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Add the Supervisor in charge of the area
Add the The name(s) of employees you had contact with during your tour.
Physical Conditions Observed
Add an observation
Choose one, observation
Level of Risk
Assessment carried out by
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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