Kallam Darby

Barricade assessment

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Title Page

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

X=Non applicable
0=Non compliance
1=Insufficient
2=Acceptable
3=Execellent
Barricade tape is up around hazard. 5
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Barricade erected completely around hazard-no gaps. 5
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Barricade up and taut, easily visible, hard to "miss". 5
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Barricade is the proper color for the hazard. 3
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Does the barricade have the proper barricade tag filled out correctly.
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Barricade is "up" within the specified duration. 1
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Personal are "honoring" the existing barricade. 5
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Kallam Darby

Barricade assessment

Use this Template

Print as PDF

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