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
1. Name of person or Organisation for whom the inspection was carried out
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Name of person or Organisation for whom the inspection was carried out
2. Documents present
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F10
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Employers liability certificate
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Health & Safety Folder
3. Location & Description of the workplace
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Location & Description of the workplace
4. Plant & equipment in use
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Plant & equipment in use
5. Matters which give rise to health & safety concerns
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Matters which give rise to health & safety concerns
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Add media
6. Can work continue safely?
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Can work continue safely?
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Who has been notified?
7. Details of action taken or necessary as a result of matters identified at 5. above
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Details of action taken or necessary as a result of matters identified at 5. above
8. Details of any further action considered necessary
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Details of any further action considered necessary
Sign off
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Site Manager/Supervisor's Signature
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Site Auditor's Signature