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EMERGENCY SHOWER & EYE WASH TEST RECORD INSPECT THIS UNIT CAREFULLY BEFORE SIGNING INSPECTION CARD

CS375849
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FIRE EXTINGUISHER INSPECTION RECORD EXTINGUISHER NUMBER YEAR YEAR YEAR YEAR

CS814463
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MECHANICALLY OUT OF SERVICE - MECHANICALLY OUT OF SERVICE OUT OF SERVICE PERMANENTLY EQUIPMENT ABANDONED, DO NOT OPERATE EQUIPMENT HAS BEEN REMOVED COMMENTS: OUT OF SERVICE TEMPORARILY EQUIPMENT OUT FOR REPAIR NEW INSTALLATION NOT COMPLETED COMMENTS: SIGNED BY: DATE:

CS627240
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FIRE EXTINGUISHER RECHARGE & INSPECTION RECORD INSTRUCTIONS RECHARGE & INSPECTION RECORD

CS969857
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INSPECTION RECORD

CS723806
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FORKLIFT INSPECTION GAS LP ELECTRIC INSPECT UNIT CAREFULLY BEFORE SIGNING INSPECTION RECORD FORKLIFT INSPECTION INSPECT UNIT CAREFULLY BEFORE SIGNING INSPECTION RECORD

CS672753
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DO NOT USE

CS773163
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LIMITED ENTRY NO ENTRY PERSONS SIGNING TAG ONLY ANY PERSON IN DEPARTMENT WITH SPECIFIC TASK ONLY CHECK PROTECTIVE EQUIPMENT NEEDED ONLY WHEN NOT COVERED BY AREA OR PLANT RULES HARD HAT GOGGLES FACE SHIELD GLOVES CHEMCAL PROTECTIVE SUIT EAR PROTECTION CHEMICAL RESPIRATOR FALL PROTECTION OTHER PRECAUTIONS/EQUIPMENT NO SMOKING / HOT WORKS LIMITED ENTRY NO ENTRY DO NOT REMOVE TAG REASON FOR BARRICADE WET FLOOR FLOOR OPENING OVERHEAD WORK EXPOSED ELECTRICAL EQUIP GUARD REMOVED HIGH NOISE LEVEL X-RAY OPERATIONS HIGH PRESSURE CLEANING CHEMICAL HAZARD CHEMICAL IS: INSULATED HOT SURFACE FIRE HAZARD OTHER SIGNED DATE DEPT.

CS292387
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DO NOT OPERATE GROUP LOCKOUT THIS LOCK/TAG MAY ONLY BE REMOVED BY: NAME: DEPT. CO. DATE GROUP LOCKOUT THIS ENERGY SOURCE HAS BEEN LOCKED OUT UNAUTHORIZED REMOVAL OF THIS LOCK/TAG MAY RESULT IN IMMEDIATE DISCHARGE REMARKS: EQUIPMENT NAME/NO. LOCK BOX LOCATION/NO.

CS229466
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WARNING THIS SCAFFOLD IS NOT COMPLETE DO NOT USE SIGNED BY DATE INSPECTION DATE BY DATE BY

CS972348
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MAINTENANCE RECORD DATE BY DATE BY DATE BY DATE BY

CS939838
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OUT OF SERVICE DO NOT REMOVE THIS TAG!

CS808618
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DO NOT OPERATE THIS EQUIPMENT Signed By: Date: DO NOT REMOVE THIS TAG! REMARKS:

CS552846
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SCAFFOLD INSPECTION This scaffolding has been constructed to support Construction Maintenance Inspection is Required Daily Weekly Fall Arrest / Protection Equipment is required by trained users. (As specified on the SWP / HWP) Required Inspections by Competent Person: INITIALS DATE INITITAL DATE KEY RESPONSIBILITIES: Competent Person: Phone: Construct, modify and inspect as appropriate with respect to OSHA 29CFR 1910.282, 1926.451. Inspect scaffold for visible defects as specified on this card. Toe boards are required and barricades must be placed below.

CS411383
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DO NOT ENERGIZE EQUIPMENT LOCKED OUT TAG & LOCKBOX MUST NOT BE ENERGIZED! REMARKS LOCKBOX SECURED BY UNIT/AREA PROCESS EQUIPMENT NUMBER DATE PRINT NAME LOCK BOX TAG

CS456059
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REPAIR ORDER REPAIRS REQUIRED SEE OTHER SIDE When repairs are completed RETURN TAG TO: Name Department Date REPAIR ORDER Equipment ID Location PROBLEM:

CS958151
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Chemical Name Common Name Manufacturer HEALTH FLAMMABILITY INSTABILITY

CS558645
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DO NOT OPERATE - DO NOT REMOVE THIS TAG!

