Title Page
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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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Personnel
Definitions
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Unsafe conditions
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Unsafe behaviour
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Minor incidents or injuries with potential to be more serious
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Events where injury occurred but didn't
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Events where property damage resulted or could have resulted but didn't
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Events where a safety barrier was challenged, such as a worker bypassing a machine guard
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Events where potential environmental damge could have occurred
Prioritization
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What need to be done in terms of follow up
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How much attention will be given to the incident
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Amount of resources needed to research and implement a solution
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Depth of analysis that needs to be performed
Determination of cause
