Title Page
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Company:
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Site:
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Date:
SITE VISIT SUMMARY:
- The following tasks were performed:
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Category:
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Subject or OSHA Standard:
- Annual Compliance
- Lockout/Tagout
- Hazard Communication
- Bloodborne Pathogens
- Forklift (PIV)
- Scissor Lift
- Aerial Lifts
- Confined Spaces
- Respiratory Program
- Fit Testing
- First Aid/CPR/AED
- Machine Guarding
- Electrical Safety
- Safety Committee
- Personal Protective Equipment
- Emergency Action Plan
- Chemical Hygiene Plan
- Crane/Hoist
- Hearing Protection
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What was the level of training?
- Awareness
- Authorized/Competent Person
- Certification
- Re-certification
- Annual Requirement
- Assessment
Summary of Inspection:
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The results of the health and safety inspection are included in this summary. Based on the information gathered during the site visit, the major findings and recommendations are presented below.
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Are there any major finding that may be considered high hazard?
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Is this high priority?
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Recommendation:
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General Findings:
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Check all standards that apply:
- Electrical
- Lock Out/Tag Out (LOTO)
- Machinery/Equipment
- Material Handling or Storage
- Toxic and Hazardous Substances
- Walking-Working Surfaces
- Medical Services and First Aid
- Powered Industrial Vehicles (Forklifts)
- Personal Protective Equipment (PPE)
- General Duty Clause or Miscellaneous
- Fire Protection and Prevention
- Hazardous Materials
- Confined Spaces
- Sanitation
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Is this a repeated violation?
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Recommendations:
When is the next visit scheduled?
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Select date
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What tasks are planned for the next visit?
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Subject?
- Annual Compliance
- Lockout/Tagout
- Hazard Communication
- Bloodborne Pathogens
- Forklift (PIV)
- Scissor Lift
- Aerial Lifts
- Confined Spaces
- Respiratory Program
- Fit Testing
- First Aid/CPR/AED
- Machine Guarding
- Electrical Safety
- Safety Committee
- Personal Protective Equipment
- Emergency Action Plan
- Chemical Hygiene Plan
- Crane/Hoist
- Hearing Protection
FINDINGS:
- Finding:
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Check all that apply:
- Electrical
- Lock Out/Tag Out (LOTO)
- Machinery/Equipment
- Material Handling or Storage
- Toxic and Hazardous Substances
- Walking-Working Surfaces
- Medical Services and First Aid
- Powered Industrial Vehicles (Forklifts)
- Personal Protective Equipment (PPE)
- General Duty Clause or Miscellaneous
- Fire Protection and Prevention
- Hazardous Materials
- Confined Spaces
- Sanitation
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Location?
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Is this new or a repeated violation?
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Type of Violation:
- Exposed electrical wires and/or taping of cords: § 1910.303(b)(1) - Electrical equipment shall be free from recognized hazards that are likely to cause death or serious physical harm to employees.
- Labeling of circuit breaker boxes/electrical panels: § 1910.303(f) - Each disconnecting means required for motors and appliances shall be legibly marked to indicate its purpose, unless located and arranged so the purpose is evident. Each service, feeder, and branch circuit, at its disconnecting means or overcurrent device, shall be legibly marked to indicate its purpose, unless located and arranged so the purpose is evident. These markings shall be of sufficient durability to withstand the environment involved.
- Fuses & Circuit Breaker Shielding: § 1910.304(f)(1)(v) - Fuses and circuit breakers shall be so located or shielded that employees will not be burned or otherwise injured by their operation.
- Insufficient clearance around electrical panels: § 1910.303(g)(1)(i) - Working clearances not less than 30" wide and 3' deep and headroom no less that 6'3". All working spaces shall have illumination. Clear spaces shall not be used for storage.
- Conductors exposed to physical damage: § 1910.305(a)(4)(v) - Conductors within 7 feet from the floor are considered exposed to physical damage.
- Exposed junction boxes: § 1910.305(b)(1) / § 1910.305(b)(2) - All pull boxes, junction boxes, and fittings shall be provided with covers approved for the purpose. Unused openings in cabinets, boxes, and fittings shall be effectively closed.
- Use of extension cords: §1910.305(g)(1)(iii)(A) - Flexible cords and cables shall not be used as a substitute for the fixed wiring of a structure.
