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
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Date Time
Personal Protective Equipment
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Hard Hats
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Eye / Face Protection
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Ear Protection
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Dust Mask /Respirator
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Add media
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Safe Lifting Practices
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Add media
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Clothing / Knee Pads / class 2 / 3 vests
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Add media
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Footwear / Foot Protection
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Gloves / Hand Protection
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Personal Fall Arrest / Restraint Equipment
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Housekeeping
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Exit / Stairs / Walkways Clear
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Add media
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Piling & Stacking
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Debris Removal
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Nails Bent or Removed
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Ladders & Stairs
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Ladder Condition / Use
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Ladder Tied Off /3' Above Landing
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Railings / Covers / Cables
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Perimeter / Stairs
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Floor / Wall Openings
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Walkways
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Cables Secured ( fall protection ) 3 Clips
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Scaffolding
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Railings
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Tied to Building
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Planks & Platforms
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Access
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Fire Protection
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Extinguishers
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Welding / Cutting Equipment
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First Aid / Sanitation
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Kits / Supplies
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Sanitation / Hand Washing
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Clean Cool Water / Shade
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Electrical
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Lighting / Covers
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Power Cords, Plugs, Receptacles
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Temporary Power Boxes / GFCI
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Tools
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Condition
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Air Hose & Whip Check
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Site / Public & Environmental Protection
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Excavation / Trenches
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Excavators / Forklifts / Cranes
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Lighting / Fences
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Posting Requirements / Signs
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Rebar Protection
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Programs / Information
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New Employee Orientation
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Heat Illness
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Pre-Task Meeting
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Fall Protection Plans
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IIPP/ MSDS
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Add signature