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
FLOORS
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Is there loose material, debris, worn carpeting
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Are the floors slippery, oily or wet
STAIRWAYS AND AISLES
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Are they clear and unblocked
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Are stairways well lighted
ELEVATING DEVICES
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Is lifitng equipment used only within capacity
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Are capacities posted on equipment
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Are they regularly inspected, tested and maintained
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Are operators trained
FIRE PROTECTION
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Is all fire control equipment regularly tested - Inspection dates displayed
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Are extinguishers properly mounted and easily accessible
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Accessibility & adequacy of fire escapes
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Emergency drills - practice
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Are any sources of ignition apparent? (E.g. light bulbs too close to air heaters, etc)
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Are fire doors wedged open?
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Is emergency lighting in place and regularly tested
MEANS OF EXIT
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Are there enough exits to allow prompt escape
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Are exits unlocked to allow egress
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Are exits clearly marked
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Are exits and exit routes equipped with emergency lighting
BUILDING
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Doors, floors and walls in good condition ?
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Are guardrails in good condition ?
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Are stairwells in good condition ?
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Are windows to exterior in good condition ?
DANGEROUS SUBSTANCES
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Have all dangerous substances been identified and properly labelled
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Are SDSs posted in all areas where chemicals are stored
SANITATION
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Are washrooms and food preparation areas clean
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Are measures in place to prevent the spread of disease
SECURITY
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Do entry and exit procedures provide workers personal security at night
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Are emergency (evacuation, fire, bomb threat) procedures in place
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Any light bulbs missing or defective limiting visibility
MATERIAL STORAGE
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Are materials neatly and safely piled
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Is there safe clearance for all equipment through aisles and doors
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Is stored material stable and secure
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Are storage areas free from tipping hazards
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Is racking secured to the ground with SWL applied
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Are passageways / work areas clear of obstructions?
SOUND LEVEL/NOISE
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Are regular noise surveys conducted
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Is hearing protection available?
PERSONAL PROTECTIVE EQUIPMENT
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Is required equipment provided, maintained and used
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Does equipment meet requirements
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Are warning signs prominently displayed in all hazard areas
ELECTRICAL
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Are all machines properly grounded
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Are portable hand tools grounded or double insulated
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Are extension cords out of the aisles where they can be abused by heavy traffic
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Is RCD testing being carried out at regular intervals
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Are there any personal electrical appliances in use
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Are extension cords being used as permanent wiring
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Is electrical wiring properly concealed
Operations
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Are light fixtures in good condition
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Is ergonomic equipment available for use i.e ergonomic chair & desk
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Is absorbent available for immediate clean-up of spills and leaks
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Are all flammable and combustible products stored appropriately
Other Action Items
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