Title Page
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Conducted on (Date and Time)
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Inspected by
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Location
Site Access and General
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Warning signs, hazard board, etc, clearly displayed and relevant
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Site access clear and tidy
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Temp. toilet is clean
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There is access to clean, freshwater
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The site is secure
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Temp. fencing is secure and not falling over
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The berm area is tidy, no overgrown grass or weeds
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.
Scaffolding, Stairways and Exits
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Scaffolding, stairways, and exits are unobstructed.
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There are no debris or unnecessary items on the scaffolding
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No item is placed around stair or building access
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Fall barriers in place
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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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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Cords and cables placed safely and not a trip hazard
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Appropriate PPE 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
