Information
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Site address
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Property type (retail, commercial)
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Client
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Conducted on
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Prepared by
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Site contact
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Property details
General
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All questions must be completed , either by selecting yes no or NA. No questions in the audit should be left blank.
Postings
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Safety policy posted and current
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Form 82, WSIB POSTER / 1-2-3 Poster Posted
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In Ontario is the Prevention Poster Posted
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Current copy of OHS Act.
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Safety procedures developed, reviewed and posted
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Workplace Violence and harassment assessment conducted
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Workplace Violence and harassment policy posted and current
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Working alone assessment conducted?
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MOL / MOE orders been given to the property since the previous assessment
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Hazard Assessment Completed (Alberta Only)
Jhsc
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Training
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Workplace inspection reports posted and current
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Last meeting minutes posted
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Member names posted
Confined space
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Does the property have confined spaces?
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Procedure developed
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Signs posted
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Assessment completed
Asbestos
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ACM on site?
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Survey completed
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Management plan posted
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Current assessment available
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Additional Comments
Fall hazards
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Trip and fall hazards clearly identified
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Guarding and railings installed and maintained
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Access ladders provided
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Ladders in good condition
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Comments Fall hazards
First Aid
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First aid kits maintained (by qualified person where applicable)
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Are first aid certificates current
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Eyewash stations maintained ( inspected and expiry date on solution)
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Comments First Aid
Training
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WHMIS
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Confined space
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Lockout
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Fall arrest
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First aid
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Others
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Comments
MSDS
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MSDS binder updated, posted and current
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Janitorial chemicals MSDS posted and current
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Chemical containers properly labeled
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Propane storage
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Comments
Machine guarding
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Proper guards installed on machines,tools, pumps ..etc.
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Warning signs in place
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Comments Machine guarding
PPE
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Maintained
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Warning signs posted
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Comments
Reissued deficiencies
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List total number of reissued deficiencies
Electrical Hazards
Electrical Rooms
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ESA inspections performed
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Thermal scanning performed
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Has an Arc Flash survey been completed? Please add date when.
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Panel directories maintained?
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Panels, receptacles and junctions boxes properly covered?
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Electrical rooms maintained free of storage?
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Electrical connections properly secured?
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Fire separation maintained?
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Fire dampers in electrical rooms not obstructed ?
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Additional comments
Fire Safety
Fire Safety
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Select site specific Fire safety equipment
- Wet,
- Dry,
- Fire pump,
- Extinguishers,
- Hose stations,
- Fire panel,
- Hydrants,
- Pull stations,
- voice communication,
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Fire extinguishers inspected Annually? Insert annual inspection date
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Fire extinguishers inspected Monthly?
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Sprinkler system maintained? Insert annual inspection date
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Is there a dry sprinkler system?
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Dry pipe valve tested annually? (control valve not fully open)
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Dry pipe valve tested every 3 years? (control valve fully open)
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Fire alarm panel maintained (insert last inspection date)
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Emergency lights maintained Annually?
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Emergency lights maintained Monthly ?
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Exit lights illuminated?
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Fire exits maintained
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Fire pumps inspected ? Weekly
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Fire hose maintained? Monthly & Annual
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Fire hose cabinet properly identified (wet & dry ) signage installed?
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Pull stations inspected as per code requirements.
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Fire plan approved and reviewed? Insert date
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Fire drill performed ? Insert date
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Sprinkler spare cabinet - sufficient spare & wrench
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Fire hydrants flow tested?
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Siamese connections capped and maintained ??
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Kitchen fire suppression system maintained?
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Fire stop maintained ?
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Is the back flow attached to the sprinkler system inspected annually
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Additional comments
Roof
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Does the property have roof anchors
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Current roof anchor inspection report posted.
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Anchor drawings posted
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Any equipment located close to edge of the roof?
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Provide details
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Safety cages installed on ladder as per code?
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Cooling tower ladder meets code?
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Roof hatch grab bar requirement?
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Access ladders installed as per code requirement?
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Additional comments
Elevator Room
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Does the property have Elevators?
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Type of Elevator
- Hydraulic,
- Cable,
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Current License posted ?
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Machine guarding completed?
