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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Location
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Personnel
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there any outstanding actions?
2.0 - Fire Prevention
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 12 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 Adequate lighting available for low-light conditions.
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3.3 - Light fittings clean and in good condition?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Walkways adequately and clearly marked?
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4.3 - Entry and walkways kept clear?
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4.4 - Intersections kept clear and presents no blind spots?
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4.5 - Stair and risers kept clear?
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4.6 - Furniture in sound condition?
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4.7 - Loading area clean and tidy?
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4.8 Structure and other concerns apparent?
5.0 - Rubbish Removal
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5.1 - Bins located at suitable points around site?
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5.2 - Bins emptied regularly?
Employee Training
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Is safety training conducted with employees at least monthly?
Sign Off
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On site representative
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Chuck Vancura Director of Loss Control Leavitt Group Insurance Services