Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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General Facility
Prior Inspection
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Has the last inspection been reviewed?
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Are there any outstanding actions?
Sanitation
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Is hand soap or other similar cleaning agents and warm water provided?
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Are an adequate number of waste disposal containers provided?
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Are hand towels or some other means of drying the hands available?
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Are waste disposal containers emptied as needed?
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Are lunchrooms, rest rooms and break rooms kept clean?
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Are first aid kits available and maintained? Any items expired?
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Are eyewash stations (and safety showers) clean, operable and accessible?
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Are toilets and washing facilities clean and sanitary?
Posters Logs and Data Sheets
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Company rules and regulatory required postings up. Bulletin board kept current? (Job Safety and Health Protection, Employees Rights and Responsibilities, Employee’s Rights and Responsibilities, Hearing Conservation Standard)
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Is the injury record (OSHA 300 log) maintained up to date? (Any new recordable injury must be recorded within 7 days of the injury date.)
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Are DOT accidents recorded on a DOT Accident Register?
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Is Material Safety Data Sheet notebook up-to-date?
Fire Protection, Emergencies and Exits
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Are exterior and interior lights adequate and all in working order?
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Are exits and aisles leading to exits visible, clearly marked, kept clean and with a pathway at least 28 inches wide? Exit signs illuminated, if applicable?<br>
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Are portable fire extinguishers kept at their designated places at all times (accessible, mounted, charged, pinned and sealed) except during use?<br>
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Are reels and cabinets for hose systems conspicuously identified, accessible and used only for fire equipment?<br>
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Is the minimum vertical clearance between automatic sprinklers and material below them at least 18 inches (36 inches for bales)?<br>
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Are automatic sprinkler fusible links clean, unpainted, and undamaged?
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Are “No Smoking” signs posted in required areas: fuel area, painting department, battery charging and storage area, etc., with no sign of cigarette butts in the areas?
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Test emergency lighting equipment as required.
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Test Fire/Security Detection/Protection devices as required.
Walking/Working Surfaces
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Are floor openings and platforms or workstations 48” or higher guarded by a cover, a guardrail, or equivalent on all sides?<br>
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Are grates or covers over floor openings such as floor drains, secured?
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Are step risers on stairs uniform from top to bottom?
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Are steps on stairs and stairways provided with a surface that renders them slip resistant? Handrails provided?<br>
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Are aisles and passageways kept clear and marked as appropriate?
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Are wet surfaces cleaned up or covered with non-slip materials?
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Are changes of direction or elevations readily identifiable? (painted yellow)
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Are aisles and walkways protected from potential hazards of adjacent work areas?
Ladders
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Are portable wood ladders numbered and in good condition with slip proof feet and no cracks, paint or splinters on the rungs?
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Are fixed metal ladders painted or treated to resist corrosion and rusting?
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Is the fixed ladder’s clearance distance at least 36 inches between the nearest permanent object and the centerline of the rungs? Rung spacing 12 inches or less?
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Is the fixed ladder’s clearance distance at least 7 inches between the backside of the ladder from the center of the rung to the nearest permanent object?
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Does the ladder extend 3-1/2 feet above the parapet or landing?
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Maintenance Areas
Housekeeping and Personal Protection
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Are closed containers provided for soiled rag disposal?
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Are unused portions of service pits and pits not actually in use either covered or protected by guardrails or equivalent?
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Are employees who are exposed to the hazards created by welding, cutting or brazing operations protected by appropriate personal protective equipment?
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Are suitable gloves, hearing protection, and protective clothing worn as necessary?
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Are appropriate safety glasses, face shields, etc. used while using hand tools or abrasive wheels or equipment which might produce flying materials or be subject to breakage?
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Are respirators clean, properly stored, and respirator program in effect?
Cranes, Hoists and Slings
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Is the rated load of the crane, hoists and slings (for each type of hitch) plainly marked on each component?
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Are all functional operating mechanisms checked on a daily basis for maladjustment that could interfere with proper operation?
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Are lines, tanks, valves, drain pumps and other parts of the air or hydraulic systems inspected daily?
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Does rope reeving comply with manufacturer’s recommendations?
