Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
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Is there adequate lighting?
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Completion Date:
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Lights have adequate guarding?
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Completion Date:
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Verify emergency lights are working properly?
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Completion Date:
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Emergency evacuation route is posted?
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Completion Date:
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First aid kits are stocked and readily available?
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Completion Date:
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Fire extinguishers are readily accessible?
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Completion Date:
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Fire extinguishers are in compliance?
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Completion Date:
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Refrigerator, coffee pot and microwave are clean?
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Completion Date:
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Housekeeping in office is acceptable?
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Completion Date:
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Walkways are free of clutter?
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Completion Date:
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Proper storage of material (overhead)?
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Completion Date:
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Proper trash containers with lids?
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Completion Date:
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Ground checks are current?
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Completion Date:
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GFCI protection on outlets?
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Completion Date:
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All distribution circuits are properly labeled?
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Completion Date:
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All breakers, controls and switches are properly labeled?
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Completion Date:
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As there any missing knock-outs?
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Completion Date:
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As there any missing knock-outs?
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Completion Date:
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Are there any spills or debris present?
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Completion Date:
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Are all equipment / area guards in place and effective?
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Completion Date:
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Are hand tools properly stored?
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Completion Date:
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Are hand tools in good condition?
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Completion Date:
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Proper PPE readily available and being utilized by employees?
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Completion Date:
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Is the area free of combustibles?
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Completion Date:
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Are ladders / stools in good condition and inspected properly?
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Completion Date:
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Are doors and windows in good condition?
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Completion Date:
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Heating and cooling systems working properly?
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Completion Date:
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Is garbage management in place and effective?
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Completion Date:
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Auditor(s) Signature
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Revision 1.0 iCloud posted document is the controlled copy. 07/02/13