Title Page
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Conducted on
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Prepared by
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Location
OSHA 1910 Subpart D
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Do ladders conform to applicable standards?
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Is there a ladder inspection and maintenance program?
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Is there a scaffold and platform inspection and maintenance program?
OSHA 1910 Subpart H
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Is the organization in compliance with compressed gas standards?
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Are flammable or combustible materials used in spray painting operations compliant with handling standards?
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Is the organization compliant with flammable and combustible liquid standards?
OSHA 1910 Subpart K
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Are first responders adequately trained?
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Are suitable eye wash stations available in the immediate area of exposure?
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Are eye wash stations regularly inspected and maintained?
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What was the date of the last inspection?
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Are first aid kits provided and adequately stocked? What was the date of the last inspection?
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Notes/observations: