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
Work Area Safety
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Appearance - The work area is clean and organized.
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Walking - No slip or trip hazards.
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Exits - Emergency exits are clearly marked, are not blocked, and have a clear path.
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Fire Extinguishers - Equipment is marked, has been inspected, is hanging on the wall, and not blocked.
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Emergency Lighting - Has been checked and is working.
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Electrical Cords - There is no damaged insulation.
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Electrical Cabinets - They are not blocked.
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Machines Guards - Are in place during operation.
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Eyewash Stations - Are not blocked and are ready to be used.
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Chemicals - Are labeled and stored correctly when not in use.
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Chemicals - Safety Data Sheets are available to employees.
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There is no food or drink around chemicals.
Employee Behavior Safety
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Employees were observed wearing the proper PPE.
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Lockout Tagout equipment is accessible to employees.
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At least one employee was asked if they knew the Evacuation Procedure and they did.
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There were no unsafe behaviors observed.
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Employees were observed lifting, bending, and moving in ergonomically safe ways.
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Equipment operators were observed moving through the area in a safe way.
Additional Information
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What could be done to improve safety in this area?
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What positive safety items need to be highlighted?