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Is a Chain, Sling and Hoist Inspection program implemented?
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Are cranes used only by designated personnel in accordance with their rated load and operation specifications with brakes tested each time a load approaching the rated limit is handled? Does the operator test them?
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Is each sling in use free from excessive wear or defects and securely attached to their load when in use?
Electrical and Fire Safety
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Are combustible liquids (fuel, lubes, solvents, paints, etc.) stored in a proper manner?
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Are flammable liquids contained in approved safety cans and (except aerosol cans) stored in a fire resistant cabinet?
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Are electrical circuit breakers (and fuel pump switches) identified and labeled and are outlet boxes in good condition?
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Are electric cords, extension cords, and trouble lights are of approved 3-wire ground type and in good condition?
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Is pressure washer in good working order? (hoses, vent, and fuel lines)
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Are parts washer lid and fusible link in working order?
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Are overhead doors and controls in good working order?
Welding, Burning and Brazing
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Are welder cables, clamps and guards in good condition and are torch hoses, regulators and valves equipped with anti-flash back valves?
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Are “Hot Work Permits” used or is welding conducted in designated areas, at least 35 feet from combustible materials, spray painting, etc.?
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Are fire watch employee(s) required whenever welding or cutting is performed in location where other than a minor fire might develop, and the fire watch maintained for at least a half hour after completion of welding or cutting operations to detect and extinguish possible smoldering fires (at all floor levels that could be exposed to sparks)?
Compressed Gas Cylinders
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Are cylinders legibly marked and labeled to clearly identify the gas contained?
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Are oxygen and acetylene (or other fuel) tanks properly stored and secured, separated by 20’ or with a 5’ high fire resistant wall between oxygen and fuels?
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Are cylinders stored in areas that are protected from heat and flame, located at least 25 feet from electrical equipment and people and at least 20 feet from flammable liquids or combustible materials?
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Are cylinders transported in a manner to prevent them from creating a hazard by, falling or rolling?
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Are all valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job and are valve protectors used when cylinders are not in use?
Compressors and Compressed Air
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Are compressors equipped with pressure relief valves, pressure gauge, and spring-loaded safety valves, a totally enclosed belt drive system, and are air filters installed and maintained on the compressor intake?
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Are no valves of any type placed between the air receiver and its’ safety valve(s) and is safety valve in good condition? (test the valve’s operation)
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Are all receivers periodically drained of moisture and oil and are they lubricated in accordance with the manufacturer’s recommendations?
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Is the inlet of air receivers and piping systems kept free of accumulated oil and carbonaceous materials?
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Are air guards used for cleaning equipped with chip guards and operable dead-end pressure regulators of 30 psi, and reduced to less than 10 psi, if used to clean off clothing?
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When using compressed air for cleaning, do employees wear personal protective equipment?
Machine Guarding
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Is tire repair equipment in good working order?
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Are saws used for ripping, equipped with anti-kick back devices and spreaders?
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Are radial arm saws so arranged that the cutting head will gently return to the back of the table when released?
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Do fixed grinders have side guards that cover the spindle, nut, and flange and 75% of the wheel diameter, a tool rest adjusted to within 1/8” and a tongue guard adjusted to within 1/4” of wheel?
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Before new abrasive wheels are mounted, are they visually inspected and ring tested?
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Are splashguards mounted on grinders that use coolant to prevent the coolant reaching employees?
Hand Tools, Power Operated Tools and Equipment
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Are all tools and equipment (both company and employee-owned) in good condition and used with the correct shield, guard, or attachment, recommended by the manufacturer?
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Are hand tools such as chisels, punches, wrenches, etc. which are worn, bent or mushroomed during use, reconditioned or replaced as necessary?
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Are appropriate handles used on files and similar tools?
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Are jacks checked periodically to assure they are in good operating condition?
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Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?
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Are rotating or moving parts of equipment guarded to prevent physical contact?
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Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?
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Are portable fans provided with full guards or screens having openings 1/2” or less?
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Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20-ampere circuits, used during periods of construction?
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Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage?
