Facility Inspection Checklist B
Polymer Center Las Vegas
Submission
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Facility Inspection Checklist B
Date
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-
Month
-
Day
Year
Date
Completed By:
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Please Select
LaQuinta McFerguson, B-Supervisor
Alvaro Hernandez, B-Lead
Chace Barnes, D-Supervisor
William Maya, D-Lead
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Category:
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1.0 Fall Protection
2.0 Machine Guarding
3.0 Lockout/Tagout
4.0 PPE
5.0 Powered Industrial Trucks
6.0 Bale Cutting
7.0 Walking/Working Surfaces
0.0 Other
Item:
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Hazard resolved?
*
Yes
No
No Hazard
If no, discussed with outcome
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