Information
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Date:
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Supervisor:
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General Foreman:
Monthly Refuge Station Check Sheet
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Check Sheet
Location:
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Refuge Location:
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Date:
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Blankets - clean, folded/ready for use.
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Emerg. Water - Locked boxes, undamaged, not leaking.
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Emerg. Procedures - Present, Blank report forms.
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Eye Wash Station - Clean, not outdated, has not been used.
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First Aid Kit - Clean, sealed, top compartment stocked with band-aids.
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Basket - Clean, proper splints, backboard.