Title Page
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Conducted on
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Prepared by
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Enter Your Name
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Are all aisles and work areas clean, orderly, and free from slip, trip or fall hazards?
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Are floor mats in place correctly (flat, fully intact) and clean?
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Are all products safely and securely merchandised on the shelf and/or stacked in the storage areas to prevent injury?
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Are first-aid kits easily accessible to each work area, with necessary supplies available?
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Are fire extinguishers mounted in readily accessible locations, in good working condition?
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Are hazards (holes, cracks, protrusions) in the interior floor, perimeter sidewalk or other walking surface repaired properly, covered, or otherwise made safe?
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Are all exits, including fire exits, kept free of obstructions?
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Are the floors (inside and outside) clear of hoses, electrical cords, and other trip hazards?
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Are yard pathways clear of debris, passable for vehicle and equipment traffic, and free from potential hazards?