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Information
Audit Title
Site
Location
Auditor(s)
Division
Date
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.
1. Pre-operation inspection completed
Rank Findings
2. Entering / exiting safely (3-points)
Rank Findings
3. Lifting / carrying materials or tools
Rank Findings
4. Proper use of tools / equipment
Rank Findings
5. Safe condition of equipment / tools
Rank Findings
6. Slip / trip avoidance, walkways kept clear
Rank Findings
7. Housekeeping and access maintained
Rank Findings
8. PPE condition / compliance
Rank Findings
9. Safe positions of employees
Rank Findings
10. Safe procedures followed
Rank Findings
11. Safe procedures established
Rank Findings
12. Safe equipment operation (forward)
Rank Findings
13. Safe backing practices used
Rank Findings
14. Training & knowledge of tasks
Rank Findings
15. Railing / guarding compliance
Rank Findings
16. LO / TO confined space
Rank Findings
17. Traffic control adequate
Rank Findings
18. Fall hazards controlled
Rank Findings
19. Electrical maintenance / labels
Rank Findings
20. Other
Rank Findings
Conclusion
Who is the responsible manager for any findings in this audit?
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