Curing

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit Area 1

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 2

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 3

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 4

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 5

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 6

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 7

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 8

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 9

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Audit Area 10

• Entanglement

  Safe

  At Risk

  N/A

• Crushing<br>

  Safe

  At Risk

  N/A

• Cutting, Stabbing, or Puncturing

  Safe

  At Risk

  N/A

• Friction or Abrasion

  Safe

  At Risk

  N/A

• Striking

  Safe

  At Risk

  N/A

• Exposure to High Pressure Fluid

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Slip, Trip, Fall

  Safe

  At Risk

  N/A

• High Temp

  Safe

  At Risk

  N/A

• Suffocation or Engulfment

  Safe

  At Risk

  N/A

• Ergonomic Issues

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A