Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
Personal Protective Equipment
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Safety Glasses
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High Visibility Clothing
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Gloves
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Other
Warehouse Operations
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Walking & Working Surfaces
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Material Storage
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Compressed Gas Storage
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Pallet Storage
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Fall Protection
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Other
Tools & Equipment
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Good Working Condition
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Guards Properly Adjusted
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Documented Inspection When Required
Fire Safety
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Adequate Egress Aisles Maintained
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Proper Clearance Under Sprinkler Heads (minimum 18 inches)
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Fire Extinguisher Access & Maintenance
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Flammable Gas & Liquid Storage
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Combustible Loads Managed
Forklift Operations
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Pre-Shift Inspection Completed
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Operator Safe Work Practices
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Truck Wheels Chocked Before Entry
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Seat Belt Use
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Annual Carbon Monoxide Tailpipe Monitoring
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Quarterly Carbon Monoxide Personnel Monitoring
Electrical Safety
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Panel Clearances Maintained
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Cord & Cable Condition
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Strain Relief
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GFCI Use
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Electrical Safe Work Practices
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Other
Employee Safety Contacts
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Name & Comments:
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Name & Comments: