Title Page
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Client / Site Location
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Conducted on
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Prepared by
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Pass or Fail
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Type of Works
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Describe Type of Works
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Type of Audit
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Is the site compliant with current Health, Safety & Environmental procedures & policies?
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Was the site induction clear and had recognized the hazards and risks that may result from them?
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What hazard/s was not identified?
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What are the good safety behaviors?
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Attach good Health, Safety & Environmental photos
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Comments for further improvent
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What are the non-compliance with Health, Safety & the Environment?
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Attach Health, Safety & Environmental non-compliance photos
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Was the personnel shown and instructed to correct the non-compliance with Health, Safety & the Environment?
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Enumerate all corrective actions and coaching performed on site
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Was the job completed according to the Quality Assurance standards of both client & Clearvision?
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Attach the good quality workmanship photos
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Comments for further improvement
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Enumerate the non-compliance to the Quality Standards?
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Attach Photos of the poor workmanship
Personnel
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Personnel
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Audited By: