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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Supervisor
JSA Task Information
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Select date
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Craft
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Foreman
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Area
JSA Categories
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Date and work location
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Crew participation in JSA
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Job Description
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Crew identified on JSA
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Crew wearing PPE
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Correct color code system
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Focus 4 Hazards identified
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Hazards for task identified
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Clear and legible
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JSA posted at job location