Title Page
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Site location
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Conducted on
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Prepared by
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Tac mat clean and still working
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If area is under negative air, manometer reads less than zero or area is obviously negative
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Is the air discharge appropriate for the work being done
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Is proper PPE being worn
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Fire extinguishers are tagged with annual inspection date and monthly inspection
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No pressurized tanks standing unsupported
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No worksite contamination being tracked throughout the hospital
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Contractors wearing proper ID
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Proper fall protection implemented as required
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Ladders are secured and used properly
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Egress and exits are maintained free from obstructions
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Proper paperwork posted (ILSM, ICRA, Hot work permit)
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Window policy is being followed
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Chemicals labeled and SDS on site
