Information
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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
Opening Conference
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Select date
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Client asks for credentials
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Client asks purpose of visit
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Time to get to meeting room
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Time frame for wait is reasonable
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Location of meeting room
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Meeting room is appropriate. Location and pathway acceptable and unrevealing.
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Names and Titles of all present
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Is the facility Union
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Union Name/ Number
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List of representatives
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Did Union request to be present
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Does Employer host other employees on premises
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Names of alternate employers
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Name of Alternate employer representatives
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Do alternate employer representatives request to be present
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does client have written protocol for handling OSHA inspection
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What is NASIC code or SIC code according to Employer
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Is contact information on OSHA web site correct
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Enter correct Information
OSHA Log Review
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Are OSHA logs for previous 5 years available for review
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Are 300 A available for previous years
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Current Year Log Completed Properly
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Describe Violations
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Is current 300A completed properly including signatures
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Describe violations
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Current Year Recordable Rate
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Current year DART Rate
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Current Year Lost Time Rate
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Is Previous Year Log completed properly
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Describe violations
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Are violation within the past 6 months
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Issue Violation
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Is Previous year 300A completed properly including signatures and proof of posting
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Previous Year recordable Rate
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Previous Year DART Rate
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Previous Year LT rate
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Are their any trends indicated on the OSHA logs
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List Trends
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REVIEW medical data to validate days counted
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List any recordkeeping violations
Written Policies/ Procedures
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Does Client have a safety manual
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ASK for Copy
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Select OSHA Written Programs
- d- walking and working surfaces
- E Means of Egress
- F Powered Industrial trucks
- G Noise and environmental
- H HAZMAT / PSM/ HAZWOPER
- I PPE / Respirators
- J Confined spaces and Sanitation
- K First Aid / BBP
- L Fire Protection
- M CCompressed Air and Gasses
- N Material Handling
- O Machine Guarding
- P Hand and Power Tools
- Q Elding / Cutting / Brazing
- R Special / Other
- S Electrical
- T- Comercial Driving
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List Special / Other Policies or Programs
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Are policies current or review annually if required
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List Out of Date Policies
Safety and Health Program
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Are JSA’s completed for each job, reviewed annually, and available in Spanish?
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Is there an active Safety Committee meeting monthly with appropriate representation?
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Are safety committee meetings frequent enough and do they cover appropriate information? Review minutes
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Do people receive safety orientation on the hazards of their job (documented)?
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Do people acknowledge orientation by signing an Orientation Form?
Required Posting/Recordkeeping (1904.)
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Is the required OSHA workplace poster displayed in a frequented area of the workplace where all employees are likely to see it?
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Is the summary of Occupational Illnesses & Injuries posted in the month of February through April?
Medical Services and First-Aid (1910.151) - duplicate
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Is there a hospital, clinic, or physician designated for injury care?
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Are first-aid kits equipped for bloodborne pathogens with rubber gloves and antiseptic wipes?
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Are eye wash stations and safety showers located where chemicals are dispensed, functional, accessible, and checked frequently monthly?
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Is there first-aid equipment or facilities available for treating minor injuries?
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Are first-aid cases logged and described?
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Have people been trained in first aid that renders treatment to the injured? Annual Training?
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Are First Reports of Injuries being properly filled out and distributed?
Bloodborne Pathogens (1910.1030)
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Is PPE available to First Responders?
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Are waste receptacles available and identified?
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Is training given to First Responders annually (documented)
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Are vaccinations offered to First Responders? (See the records of those who received shots and denial forms of those who did not.)
Process Safety Management (1910.119) Regulated Chemical(s) - duplicate
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Has initial and refresher training (3 yrs) been provided to operating employees?<br> (Review training records)<br>
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Is there written procedures to maintain the mechanical integrity of the equipment?
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Is there written operating procedures for the process?
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Has a compliance audit been conducted in the last 3 years to verify that procedures<br> and practices are still adequate and being followed? <br>
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Have employees been trained in working in different weather conditions?
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Is training being provided annually to all employees?
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Has a process hazard analysis been completed and documented within 5 years? What methodology was used
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Is there an emergency plan and trained response team for chemical releases?
Exiting or Egress (1910.35, .36, .37) - duplicate
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Are exits marked with an exit sign and illuminated by a reliable light source?
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Is there an Emergency Action Plan for weather, fire, and medical emergencies?
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Are emergency plans communicated to all employees (documented)?
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Are all exits kept free of obstructions inside and out?
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Are key personnel trained in responsibilities (documented)?
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Does the Plan contain an Emergency Call List with phone numbers?
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Are storm shelters identified?
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Is accountability of employees established for evacuation purposes?
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Is their sufficient emergency lighting?
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Have regular evacuation and/or severe weather drill been conducted? (Documented)
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Are exit doors able to open from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?
Walkways/Railings (1910.23) - duplicate
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Are aisles and passageways kept clear, identified, and crosswalks visible to area traffic?
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Are holes in the floor, grates, sidewalk, or other walking surface repaired promptly, covered or otherwise made safe?
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Are all rugs or floor coverings in good condition and without holes or trip hazards?
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Are railings provided where there is a drop from one elevation to another?<br> (railings – 42” high with midrail – toe board for people exposure below.)<br>
Portable/Fixed Ladders (1910.26, .27) - duplicate
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Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached and moveable parts operating freely without binding or undue play?
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Are non-slip safety feet provided on each ladder and rungs provide good footing?
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Is a annually inspection completed for ladders along with employee training on the safe use?
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Are portable ladders secured when stored to prevent tipping/falling?
PPE (1910.132, .133, .135, .136) - duplicate - duplicate - duplicate
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Has workplace hazard assessment been completed and accurately maintained?
