Information
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Client / Site
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Conducted on
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Prepared by
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Location
Ensure that the workplace is safe in accordance with the PREVENT General Industry Guide:
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Shop Safety Policies are Current & Communicated
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Hazard Communication / GHS / SDS / Labels<br>Employees are Trained<br>SDS available to employees<br>Labeling of Containers<br>
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Personal Protective Equipment - Proper Use
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Emergency Action Plan<br>Maps developed?<br>Drills?
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Equipment Energy Controls - Lockout/Tagout<br>Procedures?<br>Authorized training?<br>Procedures evaluated?
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Electrical Hazards?<br>Electrical extension cords?<br>Open panels?<br>Blocked electrical panels?
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Powered Industrial Trucks<br>Classroom?<br>Test?<br>Behind the wheel, every 3 years?
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No Smoking
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Venting of Truck Tanks
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Housekeeping
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Fire Extinguishers<br>Training?<br>Monthly inspection?<br>Blocked?<br>Mounted properly?
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First Aid Kit/Supplies<br>with no EMS Response within 4 minutes<br>Training every 2 years?<br>
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Confined Space Entry<br>Signs?<br>Training?<br>Rescue plan?<br>
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Walking & Working Surfaces <br>Fall Protection 4 feet vs. 6 feet<br>Guard rails?<br>PFAS?<br>Restraint?<br><br>
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Ladders<br>4:1 angle<br>Storage?<br>
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Machine Guarding<br>AUTO<br>Interlocks?<br>Light curtains?<br>Two hand controls?
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Woodworking Machines<br>Guards in place?<br>Push Sticks?<br>Anti restart?<br>
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Power Tools<br>Cords?<br>Guards/Shields?<br>Proper Use?<br>PPE?
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Miscellaneous Hazards not discussed elsewhere:
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Additional Hazards: combustible dust, hot work permit program, servicing rims & wheels, mechanical power presses, lab safety, process safety management, stainless steel welding, and air quality.
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To the Best of Your Knowledge All Other Hazards are Controlled?
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