CS697548
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CHEMICAL IDENTITY CHEMICAL NAME ____ SDS# ____ MANUFACTURER ____ PHONE ____ HEALTH FLAMMABILITY REACTIVITY PPE - CHEMICAL IDENTITY CHART CHECK ALL PPE THAT APPLY SAFETY GLASSES GLOVES SAFETY GOGGLES APRON FACE SHIELD FULL BODY SUIT DUST RESPIRATOR BOOTS VAPOR RESPIRATOR AIRLINE MASK FULL FACE RESPIRATOR OTHER ____ HEALTH HAZARDS NONE IRRITANT TOXIC CORROSIVE HIGHLY TOXIC SENSITIZER REPRODUCTIVE TOXIN CARCINOGEN TARGET ORGANS AND EFFECTS INTESTINE LYMPHATICS KIDNEY PANCREAS LUNGS PROSTATE BLADDER SKIN BLOOD SPLEEN BRAIN STOMACH EYES UTERUS GALL BLADDER OTHER HEART PHYSICAL HAZARDS NO PHYSICAL HAZARDS FLAMMABLE GAS COMBUSTIBLE LIQUID FLAMMABLE LIQUID COMPRESSED GAS FLAMMABLE SOLID OXIDIZER EXPLOSIVE CORROSIVE WATER REACTIVE PYROPHORIC UNSTABLE (REACTIVE) ORGANIC PEROXIDE

HAZCHEM-50952
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DO NOT OPERATE DO NOT REMOVE THIS TAG!

CS991468
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BARRICADE Installed By BARRICADE DO NOT REMOVE SEE OTHER SIDE

CS590507
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DO NOT OPERATE OR REMOVE THIS TAG TO DO SO WITHOUT AUTHORITY WILL MEAN IMMEDIATE DISCHARGE SIGNED BY: DATE - DO NOT REMOVE THIS TAG Remarks: SEE OTHER SIDE

CS198854
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DO NOT DRINK THIS WATER Signed By: Date: DO NOT REMOVE THIS TAG! TO DO SO WITHOUT AUTHORITY WILL MEAN DISCIPLINARY ACTION! IT IS HERE FOR A PURPOSE REMARKS:

CS835081
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DO NOT OPERATE MY LIFE IS ON THE LINE! NAME DO NOT REMOVE THIS LOCK Place Photo Here - DO NOT REMOVE THIS LOCK THIS LOCK CAN ONLY BE REMOVED BY PERSON WHOSE NAME APPEARS ON REVERSE SIDE. SEE OTHER SIDE

CS449477
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INFORMATION REASON: SIGNED BY: DATE: INFORMATION DO NOT REMOVE THIS TAG! REASON:

CS307629
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HOT WORK PERMIT The supervisor, in issuing this permit, certifies that all safety factors have been considered and cared for satisfactorily. Return this permit upon completion of the job which it is to cover to the authorizing supervisor. The supervisor will write "complete", date and initial across the face of the permit. HOT WORK PERMIT DO NOT REMOVE THIS TAG! REMARKS:

CS245801
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Signed By: Date: DO NOT REMOVE THIS TAG!

CS422037
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DOUCHE D'URGENCE ET BAIN OCULAIRE REGISTRE D'INSPECTION INSPECTEZ CETTE STATION ATTENTIVEMENT AVANT DE SIGNER LA CARTE D'INSPECTION DATE PAR DATE PAR DATE PAR

CS909377
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LUBRICATION RECORD DATE BY DATE BY LUBRICATION RECORD DATE BY DATE BY

CS187201
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ATTENTION THIS SCAFFOLD WAS BUILT TO MEET SAFETY REGULATIONS IT IS SAFE TO USE

CS695841
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Signed By: Date: Signed By: Date:

CS258041
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AERIAL & SCISSOR LIFT DAILY SAFETY INSPECTION RECORD Inspect unit carefully before signing Inspection Record IF ANY ITEMS ARE FAULTY, IMMEDIATELY NOTIFY YOUR SUPERVISOR AND REPAIR BEFORE USE AERIAL & SCISSOR LIFT DAILY INSPECTION RECORD Equipment ID Location DATE BY REMARKS DO NOT REMOVE TAG

CS410716
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DO NOT OPERATE THIS TAG & LOCK TO BE REMOVED ONLY BY PERSON SHOWN ON BACK - NO PONGA EN FUNCIONAMIENTO ESTA ETIQUETA Y SEGURO DEBE SER SACADA SOLAMENTE POR LA PERSONA CITADA ATRAS - EQUIPMENT LOCKED OUT BY DATE:- EQUIPO ASEGURADO POR FECHA:

CS311373
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REPAIR REMARKS: SIGNED BY: DATE:

CS197520
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BARRICADE TAG INSTALLED BY DO NOT REMOVE THIS TAG! TO DO SO WITHOUT AUTHORITY WILL MEAN DISCIPLINARY ACTION!

