Information
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Audit Title
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Document No.
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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
Instructions: Place a check next to all items found in compliance. Make notes on items that need attention in the comment box. Email completed form to your Branch Manager or Operations Manager.
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Has previous inspection been reviewed?
Inspection items
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Pedestrian paths in parking lot, interior of building and yard are clear of slipping or tripping hazards?
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Seatbelt's and harnesses are being worn by all employees operating equipment and vehicles?
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Employees climbing on and off of equipment and vehicles are using a three point stance and checking the area prior to doing so?
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Are employees working in safe positions? Upright when possible? In danger of falling? Visible to all others?
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Do you see any employees lifting, pushing or pulling on heavy objects that could result in an injury?
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Are any employees using tools or equipment correctly? If not, stop and ask why. Don't have the right tool? Learned how to do it this way? Etc.
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Employees are seen doing a 360 hazard check prior to beginning a task.
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Is the proper PPE being used by all employees? If not, stop and ask why? Not available? Not right for the job? Forgot? Etc.
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Does anyone suddenly stop working when you walk by? If so, stop and ask why. Unsure if the task is being performed in the safest manner possible? Taking a shortcut?
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Does anyone stop you to report a near miss or hazard he/she observed today?