Title Page
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Site conducted
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Conducted on
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Select date
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Prepared by
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Location
Inspection Checklist
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Are all walking or working surfaces free of tripping/slipping hazards?
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Are all exit doors unobstructed?
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Is there at least three (3) feet clearance in front of electrical panels/breaker boxes?
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Is all electrical equipment plugged directly into wall outlets?
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Is emergency equipment (alarm pull boxes, eyewashes, showers, etc.) accessible and not blocked by equipment?
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Are emergency lights operational?
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Are all self-closing doors operational?
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Is access to fire extinguishers clear and unobstructed?
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Are all extinguishers properly inspected (monthly) and maintained (annually)?
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Is AED in proper storage cabinet and unobstructed?
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Does the AED display window have a green blinking light or OK checkmark?
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Are attached pads within the expiration date?
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Has inspection card been signed and dated?
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