- Flexible cords: § 1910.305(g)(2)(iii) - Flexible cords shall be connected to devices and fittings so that strain relief is provided which will prevent pull from being directly transmitted to joints or terminal screws.
- Ground Fault Interruption (GFI) outlets must be installed near all sinks, etc: § 1910.306(j)(5) - All electric equipment operating at more than 15 volts, including power supply cords, used with fountains shall be protected by ground-fault circuit interrupters.
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Recommendation:
- Have qualified electrician insulate wires.
- Remove wires from service.
- Enforce proper housekeeping to prevent blockage
- Replace knockout plate
- Hardwire the cord
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Type of Violation
- An exit must be separated by fire resistant materials: §1910.36(a)(2) - Construction materials used to separate an exit from other parts of the workplace must have a one-hour fire resistance-rating if the exit connects three or fewer stories and a two-hour fire resistance-rating if the exit connects four or more stories.
- Locked Exit: § 1910.36(d) - An exit door must be unlocked.
- Side-hinged doors: § 1910.36(e)(1) - A side-hinged door must be used to connect any room to an exit route.
- Swing out doors: § 1910.36(e)(2) - The door that connects any room to an exit route must swing out in the direction of exit travel if the room is designed to be occupied by more than 50 people or if the room is a high hazard area (i.e., contains contents that are likely to burn with extreme rapidity or explode).
- Emergency lighting: § 1910.37(b) - In every building or structure equipped for artificial illumination, adequate and reliable illumination and marking shall be provided.
- Outdoor exit routes: § 1910.36(h)(2) - The outdoor exit route must be covered if snow or ice is likely to accumulate along the route, unless the employer can demonstrate that any snow or ice accumulation will be removed before it presents a slipping hazard.
- Flammable storage in exit route: § 1910.37(a)(1) - Exit routes must be kept free of explosive or highly flammable furnishings or other decorations.
- Obstructed exit door: § 1910.37(a)(3) - Exit routes must be free and unobstructed. No materials or equipment may be placed, either permanently or temporarily, within the exit route. The exit access must not go through a room that can be locked, such as a bathroom, to reach an exit or exit discharge, nor may it lead into a dead-end corridor. Stairs or a ramp must be provided where the exit route is not substantially level.
- Lighted Exit Route: § 1910.37(b)(1) - Each exit route must be adequately lighted so that an employee with normal vision can see along the exit route.
- Need for exit sign: § 1910.37(b)(2) - Each exit must be clearly visible and marked by a sign reading "Exit."
- Obstructed exit sign: § 1910.37(b)(3) - Each exit route door must be free of decorations or signs that obscure the visibility of the exit route door.
- Need for directional arrows: § 1910.37(b)(4) - If the direction of travel to the exit or exit discharge is not immediately apparent, signs must be posted along the exit access indicating the direction of travel to the nearest exit and exit discharge. Additionally, the line-of-sight to an exit sign must clearly be visible at all times.
- Proper labeling of exits/non-exits: § 1910.37(b)(5) - If the way to reach an exit is not immediately visible, a sign reading "Exit" with an arrow indicating the direction shall be posted. Any door, passage, or stairway which is neither an exit nor a way of exit access shall be identified by a sign reading "Not an Exit" or indicating its actual use (e.g.,"Closet").
- Illuminated Exit signs: § 1910.37(b)(6) - Each exit sign must be illuminated to a surface value of at least five foot-candles (54 lux) by a reliable light source and be distinctive in color. Self-luminous or electroluminescent signs that have a minimum luminance surface value of at least .06 footlamberts (0.21 cd/m2) are permitted.
- Emergency evacuation and fire prevention plan: § 1910.38 Subpart E (1) - Emergency & fire prevention plans shall be in writing and shall cover those designated actions to be taken to ensure safety from fire and other emergencies.
- Emergency floor plans: (Appendix to) § 1910.38 Subpart E - The use of floor plans or workplace maps which clearly show the emergency escape routes should be included in the emergency action plan. Color coding will aid employees in determining their route assignments.
- Oily and/or solvent soaked rags not disposed of in correct container: § 1910.38 Subpart E (4) - Accumulation of flammable or combustible waste materials and residues must be controlled so that they do not contribute to a fire emergency. The soaked rags contain a combustible residue and must be stored in covered metal receptacles, which are disposed of daily.
