Title Page
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Site Supervisor
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Conducted on
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Prepared by
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Location
Company Information
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Signage
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Contact number
Security
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Security Fencing
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Warning signs
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Access / Eggress clearly indicated
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PPE Posters visible
Fire Protection
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Fire extinguishers
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where , accessible, charged , expiry date
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Evacuation plan
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Exits clearly indicated and accessible
Personnel Protective Equipment
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Eye wash station
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expiry date
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Is fluid clear of particulate and not cloudy
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Replace immediately
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Head protection
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CSA approved foot protection
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Eye protection if applicable
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Hearing protection if applicable
Hazards
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Chemicals Labeled and stored appropriately
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Describe
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MSDS on site
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Railings anf barriers on site
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Description: where/why/what
Any obvious Hazards
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Any obvious concerns
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Describe
Housekeeping
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Lighting adequate
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Describe/recommendations
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Floors / Hallways / Staircase
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Desciption
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Ventilation
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Description/Recommendation
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Work Station CLean
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Describe
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Exterior
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Describe
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Bulding Materials organized and accessible
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Describe
Tools
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Job site tool box on site
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where are they stored and locked
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Power tools , working properly and fee of obvious damage or frayed wires, safety guards in place, emergency shut off operational ?
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Describe and replace
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Hand Tools free of obvious damage
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Describe
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Ladders/scaffold - no obvious damage - secured appropriately
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Description/ Recomendation