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Have the employees been trained in the use, maintenance, and limitations of personal protective equipment (documented)?
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Are protective goggles or face shields provided and worn when mixing and dispensing cleaning solutions?
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Are approved safety glasses required to be worn at all times when there is risk of eye injury (grinding, drilling, and chipping)?
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Are protective gloves, face shields, and foot protection, or other means provided against undiluted cleaning solutions (sanitation, clean up)?
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Is all protective equipment maintained in a sanitary condition and ready for use?
Fire Protection (1910.157, .159) - duplicate
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Are fire extinguishers serviced annually and monthly inspections noted on the inspection tag?
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Is fire extinguisher training provided to employees, who may be required to use extinguisher, on an annual basis (documented)?
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Are extinguishers easily accessible and not obstructed?<br> (ordinary combustible 75 feet, high combustible 50 feet)<br>
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Is sprinkler system (valves) locked in open position, secured, or provided with outside monitoring system for alarm and tampering purposes?
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Do sprinkler heads have a minimum clearance of 18”?
Material Handling (1910.178)
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Are drivers utilizing seat belts?
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Are containers/corrugate stored, stacked, blocked and limited in height so they are stable and secure?
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Are vehicles shut off and brakes set prior to loading or unloading?
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Are vehicles being loaded/unloaded by forklift choked or dock locks utilized?
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Are forklifts maintained in safe operating condition?
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Are forklift drivers trained initially and refresher training every 3 years minimum?
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Are daily forklift checks being conducted and documented?
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Do electric forklift charging areas have acid neutralizers, immediately available fire protection, and adequate ventilation?
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Are Propane tanks in good condition and stored properly
Tagout Procedures (1910.147) - duplicate
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Is all machinery or equipment capable of movement, required to be de-energized or disengaged and blocked or tagged-out during cleaning, servicing, adjusting, or setting up operations, whenever required.
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Does the Tagout procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked-out for repairs/sanitation?
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Is it required that only the employee(s) (or qualified service rep.) exposed to the hazard, place or remove their lockout?
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Are locks and tags identified?
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Is a copy of the written Lockout/Tagout Policy on hand?
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Is an annual documented audit performed to ensure Lockout/Tagout is being conducted as required?
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Have written procedures been established for locking out each piece and/or similar equipment and are updated when changes occur?
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Have appropriate employees been adequately trained in lockout procedures?
Hand Tools and Equipment (1910.242, .243, .244) - duplicate
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Are all tools and equipment used by employees in the workplace in good condition?
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Are broken or fractured handles on hammers and similar equipment replaced promptly?
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Are guards utilized on powered hand grinders?
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Are appropriate handles used on files and similar tools?
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Are non-double insulated tools grounded?
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Is compressed air for cleaning limited to 30 psi or equipped with safety nozzle?
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Are load ratings identified on portable walking surfaces?
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Is equipment anchored in place and made secure?
Flammable and Combustible Materials (1910.253, .106)
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Is there proper storage practices to minimize the risk of fire including spontaneous combustion including proper labeling?
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Are “NO SMOKING” rules enforced in production and warehouse areas?
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Are compressed gas cylinders secured in place?
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Are flammable liquids and cylinders stored away from radiators, other sources of heat and exits?
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Does oxygen/acetylene equipment have flashback arresters?
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Are oxygen/acetylene equipment lines bled off and tanks closed when not in use?
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Are hot work areas identified throughout the location and hot work permits utilized?
Hazardous Communication/Chemical Exposure (1910.1200)
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Are employees aware of the potential hazards involving various chemicals stored or used in the workplace? (Review training signature sheet.)
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Are all containers, such as drums and mixing tanks, etc., labeled as to their contents?
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Have standard operating procedures been established and are they being followed when cleaning up chemical spills?
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Are employees trained initially and annually in chemical hazards, symptoms, first-aid, precautions, labeling and other OSHA requirements?
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Are Safety Data Sheets (SDS) readily available for each hazardous substance used? (Select a product and ask for SDS)
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Is there a listing of hazardous substances used in the workplace?
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Has the Process Safety Analysis been reviewed and updated every 5 years?
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Was GHS training performed and documented?
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Are SDS update according to GHS?
Electrical (1910.303, .304)
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Are electrical appliances and equipment grounded?
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Do extension cords being used have a grounding conductor and in good<br> condition and used only as a temporary device?<br>
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Are all disconnecting switches and circuit breakers labeled to indicate their use?
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Is there sufficient space (3 feet) to access power/disconnect panels?
General Work Environment (1910.141)
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Are all work sites clean and orderly (good housekeeping)?
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Are all spilled materials or liquids cleaned up immediately?
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Are the floors of every workroom maintained in a clean and, so far as possible, a dry condition. Where wet processes are used, is drainage maintained, and false floors, platforms, mats, or other dry standing places provided where practicable?
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Are hot pipes and equipment in pedestrian traffic areas insulated or isolated?
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Is debris and waste stored safely and removed from the work site promptly?
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Are all toilets and washing facilities clean and sanitary?
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Are all work areas adequately illuminated?
Misc/Other Recommendations
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Are AED’s used and maintained in accordance with Seneca’s requirements?
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Are AED’s checked monthly and documented?
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Is there an established Yard Safety Policy in place/implemented that meets the company’s objectives (review plan).
Closing Conference
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Select date
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list All present and Titles
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Were observations reviewed?
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Is there a need for a follow up documentation
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Is Employer Informed of Informal Conference
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Are there any outstanding issues?
Employee Interviews
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Employee interview may be held in private. Ask employee if representation is desired
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Enter Interviewee information and answers to any questions