- Fire Brigade Training: § 1910.156(c)(1) - The employer shall provide training and education for all fire brigade members commensurate with those duties and functions that fire brigade members are expected to perform. Such training and education shall be provided to fire brigade members before they perform fire brigade emergency activities. Fire brigade leaders and training instructors shall be provided with training and education which is more comprehensive than that provided to the general membership of the fire brigade.
- Missing/Obstructed/Unlabeled fire extinguisher: § 1910.157(c)(1) - The employer shall provide portable fire extinguishers and shall mount, locate and identify them so that they are readily accessible to employees without subjecting the employees to possible injury.
- Obstructed fire pull: § 1910.157(c)(1) - The employer shall provide portable fire extinguishers and shall mount, locate and identify them so that they are readily accessible to employees without subjecting the employees to possible injury.
- Inspect fire extinguishers monthly: § 1910.157(e)(1) / § 1910.157(e)(2) - The employer shall be responsible for the inspection, maintenance and testing of all portable fire extinguishers in the workplace. Portable extinguishers shall be visually inspected monthly.
- Annual maintenance check for fire extinguishers: § 1910.157(e)(3) - The employer shall assure that portable fire extinguishers are subjected to an annual maintenance check. The employer shall record the annual maintenance date and retain this record for one year after the last entry or the life of the shell, whichever is less.
- Obstruction of sprinkler system: § 1910.159(c)(10) - The minimum vertical clearance between sprinklers and material below shall be 18 inches.
- Annual maintenance check for fixed extinguishing systems: § 1910.160(b)(6) - The employer shall assure that fixed systems are inspected annually by a person knowledgeable in the design and function of the system to assure that the system is maintained in good operating condition.
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Recommendation
- Ensure extinguishers are unobstructed. Enforce good housekeeping standards
- Routine inspections are standard practice.
- Schedule Annual Testing/Inspection
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Type of Violation
- Doors to storage rooms: § 1910.106(d)(4)(i) - Inside storage rooms shall be constructed to meet the required fire-resistive rating for their use. Automatic sprinkler systems shall be designed/installed in an acceptable manner (where provided). Openings to other rooms/buildings shall be provided with noncombustible liquid-tight raised sills at least 4 inches in height, (or at least 4 inches below the surrounding floor). Openings shall be provided with approved self-closing fire doors.
- Wiring for inside storage rooms: § 1910.106(d)(4)(iii) / § 1910.307 (b) [Subpart S] = Electrical wiring and equipment located in inside storage rooms used for Class I liquids shall be approved under subpart S: Equipment, wiring methods, and installations of equipment in hazardous (classified) locations shall be intrinsically safe, approved for the hazardous (classified) location, or safe or for the hazardous (classified) location.
- Chemical storage rooms: § 1910.106(d)(4)(iv) - Every inside storage room of flammable and combustible liquids shall be provided with either gravity or mechanical exhaust ventilation system with a complete change of air at least 6 times/hour.
- Storage room aisles: § 1910.106(d)(4)(v) - In every inside storage room there shall be maintained one clear aisle at least 3 feet wide. Containers over 30 gallons capacity shall not be stacked one upon the other. Dispensing shall be by approved pump or self-closing faucet only.
- Flammable and Combustible liquid storage: § 1910.106(d)(5)(iii) - Storage shall be prohibited except that which is required for maintenance and operation of building and operation of equipment. Such storage shall be kept in closed metal containers stored in a storage cabinet or in safety cans or in an inside storage room not having a door that opens into that portion of the building used by the public.
- Open Flammable Containers: § 1910.106(e)(2)(ii) - Flammable or combustible liquids shall be stored in tanks or closed containers.
- Grounding required for flammable or combustible material: § 1910.106(e)(6)(ii) - Class I liquids shall not be dispensed into containers unless the nozzle and container are electrically interconnected or fill stem is bonded to the container during filling operations by mean of bond wire.
- Flammable/combustible liquid container not bonded and grounded: § 1910.107(e)(9) - Whenever flammable or combustible liquids are transferred from one container to another, both containers shall be effectively bonded and grounded to prevent discharge sparks of static electricity.
