Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Have you completed your 5x5?

  • I am wearing my safety glasses.

  • I have all necessary PPE for this task and will use it as needed.

  • I understand our Lock Out Tag Out and Fall Protection policy and will follow them while performing my assigned tasks.

  • I will stop work if something is not safe and call my supervisor.<br>

  • I will adhere to my company's and our customer's safety rules and policies.

  • Technicians are not allowed to use their personal phone or tablet to conduct company business! Only company supplied equipment should be used to conduct service calls" TECHH ANY-WHERE" Check IN & OUT of calls. "IVR & mobile apps for Roth, Service Channel, SMS ONE ECT...

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.