Information
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Document No.
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Location
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Department
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Conducted on
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Prepared by
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Personnel
General
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Is work area clean, neat and orderly?
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Is floor well maintained and dry and free from slip hazards?
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Are materials on shelves and storage areas being stacked and stored in a stable condition to prevent falling?<br>
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Are large and/or heavy objects stored on lower shelves?
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Is it light enough in all common areas and work areas?
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Are stairways, ramps and walk areas free of any defects or in need of repair?
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Is all equipment mounted properly so cords and cables are not in the way?
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Are there any areas where ceiling panels are missing or are there other openings within the ceiling?
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Are compressed gas container properly marked and secured in place?
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Cylinders must be chained 1/3 of the way up!
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Are ladders and step stools in good condition?
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Is there any unacceptable wear and tear on tools?
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Is proper PPE available and in good condition?
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Are aisles, hallways and exits unobstructed and at least 28" wide?
Fire/First Aid
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Are all exits clearly marked and visible?
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Are lighted exit signed in place above doors that provide an exit?
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Lighted exit signs are only needed if the door is a mean of egress to the outside.
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Are fire extinguishers identified, mounted and located where they are readily accessible with no obstructions?
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Is there an easily accessible and stocked first aid kit?
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Is there 18" of clearance around all fire sprinkler heads?
Hazard Communication
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Are containers properly labeled?
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Must have product name, emergency contact #, hazards, manufacturers name
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Are containers leaking?
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Are flammable liquids stored in a fire proof cabinet?
Electrical
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Are extension cords in good condition and used for temporary purposes?
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Are power cords in good condition and organized out of the way to prevent trip hazards?
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Is there 36" of clearance around electrical panels?
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Are electrical panels in public areas always closed and locked?
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Are all switches in electrical panels marked "on" or "off", labeled an there are no openings in the panel?
Corrective Actions
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Any corrective actions or follow up?
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Who is responsible for CA or follow up?
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Date CA or follow up to be completed by
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Select date
Signatures
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Department Manager
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Select date
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H&S Manager
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Select date