Title Page
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Client / Site
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Conducted on
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Prepared by
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1. Is there a first aid kit?
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2. Do the first aid kits have sufficient supplies?
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3. Does first aid kit have Physician written approval?
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4. Are ALL fire extinguishers being inspected monthly?
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5. Are ALL fire extinguishers serviced annually?<br>
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6. Is access to extinguishers unobstructed?
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7. Are ALL fire extinguishers fully charged?
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8. Are there any obstructions in front of electric circuit panel?
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9. Is there 36" minimum clearance around electrical panel?
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10. Is there sufficient water for employees? (Min. 2 Gal/8 hrs.)
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11. Is there ice available for employees to cool the water?
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12. Are there plenty of single use, disposable drinking cups?
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13. Did you instruct employees to drink plenty of water ?
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14. Is shade available at employees work assignment?
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15. Are all protective guards in place on machines?
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16. Does the grinder have protective guard?
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17. Is the portable drill press firmly secured?
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18. Is the grinder work rest set at 1/8"?
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19. Is welder ground cable/cords in good repair?
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20. Are welding screens and shields used?
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21. Are welding screens and shields in good repair?
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22. Is eye wash station available?
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23. Is eye wash station being inspected each month?
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24. Are power tools properly grounded? Check cords.
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25. Are employees using proper PPE?
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26. Are ladders inspected and in good condition ?
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27. Safety glasses/face shield available for use, in good repair?
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28. Electric cords in good repair?
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29. Is tire busting machine in good repair?
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30. Are shop rags inside metal can?
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31. Are compressed gas bottles stored 20' min. from each other?
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32. Are compressed gas bottles properly secured, and upright?
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33. Do stored, compressed gas bottles have metal cap on?
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34. Does air compressor have permit posted?
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35. Is there warning sign posted next to air compressor ?
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36. Is air compressor being purged weekly ?
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37. Do company trucks./tractors have a fire extinguisher ?
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38. Do company trucks/tractors have a first aid kit?
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39. Is hazardous waste storage area kept clean?
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40. Are hazardous waste cointaters kept up to code ?
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41. Are hazardous material/waste inspections being performed?