Title Page
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Company
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Prepared by
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Conducted on
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Location
Outdoor Area
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Garbage is properly stored to avoid pests and insects
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Property kept clear of litter, combustibles, hazardous materials and chemicals
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Walls, floors, and ceiling free of possible penetration to avoid pests, dusts, smoke etc.
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Outside lights in good working order
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Exits and entrances are unobstructed and free of debris or storage
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Rooftop access is restricted, locked and sign posted
Pathways
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Entry mats are free of slip and trip hazards
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Evacuation plan/map is up to date and is posted in pathways (lobbies, exit, entrance etc)
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Walkways inside the site are clear and free of obstruction
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Floors inside the site free of cracks, slip and trip hazards
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Warning sign available for use if floor is wet and slippery
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Stairways adequately lit
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Stairways free of obstruction and is not slippery
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Stair treads, handrails in good condition
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Warning sign available for use if there are fall hazards in walkways (floor and stairs)
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Exit signs illuminated and is visible
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Exit routes kept clear and free of obstruction
Work Area
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Air quality adequate
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Temperature and humidity adequate
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Adequate lighting on work areas and pathways present
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Work areas free from glare
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Aisles, doorways and corners free of obstructions and permits visibility and movement
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Chairs in safe condition and are caster; rungs and legs sturdy
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Ceiling tiles intact, undamaged and in place
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All windows unbroken and free from any type of damage
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Air conditioning vents and ducts appear to be clean upon visual inspection
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All equipment and supplies are in their proper places
Common Areas
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Washrooms are clean; free of slip and trip hazards
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Food preparation area is clean; free of slip and trip hazards
Emergency Equipment & Procedures
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Entry and exit procedures provide workers personal security
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Emergency (evacuation, fire, bomb threat, hostile person) procedures in place
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Path to first aid kit clear of obstruction
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Fire extinguishers mounted, accessible, free of obstruction
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Fire extinguishers inspected internally monthly
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Security lighting installed and is in good condition
Completion
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Additional recommendation
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Full Name & Signature of Inspector