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Operation Areas
Personal Protection
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Is ventilation system functioning adequately? (Static pressure drop at the exhaust ducts leading from the equipment should be checked periodically to assure satisfactory operation)
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Is protective eye and face equipment worn where required and are safety glasses worn over corrective lenses or do corrective lenses conform to ANSI Z-87.I-1968? (Shatter Proof Lenses)
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Are hard-hats worn where there is risk of impact and penetration from falling and flying objects and are safety shoes or work boots worn as required?
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Are appropriate gloves worn?
Materials Handling and Storage
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Are aisleways and passageways kept clean and in good repair and are there no obstructions across aisleways that could create a hazard?
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Does the storage of material not create a hazard - stacked, blocked, interlocked and limited in height to ensure they are stable and secured against sliding or collapse?
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Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion or harborage of pests?
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Where mechanical handling equipment is used, are there sufficient safe clearances allowed for aisles, at loading docks, through doorways and wherever a turn or passage must be made?
Powered Industrial Trucks - Maintenance and Fueling
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Are all nameplates and markings in place and legible on powered industrial trucks?
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Are industrial trucks kept in a clean condition, free of lint, excess oil and grease?
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Is directional lighting provided on each industrial truck(s)?
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Does each industrial truck(s) have a warning horn, or other device which can be clearly heard above the normal noise in the areas where operated?
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Does each industrial truck have a reverse signal alarm audible above the surrounding noise level?
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Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded and does the parking brake effectively prevent the vehicle from moving when unattended?
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Are industrial trucks when found to be in need of repair, defective, or in any way unsafe taken out of service and repaired by an authorized mechanic using replacement parts that are equal to the original in safety?
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Are fuels storage and handling areas (gasoline, diesel or liquefied petroleum gas) clean, free from combustibles and cigarette butts, is there always metal contact between the container and the fuel tank and are fuel tank caps replaced and secured before starting the engine?
Powered Industrial Trucks - Operations
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Are precautions taken to prevent open flames, sparks or electric arcs (are metallic objects kept away) in battery charging areas?
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Are industrial truck(s) with internal combustion engine, operated in buildings or enclosed areas, carefully checked to ensure such operations do not cause harmful concentration of dangerous gases or fumes such as carbon monoxide?
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Are powered industrial trucks driven by authorized personnel only?
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Do personnel stay clear of the elevated portion of any truck, loaded or empty?
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Is an examination of industrial trucks made at least daily and after each shift?
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Are industrial trucks left in an off position when unattended or when the operator is more than 25 feet from the vehicle?
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Are loads only handled within the rated capacity of the truck and is the backrest extension used when necessary to stabilize the load?
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Are industrial trucks operated at safe speeds and stopped with the horn sounded at cross aisles and other locations where vision is obstructed?
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Are the brakes of highway trucks set and wheel chocks placed under the rear wheels (lock between dock and ICC bar) while trucks are boarded with powered industrial trucks?
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Are fixed jacks used to support a semitrailer during loading and unloading when the trailer is not coupled to a tractor?
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Is positive protection used to prevent railcars and from being moved when dock boards or bridge plates are in position?
Electrical Safety
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Is each disconnect legibly marked to indicate its purpose?
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Is clear working space in front of an electrical panel maintained at no less than 36”?
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Is illumination provided for all working spaces about service equipment, switchboards, panel-boards and motor control centers installed indoors?
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Are all live parts of electrical equipment operating at 50 volts or more guarded against accidental contact?
Machine Guarding
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Have all hazards from points of operation, ingoing nip points, rotating parts, flying chips, sparks, moving chains, gears, pulleys and belts (within 7 feet of the floor) been guarded?
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Are guards securely affixed to the machine or secured elsewhere if attachment to the machine is not possible and is the guard designed so that it does not create an accident hazard in itself?
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Are machines in fixed locations securely anchored and kept clean and properly maintained?
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If special hand tools are used for placing and removing material, do they protect the operator’s hands?
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Are revolving drums, barrels and containers guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosure is in place?
Environment
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Empty chemical bottles / containers disposed of accordingly to environmental requirements?
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Always being separated (examples: waste waters, oils, contaminants)?
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Other Facility Specific
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On-site Representative
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Auditor
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Select date
