issue:
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Date to be completed:
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14. Washroom facilities clean
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Name of the person who will correct the issue:
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Date to be completed:
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15. Soap and towels available
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Name of the person who will correct the issue:
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Date to be completed:
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16. Lunch room clean
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Name of the person who will correct the issue:
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Date to be completed:
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D. Personal Protective Equipment
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1. Training, care & use of PPE
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Name of the person who will correct the issue:
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Date to be completed:
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2. For body, eye, face, head and feet
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Name of the person who will correct the issue:
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Date to be completed:
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3. Respiratory protection available
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Name of the person who will correct the issue:
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Date to be completed:
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4. Spec. PPE available e.g. Chemicals
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Name of the person who will correct the issue:
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Date to be completed:
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E. Eyewash Equipment
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1. Eyewash locations signed
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Name of the person who will correct the issue:
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Date to be completed:
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2. Access to Eyewash station clear
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Name of the person who will correct the issue:
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Date to be completed:
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3. Periodic fluid clean / test
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Name of the person who will correct the issue:
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Date to be completed:
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F. First Aid
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1. Number of kits stocked
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Name of the person who will correct the issue:
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Date to be completed:
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2. Locations identified and accessible
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Name of the person who will correct the issue:
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Date to be completed:
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G. Noise Control
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1. Noise hazard areas identified
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Name of the person who will correct the issue:
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Date to be completed:
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2. Hearing protection available in area
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Name of the person who will correct the issue:
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Date to be completed:
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3. Noise levels checked
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Name of the person who will correct the issue:
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Date to be completed:
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4. Hearing testing conducted
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Name of the person who will correct the issue:
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Date to be completed:
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H. Hand and power tools
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1. Tools in good condition
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Name of the person who will correct the issue:
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Date to be completed:
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2. Defective tools removed
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Name of the person who will correct the issue:
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Date to be completed:
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3. Grounded / double insulated
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Name of the person who will correct the issue:
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Date to be completed:
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4. Tools used are appropriate
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Name of the person who will correct the issue:
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Date to be completed:
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5. Tool stored and orderly
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Name of the person who will correct the issue:
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Date to be completed:
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I. Ergonomics
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1. Machinery easily accessible
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Name of the person who will correct the issue:
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Date to be completed:
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2. Table / bench heights suitable
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Name of the person who will correct the issue:
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Date to be completed:
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3. Service / Repair work flow
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Name of the person who will correct the issue:
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Date to be completed:
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4. Workers lifting techniques
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Name of the person who will correct the issue:
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Date to be completed:
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J. Electrical Safety
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1. Electric panels area kept clear
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Name of the person who will correct the issue:
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Date to be completed:
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2. Electrical panels kept closed
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Name of the person who will correct the issue:
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Date to be completed:
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3. Circuit breakers identified
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Name of the person who will correct the issue:
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Date to be completed:
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4. Extension cords / power bar OK
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Name of the person who will correct the issue:
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Date to be completed:
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5. Faceplates in place
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Name of the person who will correct the issue:
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Date to be completed:
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6. Lockout / Tag-out available
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Name of the person who will correct the issue:
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Date to be completed:
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K. Fire Safety Equipment
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1. Number and type of extinguishers
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Name of the person who will correct the issue:
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Date to be completed:
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2. Easy access to extinguishers
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Name of the person who will correct the issue:
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Date to be completed:
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3. Extinguisher inspection tag
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Name of the person who will correct the issue:
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Date to be completed:
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4. Fire equipment mapped in ERP
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Name of the person who will correct the issue:
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Date to be completed:
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L. Lighting
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1. Lighting quality
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Name of the person who will correct the issue:
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Date to be completed:
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2. Emergency lighting tested
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Name of the person who will correct the issue:
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Date to be completed:
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3. Burnt bulbs replaced
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Name of the person who will correct the issue:
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Date to be completed:
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4. Protective covers in place
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Name of the person who will correct the issue:
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Date to be completed:
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M. Material Storage
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1. Material properly stacked
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Name of the person who will correct the issue:
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Date to be completed:
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2. Chemicals properly stored
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Name of the person who will correct the issue:
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Date to be completed:
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3. Slings and rigging inspected
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Name of the person who will correct the issue:
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Date to be completed:
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4. Cart / dolly / ladders available
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Name of the person who will correct the issue:
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Date to be completed:
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5. M.4. equipment used correctly
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Name of the person who will correct the issue:
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Date to be completed:
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6. Flammable liquids stored away from exits, aisles and stairways
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Name of the person who will correct the issue:
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Date to be completed:
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7. Flammable liquids more than 38 litres (10 gals) stored in approved cabinets
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Name of the person who will correct the issue:
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Date to be completed:
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7. Hazardous material inventoried