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Car top guarding?
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Fire extinguisher located in or near machine room?
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Load beam rated for maximum capacity?
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Machine room maintained free of storage ?
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Machine room access controlled?
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Maintenance logs current and updated?
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Fire recall test completed if applicable (FEO)
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Additional comments
Escalator
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Does the property have escalators?
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Daily start up logs maintained ?
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Current License posted ?
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Maintenance logs updated?
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Are all markings and labels posted on the escalators
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Additional comments
Emergency Generator room
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Does the property have emergency generator's<br><br><br><br>
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Type of generator?
- Natural gas
- Diesel
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Tenant generator
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Weekly / monthly tests performed? Check logs
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Annual load bank test performed ? Insert date
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Fuel purification for diesel tank conducted ? Insert date
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Emergency light installed in generator room?
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Hearing protection warning sign installed on door?
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Machine guarding completed ?
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The tank and fuel lines labelled / identified
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Generator located outside ( not in enclosed room)
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Additional Comments
Boiler / Mechanical room
Boiler & Mechanical rooms
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Does the property have Boilers?
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Type
- Low pressure
- High Pressure
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Current BPV inspection certificate posted
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Pumps/compressors/fans properly guarded?
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MSDS is current and clearly posted?
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Eyewash & first aid maintained ?
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Chemical tanks properly labelled ?
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CO detectors installed and maintained
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Access to exits maintained ?
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Exit lights illuminated ?
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Additional comments
Lifting equipment
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Are there lifting equipment on site owned by property management?
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Type
- Scissor Lift,
- Genie,
- Fork truck,
- Boom truck
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Current annual inspection report available?
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Pre_start inspections performed?
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Operator training current?
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Fall arresting harness available and maintained ?
Pools
Pools
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Are there any pools / hot tubs / spas on site
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Types
- Indoor
- Outdoor
- hot tub
- spa
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Is the pool owned by the tenant or property?
- Property
- Tenant
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Is the pool contractor or property managed
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Pool chemicals used on site and properly stored
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MSDS available for the pool chemicals and are current
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Is pool piping correctly colour coded
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Are water tests regularly taken and documented
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Is an emergency phone and contact list available and inspected
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Required signage posted - including in lifeguard on duty (if applicable)
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Emergency rescue equipment present and inspected (this includes first aid kits)
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Are all pool markings and labels in place
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Additional Comments
Playspace
Playspace
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Is there a playground / play area / rides
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- Outdoor Playground
- Indoor Play Area
- Equipment & Rides
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Are regular inspections performed and documented
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Additional Comments
Environmental
Environmental
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Is this section applicable
Air Emissions
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Are there any air emissions requiring government approval
Chemicals
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Any hazardous chemicals on site
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Are chemicals properly stored
Waste
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Is any hazardous waste generated on site
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Is the hazardous waste properly stored and labelled
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Does the property have a hazardous waste generator number
Water Management
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Domestic water back flow devices tested
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Any water leaks or staining observed on site (includes ceiling tiles)
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Drinking water test for lead (schools)
Mould
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Any mould observed on site
Lead
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Is lead suspected or known to be present in the building
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Are there any areas with peeling or damaged paint
Storage Tanks
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Are there any storage tanks on site (AST / UST)
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Type
- AST
- UST
Tank Details
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Tank Information
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Spill kits located near storage tanks
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Spill procedure available and posted
Other
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Additional Comments
Schools
Schools Only Section
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Is this section applicable
Lab Safety
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Is there a chemistry lab or classroom on site
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Are lab chemicals properly stored and labelled
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Are MSDS available and current
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Are fume hoods regularly inspected and report / tag available
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Are eyewash stations / showers present and inspected/tested
Gym Safety
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Is there a gym / fitness room on site
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Please list the equipment
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Is the equipment on a maintenance schedule and records kept
Sports Field
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Is equipment maintained
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Is the field regularly inspected for hazards
Arena
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Equipment (I.e. zamboni) inspected and maintained
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Chemicals properly stored and labelled
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MSDS available and current
Theatre
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Are curtains fire retardant - report or tag
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Is there a catwalk or protection for the lighting
Other
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Additional Comments