Heather Olsen

Monthly Safety Checks

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Title Page

Site conducted
Conducted on
Prepared by
Location

VRC/Elevator(s) inspection certificate(s) up-to-date
Adequate number of portable fire extinguishers provided so that they are readily accessible in the case of an emergency
Portable fire extinguishers mounted, located and easily identifiable
Portable fire extinguishers visually inspected each month (There is an inspection card on all fire extinguishers that must be dated and initialed monthly)
Emergency stops/critical controls are identified

Signature

Any other comments?
When completed please provide signature here:

Heather Olsen

Monthly Safety Checks

Use this Template

Print as PDF

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