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Name of the person who will correct the issue:
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Date to be completed:
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O. Waste & Environmental Mgmt
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1. Waste segregated / recycled
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Name of the person who will correct the issue:
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Date to be completed:
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2. Waste contained in bins
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Name of the person who will correct the issue:
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Date to be completed:
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3. Waste disposal forms & tags
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Name of the person who will correct the issue:
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Date to be completed:
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4. Scrap bins
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Name of the person who will correct the issue:
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Date to be completed:
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5. Oily rag containers
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Name of the person who will correct the issue:
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Date to be completed:
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6. Hazardous waste disposal records
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Name of the person who will correct the issue:
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Date to be completed:
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7. Hazardous material inventoried
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Name of the person who will correct the issue:
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Date to be completed:
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8. Hazardous material spill plan (if required)
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Name of the person who will correct the issue:
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Date to be completed:
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9. Hazardous Material Spill kit
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Name of the person who will correct the issue:
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Date to be completed:
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10. WHMIS / MSDS available
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Name of the person who will correct the issue:
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Date to be completed:
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P. Shop Forklift
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1. Operating procedure / manual
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Name of the person who will correct the issue:
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Date to be completed:
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2. Daily checklist
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Name of the person who will correct the issue:
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Date to be completed:
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3. Parking / brake / forks down
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Name of the person who will correct the issue:
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Date to be completed:
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4. Vehicle suitable for work
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Name of the person who will correct the issue:
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Date to be completed:
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5. Seat belts used
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Name of the person who will correct the issue:
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Date to be completed:
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6. Back up warning
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Name of the person who will correct the issue:
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Date to be completed:
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7. Maintenance / Inspection documented
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Name of the person who will correct the issue:
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Date to be completed:
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8. Operator training
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Name of the person who will correct the issue:
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Date to be completed:
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Q. Cranes, Hoists & Lifting Equipment
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1. Operating procedure / manual
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Name of the person who will correct the issue:
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Date to be completed:
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2. Daily inspection
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Name of the person who will correct the issue:
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Date to be completed:
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3. Annual certification
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Name of the person who will correct the issue:
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Date to be completed:
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4. Signal instructions posted
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Name of the person who will correct the issue:
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Date to be completed:
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5. Lift equipment weight limit visible
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Name of the person who will correct the issue:
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Date to be completed:
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6. Users Rigging / Slings trained
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Name of the person who will correct the issue:
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Date to be completed:
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7. Load beam rating visible
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Name of the person who will correct the issue:
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Date to be completed:
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8. Logout / tag-out available
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Name of the person who will correct the issue:
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Date to be completed:
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9. Maintenance Inspection documented
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Name of the person who will correct the issue:
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Date to be completed:
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R. Yard Area
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1. Gated and fenced
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Name of the person who will correct the issue:
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Date to be completed:
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2. Exterior lighting
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Name of the person who will correct the issue:
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Date to be completed:
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3. Designated parking signed
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Name of the person who will correct the issue:
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Date to be completed:
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4. Traffic flow addressed
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Name of the person who will correct the issue:
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Date to be completed:
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5. Ship and receiving process
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Name of the person who will correct the issue:
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Date to be completed:
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6. Pipe Racks stops used
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Name of the person who will correct the issue:
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Date to be completed:
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7. Barrel contents marked
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Name of the person who will correct the issue:
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Date to be completed:
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8. Tank contents marked
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Name of the person who will correct the issue:
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Date to be completed:
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9. PPE / Hazard signs as required
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Name of the person who will correct the issue:
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Date to be completed:
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10. Yard housekeeping
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Name of the person who will correct the issue:
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Date to be completed:
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11. Snow removal / sanding
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Name of the person who will correct the issue:
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Date to be completed:
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13. Yard truck inspected daily
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Name of the person who will correct the issue:
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Date to be completed:
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S. Heat, Ventilation and A/C
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1. Extractors clean & working
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Name of the person who will correct the issue:
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Date to be completed:
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2. HVAC / Make up air working
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Name of the person who will correct the issue:
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Date to be completed:
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3. Air quality condition OK
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Name of the person who will correct the issue:
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Date to be completed:
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T. Lockout / Tag-out / Tryout
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1. Lockout device effective
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Name of the person who will correct the issue:
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Date to be completed:
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2. Lock / Tag / Tryout process
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Name of the person who will correct the issue:
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Date to be completed:
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3. Sub-Contractor orientation
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Name of the person who will correct the issue:
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Date to be completed:
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4. Individual locks & tags
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Name of the person who will correct the issue:
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Date to be completed:
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U. Compressed Gas Cylinders
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1. Regulators / hoses / fittings OK
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Name of the person who will correct the issue:
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Date to be completed:
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2. Cylinders labeled & secured
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Name of the person who will correct the issue:
