Title Page
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Store Name (Not Site Number)
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Month Checked for
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Prepared by
OHASA
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Monthly OHASA inspection checklist completed
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All staff Safety trainings have been completed and kept in OHASA File
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Have all incidents been reported and corresponding Incident Report
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Fire extinguishers fully serviced
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Next Service Date
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Are all Emergency Exits clear of any obstructions
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Is the Emergency Evacuation Plan Displayed in Stockroom
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Was a Quarterly Store Evacuation Drill performed & Register Filed
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Date
