Title Page
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Site conducted
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Site conducted
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Conducted on
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Prepared by
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Location
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Project No:
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Project
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Client:
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Inspection Team:
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Date:
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Hazard classification key
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(A) Current practice is satisfactory
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(B) Hazardous but can be programmed
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(C) Serious rectify immediately
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Prepare LREWX-QAF-04 Defect/Complaint Report for Managing Director if category (B) or (C)
Workshop
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Office
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Housekeeping good
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Housekeeping Good
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Floors, walkway & doors clear
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Floors, walkways and doors clear
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Fire extinguishers in place,
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Fire extinguishers in place, marked
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marked and recently charged
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and recently charged
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Electrical switches all checked
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Lighting suitable for work
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First Aid facilities
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Gas bottles stored vertically,
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together and clear of work areas
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Amenities acceptable
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Gas bottles stored vertically,
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together and clear of work areas
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Record storage facilities fire and
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Identify any Dangerous Goods
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water protected and secure
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Assess systems of work in
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Dangerous Goods MSDS readily
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workshop
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available
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Warning signs in place
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H&S, Quality and Environmental
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Building security satisfactory
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policies displayed
Machinery
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Yard Area
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Safety guards where required
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Fences and gates secure
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Condition of machines
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HAZCHEM signs in place
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Personal Protection Equipment
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Dangerous Goods manifest and plan
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being used by employees
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in container at gate
Storage
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Materials outside of the factory are stored neatly, and are no hazard to the public
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Containers all marked and used
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for what they are marked
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Plant Storage Area
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Floor clean and free of oil
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Plant locked if possible
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Scrap and recyclable bins used
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Plant made immobile
Other
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Plant & equipment stored safely
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Materials stored to manufacturers
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recommendations
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General Comments:
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LREWX-QAF-04 Defect/Complaint Report filled out and copy of Report given to Managing Director: Yes / No, No’s:
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SIGNED BY INSPECTION TEAM:
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Signed:
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Date:
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Name:
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Signed:
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Date:
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Name:
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Signed:
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Name:
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Date:
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Date:
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Signed:
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Name: