Title Page
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Conducted on:
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Prepared by:
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Site conducted
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Section / Area:
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IS THERE ANY DAMAGE TO FURNITURE / FIXTURES OR INFRASTRUCTURE?
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ANY CHEMICALS STORED IN AN UNSAFE MANNER OR IN THE WRONG LOCATION?
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ANY TRIP OR SLIP HAZARDS?
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IS THE AREA CLEAN, NEAT & ORDERLY?
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IS THERE SUFFICIENT LIGHTING?
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ARE SAFETY BARRIERS / GUARDS IN PLACE?
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ARE ALL WORKERS VIEWED WEARING THE CORRECT PPE?
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ANY WORKERS UNDERTAKING IN ANY UNSAFE MANUAL HANDLING PRACTICES?
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ARE THE EMERGENCY EXITS CLEAR AND NOT OBSTRUCTED?
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FIRE FIGHTING EQUIPMENT ACCESSIBLE AND NOT OBSTRUCTED?
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SAFETY EQUIPMENT IN WORKING ORDER? (EYEWASH, EYEWASH BAY)
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ARE SAFETY SIGNAGE CLEAN AND EASY TO VIEW?
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ARE THERE ANY OVERFLOWING OR OVER STACKED BINS / SKIPS / TABLES / TROLLEYS OR PALLETS?
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ARE ALL DECANTED CHEMICAL BOTTLES & CONTAINERS LABELLED CORRECTLY?
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NAME & SIGNATURE
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Completed Time and Date
