Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Job Safety Observation report
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Task Observed
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Work order number
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Work Group
- Service truck
- OPSV/OPCV
- Jet Rodder
People
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PPE used as required
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JSA or other procedures on site
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Appropriate behaviour shown on site
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Personnel trained to complete the task
Tools/Plant
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Tools appropriate for task
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Tools/plant Inspected before use
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Gear maintained / sreviced
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Electrical safety issues
Enviroment
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Access and egress
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Good housekeeping
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Noise, dust, odour, discharge controlled
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Storage of fuels and chemicals inplace
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Waste Management controlled
Follow up Actions
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Follow up 1
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Follow up 2
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Photos for follow ups