- Spray booth: § 1910.107(g)(2) - All spraying areas shall be kept as free from the accumulation of deposits of combustible residues as practical, with cleaning conducted daily if necessary.
- Ensure Clear Access Around Drums and Spill Control Equipment: § 1910.120(j)(1)(ii) - Drums and containers used during the clean-up shall meet the appropriate DOT, OSHA, and EPA regulations for the wastes that they contain.
- Oxygen tank storage: § 1910.253(b)(4)(i) - Oxygen cylinders shall not be stored near highly combustible material, especially oil and grease; or near reserve stock of fuel-gas cylinders, or near any substance likely to cause or accelerate a fire.
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Recommendation
- HZM: Enforce good housekeeping standards.
- Ground all solvent drums.
- Ensure proper area warning signs.
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Type of Standard:
- Loto: Utilization of "inch safe" cleaning procedures required for cleaning the press: § 1910.147 - as interpreted by OSHA - OSHA's perspective is that an operator's hand cannot be anywhere near a nip point, hazard area, touching a moving cylinder (e.g., during make-ready or cleanup) unless the equipment is either on STOP/SAFE or completely locked out.
- Written Lockout/Tagout Program: § 1910.147(a)(1)(i) - This standard covers the servicing and maintenance of machines and equipment in which the unexpected energization or start up of the machines or equipment, or release of stored energy could cause injury to employees. This standard establishes minimum performance requirements for the control of such hazardous energy.
- Lockout/Tagout not performed: § 1910.147(a)(2)(ii) / § 1910.147(a)(2)(ii)(A) - Servicing and/or maintenance which takes place during normal production operations is covered by the Lockout/Tagout Standard if an employee is required to remove or bypass a guard or other safety device.
- Locks and Tags are preferred: § 1910.147(c)(2)(ii) - If an energy isolating device is capable of being locked out, the employer's energy control program shall utilize lockout, unless the employer can demonstrate that the utilization of a tagout system will provide full employee protection.
- Special Procedures: § 1910.147(c)(4)(i) - Procedures shall be developed, documented and utilized for the control of potentially hazardous energy when employees are engaged in the activities covered by this section.
- Lockout/Tagout Annual Inspection: § 1910.147(c)(6)(i) / § 1910.147(c)(6)(i)(A) / § 1910.147(c)(6)(i)(B) - The employer shall conduct a periodic inspection of the energy control procedure at least annually to ensure that the procedure and the requirements of this standard are being followed. The periodic inspection shall be performed by an authorized employee other than the one(s) utilizing the energy control procedure being inspected. The periodic inspection shall be conducted to correct any deviations or inadequacies identified.
- No Tags in Place: § 1910.147(d)(4)(iii)(A) - Where tagout devices are used with energy isolating devices designed with the capability of being locked, the tag attachment shall be fastened at the same point at which the lock would have been attached.
- Lockout/Tagout and Outside Contractors: § 1910.147(f)(2)(i) - Whenever outside servicing personnel are to be engaged in activities covered by the scope and application of this standard, the on-site employer and the outside employer shall inform each other of their respective lockout or tagout procedures.
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Recommendation:
- Purchase LOTO equipment
- Conduct Annual training
- Write LOTO procedures
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Type of Violation:
- Warning labels missing: § 1910.145(f)(7) - Warning labels are needed on machines which define the hazards and warn employees.
- Machine guarding: § 1910.212(a)(1) - The point of operation of machines whose operation exposes and employee to injury, shall be guarded. One or more methods of machine guarding shall be provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks.
- Stationary equipment must be secured to the floor: § 1910.212(b) - Machines designed for a fixed location must be securely anchored to prevent walking or moving.
- Tool rest on grinder: § 1910.215(a)(4) - Work rests shall be kept adjusted closely to the wheel and a maximum opening of 1/8 " to prevent the work from being jammed between the wheel and the rest, which may cause wheel breakage.
- Tongue guard on grinder: § 1910.215(b)(9) - The distance between the wheel periphery and the adjustable tongue or the end of the peripheral member at the top shall never exceed one-fourth inch.
- Evaluation of exhaust hoods: § 1910.1450(e)(3)(iii) - Quality and quantity of ventilation should be evaluated on installation, regularly monitored (at least every three months) and reevaluated whenever a change in local ventilation devices is made. Hoods should have a continuous monitoring device to allow convenient confirmation of adequate hood performance before use.
