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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Mobile equipment observed operated at safe speeds
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Accident investigation/reporting records maintained
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State health and safety poster, emergency telephone numbers, OSHA 300 log and other required notices posted in conspicuous areas
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Written safety rules/safe job procedures in place
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Forklifts/Order Picker Operators are trained and qualified
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Workers trained in proper lifting techniques/ergonomics
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Personal Protective Equipment Program (PPE) in place
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Material Safety Data Sheets (MSDS) available and accessible to all employees
Signature
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Any other comments?
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When completed please provide signature here: