Title Page
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Inspector
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Conducted on
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This inspection checklist monitors the compliance activities at the facility. It also serves as a hazard assessment to current activities. The inspection shall be completed in all areas of the facility, including warehouse and office areas as it is applicable. Issues shall be summarized on the last page. Corrections will be made and documented completion date on the summary page. All corrections are expected to be completed in a timely manner.
Review of Prior Corrections
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Have all identified issues been corrected and noted on the previous facility inspection summary?
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Are all corrections of previously identified issues still effective and not recurring
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If issues are recurring a corrective action must be opened.
Lighting and Equipment
Emergency Lighting
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All exit signs illuminated and remain illuminated when battery tested?
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All exit signs free of damage?
Fire Extinguishers
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Are all extinguishers in their designated location?
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Are all extinguishers clearly identified with a wall mounted sign?
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Are all extinguishers easily accessible and free of obstruction?
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Is the last annual inspection within the past 12 months?
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Are inspection tags current with initial and date of inspection?
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Are all seals and tamper pins in place?
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Are all extinguishers free of damage, corrosion, leakage or clogged nozzles?
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Do all pressure gauges indicate the extinguishers are ready for us?
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Are all staff members trained on fire extinguisher use?
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Do all staff members know where the extinguishers are located?
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Is there anything else relating to emergency preparedness that needs attention at this time?
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Please provide more information on what needs attention.
Ladders
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Is there any visible corrosion on the ladder?
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Are any steps damaged?
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Does the ladder operate freely upon opening/closing or extending?
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Are all employees using ladders trained in Ladder Safety?
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When accessing landings, does the ladder extend at least 36” beyond the landing?
Electrical
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Are all extension cords plugged into a grounded outlet when in use?
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Are there any circuit breakers regularly tripping?
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Are there any extension cords used for a permanent operation?
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Are all plugs and cords in good condition?
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Do all electrical panels have a surrounding space of 3 feet clear?
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Are electrical switches, switch plates or receptacles, cracked, broken or have exposed contacts?
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Are all electrical circuit breakers identified?
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Is there anything else relating to emergency preparedness that needs attention at this time?
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Please provide more information on what needs attention.
Emergency Preparedness
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Are all walkways and aisle ways free of obstructions?
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Are all exits free of storage and clutter?
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Are stairwells and corridors free of storage and clutter?
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Is the first aid cabinet fully stocked?
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Are all employees trained on emergency evacuation procedures?
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Are all materials stored in racks wrapped and stable to prevent falling?
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Is the fire alarm panel indicating an alarm condition?
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Are all manual pull stations unobstructed and accessible?
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Is there anything else relating to emergency preparedness that needs attention at this time?
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Please provide more information on what needs attention.
Housekeeping
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Are all areas cleaned on a regular basis?<br>
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Are all walkways are at least 36 inches and free of other items that could cause a tripping hazard?
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Are all floors free of liquids to avoid trips and falls?
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Is equipment returned to their proper storage location when not in use to avoid a tripping hazard?
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Check Office area. Is there NO signs of spills; Is there NO debris or garbage; Are areas neat/organized?
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Choose non compliances
- Spill
- Debris
- Garbage
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Check outside of warehouse. Is there NO sign of spills; clear; NO debris or garbage?
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Choose non compliances
- Spill
- Debris
- Garbage
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Check inside of Warehouse. Is there no sign of spills; areas are neat/organized:
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Choose non compliances
- Spill
- Debris
- Garbage
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Are any containers leaking?<br>
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All containers clearly labeled?<br>
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Flammable materials such as cardboard and paper are stored away from fire hazards and not accumulated throughout the warehouse?
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Are tools are safely secured and stored when not in use?
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Are there any other housekeeping issues that need to be addressed?
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Please provide more detail on issue that needs to be addressed
Legal and Security
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Are containers with batteries, broken lamps, broken CRT glass, or PCB ballasts closed with lids?
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Is the Accumulation Start Date filled-in on the UW label?
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Are R2 Focus Materials separated and managed from plastics and metals?
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Is the Accumulation Start Date filled-in on the UW label?
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Are batteries taped or terminals separated to avoid contact?
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Are waste containers, dumpsters, and Steel Roll-offs free of R2 Focus Materials and Universal Wastes?
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Are all Focus Materials and Universal Wastes properly stored under roof to prevent storm water runoff?
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Are there any new activities, equipment or materials that may change the legal requirements?
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Please provide more information on issue to be addressed
Security
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Are all entry ways secured from unauthorized access?
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Are surveillance video cameras in working order?
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Are there any other security issues to be addressed?
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Please provide more information on issue to be addressed
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Are video recording devices storing video accordingly?
Sign Off
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Name and Signature of Inspector