Safety Assessment
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Assessor
First Name
Last Name
Email
example@example.com
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ASSESSMENT
1. WELDING & PLANKS
1. Welding & Planks
1. Follow-up Notes
1. Photos
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2. WINDOWS
2. Windows
2. Follow-up Notes
2. Photos
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3. MILL FINISH
3. Mill Finish
3. Follow-up Notes
3.. Photos
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4. FABRICATION
4. Steel Fabrication
4. Follow-up Notes
4. Photos
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5. SKYLIGHTS
5. Skylights
5. Follow-up Notes
5. Photos
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6. WAREHOUSE
6. Warehouse
6. Follow-up Notes
6. Photos
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7. SHIPPING
7. Shipping
7. Follow-up Notes
7. Photos
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8. LOADING DOCK
8. Loading Dock
8. Follow-up Notes
8. Photos
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9. STORAGE
9. Storage
9. Follow-up Notes
9. Photos
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10. OFFICES
10. Offices
10. Follow-up Notes
10. Photos
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11. POWERED VEHICLES
Forklifts, Malifts, etc.
11. Powered Vehicles
11. Follow-up Notes
11. Photos
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12. VEHICLES
Trucks, Cars, etc.
12. Vehicles
12. Follow-up Notes
12. Photos
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13. BUILDING EXTERIOR
13. Building Exterior
13. Follow-up Notes
13. Photos
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14. OTHER
14. Other Hazards Observed
14. Follow-up Notes
14. Photos
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15. NOTES
15. Additional Notes
15. Photos
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