Information
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Document No.
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Job Number
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Ship
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Conducted on
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Prepared by
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Location
Hand Tools & Equipment
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Are all tools and equipment used by employees at their work place in good condition?
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Are all hand tools such as chisels, punches, which develop mushroomed heads during use, reconditioned or replaced as necessary
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Are all broken or fractured handles on hammers, axes and similar equipment replaced promptly
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Are worn out or bent wrenches replaced regularly?
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Are appropriate handles used on files and similar tools?
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Are employees made aware of the hazards caused by faulty or improperly used hand tools?
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Are appropriate safety glasses face shields, and similar equipment used while using hand tools or equipment that might produce flying materials or be subject to breakage?
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Are jacks periodically checked to assure they are in good operating condition ?
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Are hand tools wedged tightly in the head of all tools?
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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 tools stored in dry, secure location where they will not be tampered with?
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Is eye and face protection used when driving hardened or tempered spuds or nails?
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Personal Protective Equipment & Clothing
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Are protective goggles/face shields provided and worn where there is any danger of flying particles?
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Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions or burns?
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Are protective gloves, shields, or other means provided against cuts, or abrasions?
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Are hard hats provided and worn where danger of falling objects exists?
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Are hard hats inspected periodically for damage to the shell and suspension system?
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Is appropriate foot protection required where there is the risk of foot injuries from falling objects, crushing or penetrating actions?
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Are approved respirators provided for regular or emergency use where needed?
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Is all protective equipment maintained in a sanitary condition and ready for use?
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Do you have eye washing facilities within the work area?
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When lunches are eaten on the premises, are they eaten in areas where there is no exposure to toxic materials or other health hazards?
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Is protection against the effects of occupational noise exposure provided when sound levels exceed those of the Cal/OSHA noise standard?
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Electrical
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Are all employees required to report as soon as practicable any obvious hazard to life or property observed in connection with electrical or lines?
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Are portable electrical tools and equipment grounded or of the double insulated type?
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Are electrical appliances such as vacuum cleaners, polishers, and vending machines grounded?
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Do extension cords being used have a grounding conductor?
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Are multiple plug adapters prohibited?
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Do suitable disconnecting switches or plug connectors at the junction with permanent wiring protect all temporary circuits?
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Is exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?
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Are flexible cords and cables free of splices or taps?
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In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?
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Is the use of metal ladders prohibited in area where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures or circuit conductors?
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Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
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Are disconnecting means always opened before fuses are replaced?
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Do all interior writing systems include provisions for grounding metal parts of electrical raceways, equipment and enclosures?
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Are all electrical raceways and enclosures securely fastened in placed?
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Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?
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Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?
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Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs or plates?
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Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?
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Walking, Tripping & Falling
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Are aisles and passageways kept clear?
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Are aisles and walkways marked as appropriate?
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Are holes in the floor, sidewalk or other walking surface repaired properly, covered or otherwise made safe?
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Is there a safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?
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Are spilled materials cleaned up immediately?
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Are materials or equipment stored in such a way that sharp projectiles will not interfere with the walkway?
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Are changes of direction or elevations readily identifiable?
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Are aisles or walkways that pass near moving or operating machinery, welding operations or similar operations arranged so employees will not be subjected to potential hazards?
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Is adequate headroom provided for the entire length of any aisle or walkway?
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Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?
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Are bridges provided over conveyors and similar hazards?
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Portable Ladders
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Are hardware and fittings securely attached, and movable parts operating freely without binding or undue play?
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Are non-slip safety feet provided on each metal or rung ladder?
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Are ladder rungs and steps free of grease and oil?
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Is it prohibited to place a ladder in front of doors opening toward the laser except when the door is blocked open, locked or guarded?
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Is it prohibited to place ladders on boxes, barrels, or other unstable bases to obtain additional height?
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Are employees instructed to face the ladder when ascending or descending?
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Are employees prohibited from using ladders that are broken, missing steps, rungs, or cleats, broken side rails or other faulty equipment?
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Are employees instructed not to use the top 2 steps of ordinary stepladders as a step?
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When portable rung ladders are used to gain access to elevated platforms, roofs, and the like does the ladder always extend at least 3 feet above the elevated surface?
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Is it required that when portable rung or cleat type ladders are used the base is so placed that slipping will not occur, or it is lashed or otherwise held in place?
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Are employees prohibited from using ladders as guys, braces, skids, gin poles, or for other than their intended purposes?
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Are employees instructed to only adjust extension ladders while standing at a base (not while standing on the ladder or from a position above the ladder)?
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Are metal ladders inspected for damage?
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Are the rungs of ladders uniformly spaced at 12 inches, center to center?
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Compressors & Compressed Air
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Are compressors equipped with pressure relief valves, and pressure gauges?
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Are compressor air intakes installed and equipped to ensure that only clean uncontaminated air enters the compressor?
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Are air filters installed on the compressor?
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Are compressors operated and lubricated in accordance with the manufacturer recommendations?
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Are safety devices on compresses air systems checked frequently?
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Before any repair work is done on the pressure system of a compressor, are the pressure bled off and the system locked-out?
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Is the belt drive system totally enclosed to provide protection for the front, back, top, and sides?
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Is it strictly prohibited to direct compressed air towards a person?
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Are employees prohibited from using highly compressed air for cleaning purposes?
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If compressed air is used for cleaning off clothing, is the pressure reduced to less than 10 psi?
