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
Site Setup
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Job Briefing Conducted
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Flaggers & Warning Signs in Place
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Traffic Cones In Place
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Flashing Beacons On
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Wheel Chocks in Place
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Personal Protected Equipment (PPE)
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High Visibility Vest Worn
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Hard Hat Worn
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Safety Glasses Worn
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Hearing Protection Worn
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FR Clothing Worn
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Truck Grounds in Place
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Personal Protective Grounds Installed
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Cover-Up Used
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Rubber Gloves Used
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Chaps Worn When Using Chain Saw
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Shoring Used
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General Safety
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Switching & Tagging Done Properly
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Safety Watcher Designated
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Proper Storage & Handling of Hotline Tools
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Job Site Safe for Workers & Public