ventilation & heating system lock out system Comments: Personal Protective Equipment Reference (e.g., standard/Act/ Verification Risk regulations, etc.) Target/ Status Person(s) Item matrix Recommendation for correction completion (C, PC, Date of follow-up responsible action (short and/or long term) date AR) D O I based on that reference gloves face shield gowns oven rubber boots Comments: Emergency Response (Preparedness) Reference (e.g., standard/Act/ Verification Risk regulations, etc.) Target/ Status Person(s) Item matrix Recommendation for correction completion (C, PC, Date of follow-up responsible score action (short and/or long term) date AR) D O I based on that reference codes procedure Carbon Monoxide detectors Comments: Communication Reference (e.g., standard/Act/ Verification Risk regulations, etc.) Target/ Status Person(s) Item matrix Recommendation for correction completion (C, PC, Date of follow-up responsible score action (short and/or long term) date AR) D O I based on that reference
ventilation & heating system lock out system Comments: Personal Protective Equipment Item Risk matrix Verification Reference (e.g., standard/Act/ regulations, etc.) Recommendation for correction action (short and/or long term) based on that reference Person(s) responsible Target/ completion date Status (C, PC, AR) Date of follow-up D O I gloves face shield gowns oven rubber boots Comments: Emergency Response (Preparedness) Item Risk matrix score Verification Reference (e.g., standard/Act/ regulations, etc.) Recommendation for correction action (short and/or long term) based on that reference Person(s) responsible Target/ completion date Status (C, PC, AR) Date of follow-up D O I codes procedure Carbon Monoxide detectors Comments: Communication Item Risk matrix score Verification Reference (e.g., standard/Act/ regulations, etc.) Recommendation for correction action (short and/or long term) based on that reference Person(s) responsible Target/ completion date Status (C, PC, AR) Date of follow-up D O I
OHC_Inspection_Checklist_Template_-_April_2015.docx