This document is a site inspection report that records hazard observations across multiple zones. It lists the site location and manager, and includes tables to note physical conditions observed in each zone, the corresponding hazard class rating of A, B, or C, required corrective actions, and deadlines for completion. Signatures are also included to track responsibilities and completion.

1. ZONE CONTROL Physical Conditions
Copyright Clive Burgess
Site Location: Date of Inspection: Environment and Housekeeping
Site Manager: Inspected by: Hazard Class Rating
A = Low B = Medium C = High
Hazard Observation in ZONE Hazard By Deadline
Physical Condition Class Corrective Actions To Be Taken Whom Date
1 2 3 4 5 6 7 8 9 A, B, C
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2. Hazard Class Rating
A = Low B = Medium C = High
Hazard Observation in ZONE Hazard By Deadline
Physical Condition Class Corrective Actions To Be Taken Whom Date
1 2 3 4 5 6 7 8 9 A, B, C
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