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Recommendation:
- MG. Reinstall Tongue guard
- Conduct machine guard assessment
- Ensure policies are followed
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Type of Violation:
- Observation domes at critical travel intersections: General Duty Clause PL91-596 - Blind corners located throughout the facility need observation domes or mirrors for safer pedestrian and forklift traffic.
- Scissor Lift Training: § 1910.67(c)(2)(ii) - Only trained persons shall operate an aerial lift.
- Smoking on LP Forklift: § 1910.110(b)(17)(v) - Open flames shall not be permitted within classified areas.
- Propane Tank Storage (1): § 1910.110(f)(2)(ii) - Containers when stored inside shall not be located near exits, stairways, or in areas normally used for the safe exit of people.
- Propane Tank Storage (2): § 1910.110(f)(2)(v) - Empty containers which have been in LP-Gas service when stored inside, shall be considered as full containers for the purpose of determining the maximum quantity of LP-Gas permitted by this paragraph.
- Propane Tank Storage (3): § 1910.110(f)(6)(ii) - Containers shall be in a suitable enclosure and otherwise protected against tampering.
- Storage not secure: § 1910.176(b) - Storage of material shall not create a hazard. Bags, containers, bundles, etc., stored in tiers shall be stacked, blocked, interlocked and limited in height so that they are stable and secure against sliding or collapse.
- Overhead hoist/crane/special lifting devices require weight rating for maximum load: § 1910.179(b)(5) - Rated load Marking. The rated load of the crane shall be plainly marked on each side of the crane, and if the crane has more than one hoisting unit, each crane shall have its rated load marked on it or its load block and this marking shall be clearly legible from the ground or floor.
- Crane / Hoist Inspections: § 1910.179(j)(1) / § 1910.179(j)(2) - Inspection procedure for cranes in regular service is divided into two general classifications based upon the intervals at which the inspection shall be performed. Frequent Inspections - daily to monthly Periodic Inspections- 1 to 12 month intervals.
- Preventative Maintenance for Cranes: § 1910.179(l)(1) - A preventive maintenance program based on the crane manufacturer's recommendations shall be established.
- Sling inspections: § 1910.184(d) - Each day before being used, the sling and all fastenings and attachments shall be inspected for damage or defects by a competent person designated by the employer. Additional inspections shall be performed during sling use where conditions warrant. Damaged or defective slings shall be immediately removed from service.
- Compressed gas cylinder storage (1): § 1910.253(b)(2)(ii) - Inside of buildings, cylinders shall be stored in a well-protected, well-ventilated, dry location, at least 20 feet from highly combustible materials such as oil or excelsior. Cylinders should be stored in definitely assigned places away from elevators, stairs, or gangways. Assigned storage spaces shall be located where cylinders will not be knocked over or damaged by passing or falling objects, or subject to tampering by unauthorized persons. Cylinders shall not be kept in unventilated enclosures such as lockers and cupboards.
- Compressed gas cylinder storage (2): § 1910.253(b)(2)(iii) / § 1910.253(b)(2)(iv) - Empty cylinders shall have their valves closed. Valve protection caps, where cylinder is designed to accept a cap, shall always be in place, hand-tight, except when cylinders are in use or connected for use.
- Compressed gas cylinder storage (3): § 1910.101(b) -
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Recommendation:
- Yes
- No
- N/A
INSPECTION TRACKER:
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Are there any missing or expired inspections?
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What was the type of inspection?
- Fire Extinguishers
- Eyewash Stations
- Safety Showers
- Forklifts
- Aerial Lifts
- Crane/Hoists
- First Aid/AEDs
Missed Inspections Log
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Please identify all missed inspections by location and last known inspection date.
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Fire Extinguishers
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Last date of inspection?
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Location?
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Eyewash Stations
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Last date of inspection?
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Location?
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Safety Showers
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Last date of inspection?
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Location?
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Forklift
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Last date of inspection?
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Location?
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Aerial/Boom Lift
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Last date of inspection?
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Location?
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Crane/Hoist
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Last date of inspection?
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Location?
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AED
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Last date of inspection?
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Location?
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