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Information
Audit Title
Document No.
Client / Site
Add location
Auditor(s)
Division
Conducted on
Site Operating?
OBSERVATION AREAS: In the areas audited with no deficiencies found, indicate behavior / condition OBSERVED (OB). If the behavior / condition REQUIRES ATTENTION, indicate (RA), and rank most likely result of the problem behavior / condition. Please provide narrative regarding the areas you audit and your findings. If an audited area showed no deficiencies or had notable positive aspects, please state so.
Describe the observation and employee interview. What improvement need was identified and understanding made to achieve it? Did other areas for improvement come out of the interview? Operational management and/or the Safety Dept will determine target dates, responsibility and if further investigation or corrective action is required.
Pre-operation inspection completed
Rank Findings
Entering / exiting safely (3-points)
Rank Findings
Lifting / carrying materials or tools
Rank Findings
Proper use of tools / equipment
Rank Findings
Safe condition of equipment / tools
Rank Findings
Slip / trip avoidance walkways kept clear
Rank Findings
Housekeeping and access maintained
Rank Findings
PPE condition / compliance
Rank Findings
Safe positions of employees
Rank Findings
Safe procedures followed
Rank Findings
Safe procedures established
Rank Findings
Safe equipment operation (forward)
Rank Findings
Safe backing practices used
Rank Findings
Training & knowledge of tasks
Rank Findings
Railing / guarding compliance
Rank Findings
LO / TO Confined space
Rank Findings
Traffic control adequate
Rank Findings
Fall hazards controlled
Rank Findings
Electrical maintenance / labels
Rank Findings
Other
Rank Findings
Conclusion
Who is the responsible manager for any findings in this audit
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