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APPENDIX A GENERAL WORKPLACE HEALTH & SAFETY INSPECTION CHECKLIST

General Workplace Safety & Health Inspection Form - Environmental ...

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Division of Environmental Health & SafetyGeneral Workplace Health & SafetyInspection Program8. MACHINE GUARDING8.1 Machinery and equipment with ingoing nip points, rotating parts, flyingchips and sparks properly guarded.8.2 Bench grinder benches adjusted to no greater than 1/8 inch from wheel;tongue guards adjusted no greater than ¼ inch from wheel.8.3 Other Machine Guarding observations in complianceNotes:9. POWERED INDUSTRIAL TRUCKS9.1 Worksite follows UConn’s Powered Industrial Truck Program9.2 Operators of lift trucks have a Lift Truck Operator Endorsement and carryit with them whenever they operate a lift truck.9.3 Periodic evaluations and any necessary refresher training conducted anddocumented to maintain a Lift Truck Operator’s Endorsement9.4 Lift truck inspections performed9.5 Other Powered Industrial Truck observations in complianceNotes:10. ADDITIONAL CRITERIA10.1 Other observations in compliance 1:10.2 Other observations in compliance 2:10.3 Other observations in compliance 3:Notes:*N/A—Not Applicable or Not Assessed18

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