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When using compressed air for cleaning, do employees use personal protective equipment?
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Is it prohibited to use compressed air to clean up or move combustible dust if such action could cause the dust to be suspended in the air and cause a fire or explosion hazard?
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Hazardous Chemical Exposures
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Are employees aware of the potential hazards involving various chemicals stored or used in the workplace-- such as acids, bases, caustics, epoxies, and phenols?
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Is employee exposure to chemicals kept within acceptable levels?
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Are all employees required to use personal protective clothing and equipment when handling chemicals (I.e. gloves, eye protection, and respirators)?
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Are flammable or toxic chemicals kept in closed containers when not in use?
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Where needed for emergency use, are respirators stored in a convenient, clean and sanitary location?
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Are respirators intended for emergency use adequate for the various uses for which they may be needed?
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Are employees prohibited from eating in areas where hazardous chemicals are present?
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Is personal protective equipment provided, used and maintained whenever necessary?
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Are there written standard operating procedures for the selection and use of respirators where needed?
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If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?
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Are the respirators NIOSH approved for this particular application?
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Are they regularly inspected and cleaned sanitized and maintained?
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If hazardous substances are used in your processes, do you have a medical or biological monitoring system in operation?
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Are you familiar with the Threshold Limit Values or Permissible Exposure Limits of airborne contaminants and physical agents used in your workplace?
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Are there written standard operating procedures for the selection and use of respirators where needed?
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If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?
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Do you use general dilution or local exhaust ventilation systems to control dusts, vapors, gases, fumes, smoke, solvents or mists which may generated in your workplace?
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Spraying Operations
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Is adequate ventilation assured before spray operations are started?
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Is mechanical ventilation provided when spraying operation is done in enclosed areas?
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When mechanical ventilation is provided during spraying operations, is it so arranged that it will not circulate the contaminated air?
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Is the spray area free of hot surfaces?
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Is the spray area at least 20 feet from flames, sparks, operating electrical motors and other ignition sources?
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Are portable lamps used to illuminate spray areas suitable for use in a hazardous location?
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Is approved respiratory equipment provided and used when appropriate during spraying operations?
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Do solvents used for cleaning have a flash point of 100 F or more?
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Are "NO SMOKING" signs posted in spray areas, paint rooms, and paint storage areas?
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Is the spray area kept clean of combustible residue?
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Protection During Contamination Producing Operation & Maintaining Cleanliness During Job Period
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3.1.1 Prior to installation accomplish an inspection of protective covering to identify the current condition of equipment and surface prep area?
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3.1.1.1 Submit one legible copy in hard copy or electronic media of the result of inspection to supervisor, prior to beginning of contamination producing operation <br>**This must be signed by supervisor or ship force**
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Install filter material on intake of supply and exhaust e d of ventilation system
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Install double curtain baffles at the entrance of each access
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Inspect the protective covering at the beginning of shift
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Maintain cleanliness of work site daily
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Remove protective covering and dispose of at completion
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Ergonomics (Human Engineering) An Applied Science
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That coordinates the design of devices, systems, and physical working conditions with the capacities and requirements of the worker.
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Does the task require prolonged raising of the arms?
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Do the neck and shoulders have to be stooped to view the task?
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Can the work be done using the larger muscles of the body?
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Are there pressure points on any parts of the body (wrists, forearms, back if thighs)?
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Can the work be done without twisting or overly bending the lower back?
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Are there sufficient rest breaks, in addition to the regular rest breaks, to relieve stress from repetitive-motivation tasks?
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Are all pieces of furniture adjusted, positioned and arranged to minimize strain on all parts of the body?
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Hazardous Substances Communication
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Is there a list of hazardous substances used in your workplace?
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Is there a written hazard communication program dealing with Material Safety Data Sheets (MSDS) labeling, and employee training?
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Is there a Material Safety Data Sheet readily available for each hazardous substance used?
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Do you inform other employers whose employees share the same work area where the hazardous substances are used?
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Is there an employee-training program for hazardous substances?
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Does this program include:
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An explanation if what an MSDS is and how to use and obtain one?
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MSDS contents for each hazardous substance or class of substances?
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Explanation of "Right to Know"?
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Identification of where employees can see the employer's written hazard communication program and where hazardous substances are present in their work area?
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The physical and health hazards of substances in the work area, how to detect their presence, and specific protective measures to be used?
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Details of the hazard communication program, including how to use the labeling system and MSDSs?
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Flammable & Combustible Materials
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Are combustible scrap, debris and waste materials (I.e. oily rags) stored in covered metal receptacles and removed from the worksite promptly?
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Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?
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Are all flammable liquid kept in closed containers when not in use (e.g. Parts cleaning tanks, pans)?
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I liquified petroleum gas stored, handled and used in accordance with safe practices and standards?
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Are all solvent wastes and flammable liquids kept in fire-resistant covered containers until they are removed from the worksite?
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Is vacuuming used whenever possible rather than blowing or sweeping combustible dust?
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Are employees trained in the use of fire extinguishers?
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Are extinguishers free from obstructions or blockage?
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Are all extinguishers serviced, maintained and tagged at intervals not to exceed one year?
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Is a record maintained of required monthly checks of extinguishers?
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Are safety cans used for dispensing flammable or combustible liquids at a point of use?
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Is vacuuming used whenever possible rather than blowing or sweeping combustible dust?
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