Information
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Document No.
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Audit Title
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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
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2600 N. Roemer Road Appleton, WI 54911
BUILDING AND GROUNDS
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Is there adequate outside lighting
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Is the building in good shape with no repairs needed at this time
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Are the grounds free of clutter and are all spills cleaned up
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Are proper security measures in place and operational
FRONT ENTRANCE (NW)
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Is the entrance free and clear of all obstructions<br>
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Is the entrance well lit for security purposes
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Is there an exit sign and is it working
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Are door entrances free of trip hazards and level for walking purposes
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Are doors in good working order and are able to be opened in both directions
GENERAL
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Are emergency numbers posted and readily available to ALL personnel
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Is there a compliance binder on site and does in contain all the proper forms<br>
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Is the current OSHA 300A posted in plain site
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Are spill kits on site and accessible to all personnel
MIXER BAY (NW) POD 1
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Is there a first aid kit on site and up to date
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Is there a blood borne spill kit on site
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Are the locations of the fire extinguishers properly marked
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
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Is all machinery properly guarded to prevent injuries....(attach photos of unguarded machines)
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Are all exits unblocked and free of clutter
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Are all the exits properly marked and well lit
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Is all emergency lighting in place and operational
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Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag
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Are the overhead cranes in good working order (if applicable). This would include JIBS and any other lifting equipment
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Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks
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Are there adequate eye wash stations and is the eye wash up to date
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Is storage racking in good shape and adequate
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Are all fluids stored properly per hazard requirments
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Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)
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Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>
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Are all power tool cords in good shape and properly grounded (double insulated)
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Are extension cords in good shape and grounded properly
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Do all employees working in the area have access to proper PPE
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Are gas cylinders properly stored when not in use (chained mid cylinder)
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Are stairs, railings and ladders in good shape (if applicable)
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Is welding and torching equipment in good working order (hose lines, valves, etc...)
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Add signature
DUMP TRUCK BAY (POD 2)
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Is there a first aid kit on site and up to date
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Is there a blood borne spill kit on site
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Are the locations of the fire extinguishers properly marked
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Is all emergency lighting in place and operational
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
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Is all machinery properly guarded to prevent injuries....(attach photos of unguarded machines)
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Are all exits unblocked and free of clutter
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Are all the exits properly marked and well lit
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Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag
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Are the overhead cranes in good working order (if applicable). This would include JIBS and any other lifting equipment
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Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks
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Are there adequate eye wash stations and is the eye wash up to date
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Are all fluids stored properly per HAZCOM requirments
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Is waste oil disposed of properly
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Is storage racking in good shape and adequate
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Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>
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Are all power tool cords in good shape and properly grounded (double insulated)
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Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)
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Do all employees working in the area have access to proper PPE
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Are gas cylinders properly stored when not in use (chained mid cylinder)
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Is welding and torching equipment in good working order (hose lines, valves, etc...)
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Are stairs, railings and ladders in good shape (if applicable)
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Add signature
PARTS ROOM
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Is there a first aid kit on site and up to date
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Is there a blood borne spill kit on site
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Is the AED in good working order and inspected monthly
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Are stairs, railings and ladders in good shape (if applicable)
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Are all power tool cords in good shape and properly grounded (double insulated)
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Do all employees working in the area have access to proper PPE
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Is adequate lighting in place
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Is storage racking in good shape and adequate
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Are all fluids stored properly per HAZCOM requirments
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Are there adequate eye wash stations and is the eye wash up to date
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Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Are all exits unblocked and well lit
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Is all emergency lighting in place and operational
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
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Is lifting equipment inspected regularly and noted on the inspection tag
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Add signature
Machinery (POD 3)
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Is there a first aid kit on site and up to date
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Is there a blood borne spill kit on site
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
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Is all the machinery properly guarded
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Is all emergency lighting in place and operational
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Is adequate lighting in place
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Is lifting equipment inspected regularly and noted on the inspection tag
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Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks
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Are there adequate eye wash stations and is the eye wash up to date
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Are all exits unblocked and well lit
-
Is storage racking in good shape and adequate
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Do all employees working in the area have access to proper PPE
-
Are all power tool cords in good shape and properly grounded (double insulated)
-
Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)
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Are gas cylinders properly stored when not in use (chained mid cylinder)
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Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag
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Are all fluids stored properly per HAZCOM requirments
-
Is waste oil disposed of properly
-
Is welding and torching equipment in good working order (hose lines, valves, etc...)
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Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>
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Add signature
LOADER BAY ( POD 4)
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Is there a first aid kit on site and up to date
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Is there a blood borne spill kit on site
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
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Is all the machinery properly guarded
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Is all emergency lighting in place and operational
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Is adequate lighting in place
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Is lifting equipment inspected regularly and noted on the inspection tag
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Are all exits unblocked and well lit
-
Are there adequate eye wash stations and is the eye wash up to date
-
Is storage racking in good shape and adequate
-
Do all employees working in the area have access to proper PPE
-
Are all power tool cords in good shape and properly grounded (double insulated)
-
Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)
-
Are gas cylinders properly stored when not in use (chained mid cylinder)
-
Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag
-
Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks
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Are all fluids stored properly per HAZCOM requirments
-
Is waste oil disposed of properly
-
Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>
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Is welding and torching equipment in good working order (hose lines, valves, etc...)
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Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Add signature
WELDER BAY ( POD 5)
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Is there a first aid kit on site and up to date
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Is there a blood borne spill kit on site
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
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Is all the machinery properly guarded
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Is all emergency lighting in place and operational
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Is adequate lighting in place
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Is lifting equipment inspected regularly and noted on the inspection tag
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Are all exits unblocked and well lit
-
Is storage racking in good shape and adequate
-
Do all employees working in the area have access to proper PPE
-
Are all power tool cords in good shape and properly grounded (double insulated)
-
Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)
-
Are gas cylinders properly stored when not in use (chained mid cylinder)
-
Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag
-
Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks
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Are all fluids stored properly per HAZCOM requirments
-
Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>
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Is welding and torching equipment in good working order (hose lines, valves, etc...)
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Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Add signature
AGG BAY (POD 6)
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Are the fire extinguishers in place and up to date
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Are the extinguishers inspected monthly and noted on the tag
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Is there a blood borne spill kit on site
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Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)
-
Is all the machinery properly guarded
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Is all emergency lighting in place and operational
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Is adequate lighting in place
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Is lifting equipment inspected regularly and noted on the inspection tag
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Are all exits unblocked and well lit
-
Is storage racking in good shape and adequate
-
Do all employees working in the area have access to proper PPE
-
Are all power tool cords in good shape and properly grounded (double insulated)
-
Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)
-
Are gas cylinders properly stored when not in use (chained mid cylinder)
-
Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag
-
Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks
-
Are all fluids stored properly per HAZCOM requirments
-
Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>
-
Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)
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Is welding and torching equipment in good working order (hose lines, valves, etc...)
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Select date
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Add signature