Title Page
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Client / Site
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Conducted on (Date and Time)
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Inspected by
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Location
Work Area
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The work area is clean, tidy and clutter-free.
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There are no unnecessary items in the work area.
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There are no food and drinks in the work area.
Floors
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Floors (e.g., tiles, boards and carpets) are in good condition.
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Floors are dry and free from accumulated dust, broken glass and leaks or spills (e.g., oil or water).
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Floor markings are highly visible and not faded.
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Floor openings or holes are guarded by a cover, grating or guardrail on all sides (except at entrances to stairways or ladders).
Aisles, Walkways, Stairways, and Exits
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Aisles, walkways, stairways, and exits are unobstructed.
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There are no objects protruding into aisles and walkways.
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No item is placed around emergency equipment (e.g., fire extinguishers, first aid kits).
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Lamps or light sources are clean and provide adequate illumination for working.
Storage Area
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Storage areas are clean, tidy and organized.
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Stacked materials are placed on a flat and firm foundation.
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Storage racks used are adequate for the task and in good condition.
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Heavier and bulkier items are placed on the lower shelves of a storage rack.
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Hazardous substances (e.g., flammable materials, toxic substances) are stored in compatible containers, stored under appropriate conditions and affixed with GHS labels.
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Physical barriers and warnings signs are installed around workplace hazards (e.g., sharp objects, protruding objects, a hot surface, a floor opening).
Tools, Machine and Equipment
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Machine and equipment guards are in place and secure.
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Tools are in good condition and in their designated location.
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Warning signs are in good condition and can be clearly seen from afar.
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Cords, cables, and hoses are bundled up when not in use.
Waste Disposal
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Proper waste bins for general waste, recyclable waste, hazardous waste, and so on are provided at work areas to facilitate responsible disposal.
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Combustible waste is properly disposed of. For example, oily rags are disposed of in closed metal waste bins.
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Waste (including hazardous waste) is collected regularly so that there is no unnecessary accumulation of waste.
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A predetermined disposal area has been designated for situations where waste materials (e.g., bulky waste, toxic waste) need to be accumulated till the next waste collection date.
Completion
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Full Name and Signature of the Inspector