Information
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Document No.
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Conducted on
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Prepared by
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General housekeeping is good
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Take photo of problem area
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Comment
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Slip, trip, fall hazards
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Take photo of problem area
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Comment
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Drawers/cupboards closed
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Take photo of problem area
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Comment
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Adequate ventilation
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Take photo of problem area
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Comment
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Ventilation clean
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Take photo of problem area
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Comment
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Fire hoses/extinguishers checked
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Take photo of problem area
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Comment
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Equipment clearly marked
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Take photo of problem area
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Comment
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Fire equipment clear of blockage
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Take photo of problem area
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Comment
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Food in the work area
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Take photo of problem area
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Comment
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Any burnt out bulbs
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Take photo of problem area
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Comment
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Emergency lighting operating
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Take photo of problem area
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Comment
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Locked or barred exits
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Take photo of problem area
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Comment
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Adequately illuminated exits
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Take photo of problem area
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Comment
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Exterior surfaces clear for prompt exit
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Take photo of problem area
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Comment
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Exit map for all locations
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Take photo of problem area
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Comment
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Nothing blocking exits
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Take photo of problem area
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Comment
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Clearly marked aisles<br>
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Take photo of problem area
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Comment
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Yellow walkways
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Take photo of problem area
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Comment
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Unobstructed aisles
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Take photo of problem area
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Comment
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Sufficiently wide aisles
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Take photo of problem area
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Comment
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Tools properly grounded/good condition
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Take photo of problem area
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Comment
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Proper PPE's
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Take photo of problem area
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Comment
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Potential for repetitive strain injury
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Take photo of problem area
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Comment
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Overexertion observed
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Take photo of problem area
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Comment
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Loose hair or clothing
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Take photo of problem area
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Comment
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MDS available
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Take photo of problem area
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Comment
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Employees trained in handling materials
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Take photo of problem area
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Comment
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Labels clear
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Take photo of problem area
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Comment
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Proper storage
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Take photo of problem area
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Comment
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Small bottles have MSDS labels
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Take photo of problem area
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Comment
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Refilling procedure (degreasing)
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Take photo of problem area
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Comment
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Proper guarding in place
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Take photo of problem area
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Comment
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Grinding wheel surface not damaged or worn
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Take photo of problem area
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Comment
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Electrical control panels clearly identified
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Take photo of problem area
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Comment
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Extension cord in good condition
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Take photo of problem area
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Comment
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Any unsafe practices observed
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Take photo of problem area
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Comment
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Inspector 1
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Inspector 2
