Title Page
EDI Weekly Site Inspection
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Job Site Name
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Job Site Number
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Conducted on
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Prepared By
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Location
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Workers Interviewed
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Additional Supervisors/Crew Leaders on site
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Site Supervisor
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Job Site Photo
Administrative: 6
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OSHA/DOL Postimg
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SDS Binder
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Applicable Permits
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New and/or Air Monitoring Results
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Emergency Contacts
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Certification Packs
Toolbox Talk: 3
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Topic is appropriate for work
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Detailed note of content
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Workers understand the content
Hazard Assessment: 3
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JHA complete and up to date
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JHA in each work area
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Worker understands JHA details
Accident Management: 6
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Supervisor ARF readily available
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Designated Provider list readily available
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First Aid Kit complete/readily available
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ARF Kit complete for all incidence
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Designated Provider list signed for each
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ARF notes for each First Aid/Near Miss
Training: 3
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Required Training Identified
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Training Administered
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Training Documented
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General Comments and Observations:
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Corrections:
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Inspected By (Print Name):
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Signature
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Reviewed by Supervisor (Print Name):
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Signature: