Title Page
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Conducted on
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Prepared by
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Enter Your Name
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Is work area clear of slip, trip, and fall hazards (cords, spills, small tools, etc)?
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Are all means of egress clear and accessible?
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Are fire extinguishers mounted in readily accessible locations, in good working condition?
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Are first-aid kits easily accessible to each work area, with necessary supplies available including eye wash solution?
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Are all tools and equipment (both company and employee owned) used by employees at their workplace in good condition?
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Is appropriate protective equipment available in areas where hand tools or equipment may cause breakage and/or flying debris?
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Are fuel and oil disposal standards notated and being executed correctly daily?
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Has flammable cabinet storage been maintained, free of clutter or hazards surrounding to ensure safe access?
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Has all heavy load lifting equipment (lifts, tethers, winches, hoist, lifting slings) been inspected and in good working order?
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Has pre-usage forklift checklist been executed in full, with equipment in good working order?
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Are eye-wash stations clear, accessible, and up to date?