Information
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Store Name:
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Conducted on
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Prepared by
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Location
Housekeeping
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Building Permit / CDC on site:
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Site guidelines displayed
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No loose cables or leads
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Doorways and walkways clear
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Fixtures, fittings and other items are safely positioned
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Work area barriers in place (active stores)
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Store staff safety talk completed?
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Plant, Tools and Equipment
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Safe use of tools and ladders
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Safe use of powered plant
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Electrical items tested and tagged
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Power tools and ladders in good working condition
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Manual handling aids available where required
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Work Environment
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Adequate lighting available
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Work areas are climate controlled
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Floors and walkways are dry and clean
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Air quality is adequate
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Material Safety Data Sheet (MSDS):
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Personal Protective Equipment
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PPE used correctly
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PPE used in good condition
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First Aid
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First aid kits accessible
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First aid kits stocked
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First aid arrangements displayed
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Emergency Exit, Access and Egress
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Exit doors clear
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Exit lights if available illuminated<br>
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Emergency procedures available and displayed
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Evacuation assembly area identified
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Security
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Contractors signed in
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Security cameras working
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General comments, photos & sign off
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Comments
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Photos
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Signature
