No. CSM 601.

05
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

V. Hazard Communication
5.1 Written program
5.2 List of hazardous chemicals
5.3 MSDS file maintained
5.4 Chemicals properly labeled
5.5 Emergency spill control materials available
Poor Excellent
V. Hazard Communication (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)