Information
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Audit Title
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Document No.
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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
Site Hazard
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1. Job site entrance and exit
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2. Housekeeping
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3. Potential slip or trip hazards
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4. Ladder/Correct Size/Inspection
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5. Lifts/Scissors/Booms
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6. Fall Protection/Guardrails/Harnesses
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7. Floor Openings/Closed or Protected
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8. Scaffolding/Set-up/Inspection
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9. Temporary Installation/Maintained
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10. Pulling Wire & Cable/Set-up & Position
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11. Electrical Safety/Cords/Tools/Procedures Discussed
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12. Hot Work/Testing/Metering/Service
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13. Installing Electrical Gear/Rigging
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14. Installing/Moving Heavy Objects
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15. Material Handling(pipe,reals,equipment)
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16. Power Tools/Repair/Maintenance
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17. Powder Actuated Tools/Safety Glasses & Face Shield
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18. Roughing walls/Wood or Metal Studs
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19. Fixture Installation/Kevlar Gloves Suggested
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20. Excavation/Trenching Safety
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21. Public & Vehicle Safety
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22. Hazardous Material/Fuel
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23. Raised floors and Tiles/Safety Cones
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24. Other Concerns Not Listed
General Comments
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Document Positive Or Safe Behaviours Observed
Signatures Of Observers
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Observer 1
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Observer 2