Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Check items inspected.
See inspection instructions for specifics on checked items. PHRD OH&S Handbook Form 7-324 -
Bookshelves, cabinets, shelves
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Chemical/hazardous materials
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Confined/restricted space
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Contractor safety, project safety
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Electrical
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Emergency equipment
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Fire extinguishers
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Evacuation maps
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Eyewash stations
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First aid stations
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Automatic External Defibrillator (AED)
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Equipment, machines, printers, etc.
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Grounds, sidewalks, outside of buildings, fence, etc
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Housekeeping
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Mechanical and storage rooms.
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Personal protective equipment
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Unsafe conditions
Unsafe condition
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Unsafe condition
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Add media
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Corrective action
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Person responsible
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Work order if applicable
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Date completed
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Follow up date
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Person reforming follow up
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Positive acts or conditions, minimum of one
Positives
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Positive acts or conditions
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Add media
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Site administrator or designate
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Person performing inspection
