Title Page
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Document No.
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Client / Site
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Conducted on
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Prepared by
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All PIV inspection cards found to be completed and without issue.
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PIV travel and flow consistent with training and PDC guidelines.
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PPE utilized as per training (gloves when handling metal, gloves and face shield when changing batteries, etc.).
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Aisles and intersections free and clear of all obstructions allowing for easy travel.
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Fire exits, breaker boxes, fire extinguishers, eye wash and emergency shower free and clear of obstructions.
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Parts properly stored in active and reserve locations (secure, stable, pushed in, etc.).
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Battery stops in place to prevent battery from coming off of rollers.
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No items present that could present a stored energy hazard ( leaning pallets, bars, pipes, etc.).
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Electrical cords and battery cables in good order and free of cuts or other defects.
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Comments: