Title Page
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Audit Title
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Project Site
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Project Number
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Stage
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Location
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Conducted on
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Prepared by
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Personnel present
Site Condition
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Weather
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Site Conditions
1 - OH&S Observations
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1.1.0 Site/Warning Signs
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1.2.0 Public Safety - Work site perimeter/demarcation fence
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1.3.0 Traffic Management
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1.4.0 Amenities
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1.5.0 First Aid Facilities
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1.6.0 Emergency Procedures
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1.7.0 Site Induction Register - current?
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1.8.0 SWMS - Available and Signed off by Personnel?
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1.9.0 Lifting Gear - Tagged, Hooks Correct, Dogman Qualified?
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1.10.0 Working Around Electrical Assets
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1.10.3 Warning Signs/Tape/Flagging
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1.10.1 Electrical No-Go-Zone Permit
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1.10.2 Spotter
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1.11.0 PPE - worn by all personnel (incl. Hard Hats)
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1.12.0 Safety Caps to all Star Pickets
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1.13.0 Wet Conditions - safe?
2 - EMP Observations
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2.1 Noise and Vibration
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2.2 Air Quality/Dust Control
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2.3 Stockpiling of Materials
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2.4 Erosion and Sediment Control
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2.5 Stormwater Management
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2.6 Vegetation Management
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2.7 Solid Waste Management
3 - Machinery/Plant
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3.0 - Plant On Site at Time of Observation
Plant/Machinery
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Description
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Size
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Operator Ticket
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Daily Checklist
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Quick Hitch Pin
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Flashing Lights
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Reversing Beeper
4 - Miscellaneous Notes:
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Misc.
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Auditor:
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Witness: (if applicable)