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
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Date
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Shift
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Crew
Safety
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Please enter brief description in 'Add Notes' or attach photo if there is an event
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Safe Shift?
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Safety Focus
Rejects
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Are we co disposing?
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Rejects Dump Locations
Ancillary Equipments
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Please enter equipment numbers and locations
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793 Trucks
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Water Carts, Wheel Dozer, Graders
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EX1200, Track Dozers
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Light Vehicles
Blend
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Blend
EX532
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Priority
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Equipment Status
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Time of Inspection
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Dig Location
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Photo of dig location
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Dump Location
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Ancillary Gear on Floor
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Task
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Hazards & Controls
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Notes on Work Area Standard
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Next Dig Location
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On coming shift notes
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Fuel up time
EX533
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Priority
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Equipment Status
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Time of Inspection
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Dig Location
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Photo of dig location
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Dump Location
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Ancillary Gear on Floor
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Task
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Hazards & Controls
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Notes on Work Area Standard
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Next Dig Location
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On coming shift notes
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Fuel up time
EX052
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Priority
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Equipment Status
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Time of Inspection
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Dig Location
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Photo of dig location
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Dump Location
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Ancillary Gear on Floor
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Task
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Hazards & Controls
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Notes on Work Area Standard
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Next Dig Location
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On coming shift notes
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Fuel up time
EX929
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Priority
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Equipment Status
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Time of Inspection
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Dig Location
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Photo of dig location
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Dump Location
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Ancillary Gear on Floor
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Task
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Hazards & Controls
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Notes on Work Area Standard
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Next Dig Location
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On coming shift notes
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Fuel up time
Loader in Pit
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Loader
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Priority
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Equipment Status
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Time of Inspection
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Dig Location
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Photo of dig location
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Dump Location
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Ancillary Gear on Floor
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Task
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Hazards & Controls
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Notes on Work Area Standard
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Next Dig Location
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On coming shift notes
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Fuel up time
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Name & Signature
