Information
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Audit title
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Document No.
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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
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
2.0 - Fire Safety
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2.1 - Is the fire panel operational and free from trouble
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2.2 - Is the alarm panel inspected annually?
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers inspected monthly
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguishers inspected annually?
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2.7 - Is there a City Fire Department procedures box installed
3.0 - Emergency Response
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3.1 - Is there a First Aid kit installed in the room?
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3.2 - Is blank First Aid reports readily available
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3.3 - Is there an eyewash station in the room?
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3.4 - is there a regular maintenance program for the First Aid kit and Eyewash?
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3.5 Is the Emergency Contact information posted.
4.0 - Fire Pumps( only where applicable)
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4.1 - Is there a Fire pump at this location?<br> If Yes complete section<br> If No mark section N/A
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4.2 - Is the pump and associated equipment maintained regularly?
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4.3 - Is there a regular scheduled Run Test completed?
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4.4 - Is the Run Test completed and results logged?
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4.5 - Is an annual load test completed and logged?
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4.6 - Is the diesel tank inspected annually?
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4.7 - Is the diesel tank certificate current?
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4.8 - Is the company Above Ground Storage Tank inspection completed and posted?
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4.9 - Is the correct WHMIS/GHS signage indicating the presents of Diesel in place?
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4.10 - Is there a spill kit in the room?
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4.11 - Is there an inventory list for the spill kit contents in the spill kit?
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4.12 Is the contents of the spill kit inspected monthly and logged?
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4.13 Are the building operators trained in the use of the spill kit for basic spill management?
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4.14 Is there signage to indicate "HEARING PROTECTION REQUIRED WHEN EQUIPMENT IS RUNNING " posted on the outside of the door?
5.0 -Lighting
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5.1 - Is the room adequately lite?
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5.2 - Is there emergency lighting in the room?
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5.3 - Is the system maintained regularly?
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5.4 - Is the annual inspection certificate current?
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5.5 - Is there an illuminated Exit sign in the room?
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5.6- Is the exit sign working properly?
6.0 - OH&S Required Information ( located in the main office for mobile operators)
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6.1 - Is the current Company OHS policy posted
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6.2 - Is there a copy of the current OHS Act,Regulations and Codes readily available?
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6.3 - Is there a copy of the Company OHS Procedures manual readily available?
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6.4- Is there a Safety Board in the office with current information posted?
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6.5- Is the current JHSC minutes posted on the board?
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6.6- I the required WCB/WSIB incident reporting poster posted on the board?
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6.7- Are the regularly safety tool box meeting minutes posted on the board?
7.0 - Electrical Safety
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7.1- Are all electrical panels covered and secured correctly?
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7.2- Is the current company Lockout/Tagout Procedure posted in the room?
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7.3 - Is there a lockout station mounted in the room?
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7.4 - Is the Lockout Station fully stocked with locks and tags?
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7.5 - Do the lock have only one key in the lock?
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7.6 - Are there blank Lockout tags available?
8.0 - Roof Access
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8.1- Is there proper company signage to indicate the roof access process?
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8.2 -Is the current company roof access procedure posted in the room?
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8.3 - Is there blank copies of the company roof access waivers readily available?
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8.4 - Are all roof access doors locked and secure to prevent unauthorized access?
9.0 General Safety
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9.1- Is the building operator wearing the company basic PPE required? ( answer N/A if operator is not present during the inspection)
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9.2 - Is the PPE in good condition?( answer N/A if operator is not present during the inspection)
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9.3 - Are there ladder at this location?<br> If Yes answer the next three questions <br> If No then answer N/A
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9.4- Are the ladders the company standard fiberglass ladders?
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9.5 - Are the ladders in good condition and maintained?
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9.6 - Are the ladders secured to the wall to prevent them from falling?
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9.7 - Is the access and egress to the building safe?
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9.8 - Are the grounds surrounding the building maintained and safe?
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9.9 - Is the room clean and clear of garbage and clutter?
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9.10 - Are the sidewalks around the building in safe condition to prevent slipping and / or tripping hazards? (this would include and not limited to cracked and uneven surfaces)
Additional Comments
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10- Additional Observations and concerns noted during the inspection
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Notes
Sign Off
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Inspector Conducting Audit
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Property Manager- Please print and send a signed copy of this inspection form after all deficiencies have been corrected.