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Date to be completed:
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3. Cart available & valves capped
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Name of the person who will correct the issue:
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Date to be completed:
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4. Empty / full cylinders separated
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Name of the person who will correct the issue:
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Date to be completed:
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V. All work bays - General
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1. Doors / Exits unobstructed
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Name of the person who will correct the issue:
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Date to be completed:
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2. Lighting and ventilation
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Name of the person who will correct the issue:
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Date to be completed:
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3. Restricted entry signs / markeings
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Name of the person who will correct the issue:
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Date to be completed:
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4. Bay door height hazard marked
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Name of the person who will correct the issue:
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Date to be completed:
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5. Area free of spills or garbage
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Name of the person who will correct the issue:
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Date to be completed:
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6. Painting practices
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Name of the person who will correct the issue:
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Date to be completed:
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7. Respirator procedure & Fit Test
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Name of the person who will correct the issue:
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Date to be completed:
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8. Correct filters / equipment used
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Name of the person who will correct the issue:
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Date to be completed:
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8. Correct filters / equipment used
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Name of the person who will correct the issue:
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Date to be completed:
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9. Area ventilated
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Name of the person who will correct the issue:
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Date to be completed:
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W. Mechanical bays:
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1. Housekeeping
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Name of the person who will correct the issue:
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Date to be completed:
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2. Trip / slip hazards removed
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Name of the person who will correct the issue:
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Date to be completed:
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3. Tool storage orderly
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Name of the person who will correct the issue:
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Date to be completed:
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4. Electric panels closed & accessible
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Name of the person who will correct the issue:
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Date to be completed:
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5. Electric safety practices followed
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Name of the person who will correct the issue:
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Date to be completed:
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6. Grinder / power tools guarded
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Name of the person who will correct the issue:
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Date to be completed:
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7. Proper grinding discs used
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Name of the person who will correct the issue:
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Date to be completed:
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8. PPE & hazard signs in place
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Name of the person who will correct the issue:
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Date to be completed:
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X. Wash bays
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1. Housekeeping
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Name of the person who will correct the issue:
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Date to be completed:
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2. Trip / slip hazards removed
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Name of the person who will correct the issue:
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Date to be completed:
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3. High pressure wands / hoses OK
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Name of the person who will correct the issue:
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Date to be completed:
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4. Wash platform / ladder secure
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Name of the person who will correct the issue:
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Date to be completed:
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5. Electric panels closed / protected
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Name of the person who will correct the issue:
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Date to be completed:
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6. Electric safety practices followed
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Name of the person who will correct the issue:
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Date to be completed:
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7. Drainage systems clear
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Name of the person who will correct the issue:
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Date to be completed:
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8. Sump / drain sludge sampling
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Name of the person who will correct the issue:
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Date to be completed:
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9. Chemical storage / solvent usage
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Name of the person who will correct the issue:
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Date to be completed:
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10. PPE & hazard sings in place
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Name of the person who will correct the issue:
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Date to be completed:
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Y. Welding Bay / Area
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1. Housekeeping
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Name of the person who will correct the issue:
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Date to be completed:
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2. Trip / slip hazards removed
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Name of the person who will correct the issue:
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Date to be completed:
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3. Equipment storage
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Name of the person who will correct the issue:
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Date to be completed:
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4. Electric panels closed & accessible
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Name of the person who will correct the issue:
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Date to be completed:
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Add signature
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5. Electric safety practices followed
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Name of the person who will correct the issue:
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Date to be completed:
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6. Fire extinguisher w/ inspection tag
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7. Torch flashback protection
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Name of the person who will correct the issue:
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8. Welding flash screens used
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Name of the person who will correct the issue:
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9. Local ventilation
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10. Grinder / power tools guarded
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Z. General training of employees
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1. Basic safety awareness
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2. Workplace orientation
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Name of the person who will correct the issue:
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3. Hearing conservation
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Name of the person who will correct the issue:
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Date to be completed:
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4. PIP training for shop staff
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Name of the person who will correct the issue:
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Date to be completed:
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ZZ. User specific special training
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1. Visitor / contractor orientation
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2. Loader / forklift
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Name of the person who will correct the issue:
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3. Hoists and crane
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Name of the person who will correct the issue:
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Date to be completed:
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4. Fall protection
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Name of the person who will correct the issue:
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5. Confined space entry
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Name of the person who will correct the issue:
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Date to be completed:
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6. Respiratory use and fit test
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Name of the person who will correct the issue:
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Date to be completed:
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7. Lockout / tag-out / tryout
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8. First aid responder
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Name of the person who will correct the issue:
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Date to be completed:
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9. Spill response
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Date to be completed:
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Recommendation, comments and suggestion. .
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