Information
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Title
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Client / Site
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Performance Date
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Performed by
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Location
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Attendees
Auditor Comments
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General Comments
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Chemicals in use
Housekeeping
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Work and storage areas are clean and tidy.
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Work stations are well organized and no trip hazards are present.
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Emergency equipment (eyewash, fire extinguishers) is constantly accessible.
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Emergency routes and emergency doors are kept clear of any item and fully accessible. Emergency doors are not locked.
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Equipments and tools (chains, textile slings, electrical hand tools, etc.) are appropriately stored
Safety signage
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Signs indicating required Personal Protective Equipments are in place.
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Signs indicating eyewash/safety shower, emergency exits, fire extinguishers, etc. are in place.
Environment
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Liquid chemicals are stored in an appropriate way.
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Flammable chemicals are stored in flammable cabinets (or in a dedicated storage room in case of high volume) when not in use.
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Waste area is well maintained.
Warnings , signs and barricades
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Maintenances activities are properly identified and protected.
Maintenance
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Equipments (lighting fixtures, machine guarding, barriers, etc.) are maintained in good working condition and in place.
Personal Protective Equipment
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PPE are appropriately stored when not in use and kept in good condition.
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Safety goggles or face shield are used as required.
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Gloves are used as required. <br>
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Gloves are not worn around rotating equipment.
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Ear plugs / muff are used in identified high noise area
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Respiratory protection is used as required.
Ergonomics
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No awkward position, no excessive or overhead reach; limited bending and twisting.<br>
Tools, equipment and machines
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Tools, equipment and machines are operating properly. <br>
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Safety guards are in place. <br>.
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Electrical wiring in good condition
Ending Section
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Drawing
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Misc Information
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Date Completed
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Signature
