Title Page
Complete Inspection Contact info and inspection date.
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Area or Yard
Building or Asset
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If Field site add map location and any additional info in the Note and or add Media
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Date Inspection Conducted On
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Inspected by
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Were others part of the inspection? List all participants in the notes.
Site/Yard Inspection
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The items below are what should be looked at during a workplace inspection. If it passes select pass. If it there is an issue select fail and complete the failed sections. If not applicable then select N/A. Additional issues can be added at the end of each section.
1. General Conditions
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Slip and trip hazards
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Housekeeping
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Good Access to the Site/Yard
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Additional Issues
2. Security
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Entry and exit security
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Security of restricted areas
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Additional Issues
3. Dangerous substances
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Hazardous products labeling
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Safety data sheets
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Chemicals storage
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Liquid fuels dispensing and handling
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Hazardous waste identification and storage
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Additional Issues
4. Electrical
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Fuse / breaker panels
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Junction boxes
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Machinery grounding
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GFCI protection
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Extension cords
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Lockout procedures
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Additional Issues
5. Vehicles
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Maintenance
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First aid kit
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Emergency equipment
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Dangerous goods transportation
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Additional Issues
6. Environmental
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Lighting
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Vegetation
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No Harmful Pests
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Outdoor air quality
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Additional Issues
Completion
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Date and Time Inspection Completed
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Initials of Inspector