CS145065
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RESPIRABLE CRYSTALLINE SILICA MAY CAUSE CANCER CAUSES DAMAGE TO LUNGS WEAR RESPIRATORY PROTECTION IN THIS AREA AUTHORIZED PERSONNEL ONLY Signed By: Date: DO NOT REMOVE THIS TAG! TO DO SO WITHOUT AUTHORITY WILL MEAN DISCIPLINARY ACTION! IT IS HERE FOR A PURPOSE REMARKS:

CS670766
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DO NOT DISCONNECT Ventilation System In Service Disconnecting without Authorization is a Serious Violation DO NOT REMOVE THIS TAG! REMARKS:

CS891954
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RADIOACTIVE MATERIALS MATERIAL I.D. SIGNED BY: DATE: DO NOT REMOVE THIS TAG! TO DO SO WITHOUT AUTHORITY WILL MEAN DISCIPLINARY ACTION! IT IS HERE FOR A PURPOSE REMARKS:

CS509922
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ELECTRICALLY OUT OF SERVICE - ELECTRICALLY OUT OF SERVICE OUT OF SERVICE PERMANENTLY WIRES HAVE BEEN DISCONNECTED EQUIP FED FROM NEW POWER SUPPLY LOCATION: SUPPLY: COMMENTS: OUT OF SERVICE TEMPORARILY WIRES HAVE BEEN DISCONNECTED NEW INSTALLATION NOT COMPLETED COMMENTS: ELECTRCIAN: DATE:

CS271407
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DO NOT REMOVE THIS TAG UNTIL ORDERS ON THE OPPOSITE SIDE HAVE BEEN CARRIED OUT SIGNED BY: DATE: DO NOT REMOVE THIS TAG! REMARKS:

CS186985
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AED AUTOMATIC EXTERNAL DEFIBRILLATOR INSPECTION SERIAL NO. CHECK: Electrodes Battery Status Indicator General Condition DATE BY DATE BY

CS965694
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LADDER INSPECTION I.D. NO.

CS225351
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SERVICE RECORD Equipment ID Location Last Service Date By Next Service Date Last Service Date By Next Service Date

CS636399
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TEMPORARY POWER CONNECTED DO NOT DISCONNECT Signed By: Date: DO NOT REMOVE THIS TAG! TO DO SO WITHOUT AUTHORITY WILL MEAN DISCIPLINARY ACTION! IT IS HERE FOR A PURPOSE REMARKS:

CS360732
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DO NOT OPERATE EQUIPMENT LOCKED OUT BY THIS LOCK/TAG MAY ONLY BE REMOVED BY: THIS ENERGY SOURCE HAS BEEN LOCKED OUT! UNAUTHORIZED REMOVAL OF THIS LOCK/TAG MAY RESULT IN IMMEDIATE DISCHARGE.

CS380338
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CONFINED SPACE INSPECTION TAG This space was checked: DATE TIME FLAMMABLE VAPOR % LEL OXYGEN % H2S ppm CO ppm OTHER SIGNED BY COFINED SPACE INSPECTION TAG COMMENTS: SIGNED BY: DATE:

CS585949
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YELLOW TAG This scaffold has been erected with modifications for specific work 100% tie-off is required when working on/from this scaffold Hazards: Incomplete handrails Incomplete deck surface Low overhead clearance Limited climbing from Other Weight Capacity: (Pounds per square foot) 25 - Light Duty 50 - Medium Duty 75 - Heavy Duty Uniformly distributed load capacity ____Lbs. Date Erected: Competent Person: This scaffold has been inspected by the undersigned competent person and found to be safe for use on date specified DATE: Signature of Competent Person

CS387321
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EYE WASH STATION INSPECTION REPLACE WATER/6 MOS. - EYE WASH STATION INSPECTION REPLACE WATER/6 MOS.

CS770060
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