Title Page
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Conducted on
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Conducted by
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Personnel
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Location
General Inspection
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Qualified, trained First Aid person on hand?
First Aid Kits
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Adequate Contents?
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Checked Monthly?
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Form 82 located beside kit?
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First Aid log sheets available and in use?
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Certificate of first aiders posted & current
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Regulation 1101 posted
Washroom Facilities
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Cleanliness of facilities?
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Do Bathroom/lunchroom cleaning products have safety data sheets on hand?(located under sink in binder)
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Lunch Room cleanliness?
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Fire exits clear of obstruction?
Fire Extinguishers?
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Extinguishers available and accessible?
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Fully charged?
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Extinguisher tag dated monthly?
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Emergency procedures/plan
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No smoking signs displayed?
Housekeeping
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Clear walkways?
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Slipping and tripping hazards in walkway?
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Cluttered aisles?
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Floor coverings in good condition?
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Clear work areas?
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Adequate lighting?
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Temperature (heating & cooling when necessary)
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Computer equipment in offices kept tidy?
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Are extension cords used extensively?
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Are electrical or telephone cords exposed in areas where employees may become entangled?
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Are wall and ceiling fixtures fastened securely?
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Are paper and waste properly disposed of?
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Are desk and file drawers kept closed when not in use?
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Are office accessories stored appropriately?
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Are materials stacked on desks or cabinets?
Back Shop/Storage Area
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Overall cleanliness?
Hazardous Material
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Are materials stored safely?
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Properly labeled?
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Hand Power Tools
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Stored properly?
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General Condition?
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Proper guard, cords, ppe?
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Tagging as defective?
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Proper Lifting
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Reaching/Twisting
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Pushing/pulling loads?
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Are ladders well maintained and safe to use?
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Health and Safety Bulletin Board
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Is it clean and readable?
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Health and safety policy posted?
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Workplace violence/harassment policy posted?
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JHSC Meeting Minutes posted?
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Inspection records?
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OHSA & Regulations posted?
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WSIB Form 82 poster?
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MSDSs?
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Emergency phone list?
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Employment standards poster?
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WHMIS?
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Regulation 1101? (First Aid)
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Is the furniture in good repair and safe to use? (Look for A. Chairs in poor condition B. sharp edges on desks and cabinets C. Poor ergonomics)
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Are step stools/ladders available if needed?
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Are all cables on the copier in good repair? (no frayed wires or cables)
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Are monitors adjusted to the right height? (top of the screen should be at eye level)
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Are bookcases, shelves and cabinets in good condition?
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Is the material safely stacked?
Worker Education
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WHMIS training?
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Company Safety Policy & Program?
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Working at heights training?
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Basics of supervision?
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First Aid training?
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Is the parking lot clear of debris?
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Is sidewalk leading into office in good repair?
Worker Awareness
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Workers know how to report an accident/hazard?
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Workers know the procedure in case of an emergency/fire?
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Workers know whom to contact for first aid assistance?
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Workers know the location of fire extinguishers and how to use them?
Work Vehicles
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Seatbelts in good, working condition?
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Overall Cleanliness?
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Doors securely shut?
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Horn?
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Heater/defroster?
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Lights/Signals?
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Tires? (rim condition, tire pressure)
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Windshield wiper/washer?
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Overall condition? (look for visible body damage)
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Leaks on floor?
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Cables,wires, and connections damaged?
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Wheels and tires in good condition?
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Forks (look for cracks)
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Seat and seatbelt operational?
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Sound of engine (listen for unusual noises)
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Horn, lights, indicators, brakes, steering functional?