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County of Civic Centre Date Time of Inspection: <br />�- 12 /15 / 2017 9:00am <br />ssex Workplace Recording Form mm / dd / vvvv Time <br />Item <br />No. <br />Location <br />Item <br />Hazard Observed <br />Hazard <br />1 <br />Class <br />Repeat <br />Item <br />(YEN) <br />Recommended Action <br />Responsible <br />For Action <br />2 <br />Action Taken <br />Date <br />Completed <br />Authorized <br />Signature <br />1 <br />All locations <br />First Aid Kit <br />First Aid checksheet not up to date. <br />C <br />Y <br />Update First Aid sheets <br />HR <br />2 <br />First Aid Station <br />Stretcher <br />Stretcher not in recommended location <br />C <br />Y <br />Make box for stretcher, label box "Stretcher" install box in First Aid <br />Station between outside wall and H&S board as shown. AssembleMaintenance <br />stretcher and place stretcher inside the "strecter" box. Ensure <br />"stetcher" box is secured to the wall so it does not fall. <br />3 <br />Within the <br />Facility <br />First Aid boxes <br />First Aid contact list not up to date. <br />C <br />Y <br />Update and post a First Aid contact list. <br />HR <br />Copies to (for Action): Inspected by (name): Inspected by (signature): <br />Tom Bateman, Rob Maisonville, Greg Schlosser, Mary Birch, Ilija Maodus. <br />All JHSC Minutes and Inspections can be found on the County Connect intranet at http://cc.countyofessex.on.ca under the Human Resources - Health and Safety section <br />1. Hazard Class: A condition or practice with the potential for: <br />"A" - permanent disability, loss of life or body part, and/or extensive loss of structure, equipment or material. <br />"B" - serious injury or illness (resulting in serious or temporary disability) or property damage that is disruptive but less so than Class "A" <br />"C" - injury or illness (non -disabling) or disruptive property damage. <br />2. Per Section 9(20) of the Ontario Occupational Health & Safety Act and Regulations, a response is required within 21 days upon receiving this audit. <br />1of2 <br />