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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Select date
PPE
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Hard Hat - Safe.
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Safety Glasses
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Safety Toed Boots
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Hearing Protection
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FR Clothing
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Gloves
Manual Lifting
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Correct body position
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Help for heavy items
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Hand placement
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Weight known
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Use of Equipment
Line of Fire
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Hand / Body Position
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Overhead Hazards
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Rotating Equipment
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Pinch / Shard Edges Identified and Protected
Housekeeping
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Trash / Debris
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Cord / Lead Control
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Protruding Items
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Correct Barricades
Fall Protection
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Trip Hazard
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Daily Inspection
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Fall Arrest Equipment Used
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Protected at 6 feet / 4 Feet California
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Correct Ladder Use
Tool Use
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Correct Tool
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Used Correctly
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Material Secured
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Guards in Place
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GFCI Used
Equipment / Vehicle Use
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Seat Belt Use
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Inspection
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Equipment Used Properly
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Backing
Adjacent Work
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Equipment Start Up
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Vehicle Traffic
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Work Scope Known
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Excavations
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Crane / Hoist Use
Procedures
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Lockout / Tagout
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Confined Space
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Other Procedure
Other
Job Hazard Analysis
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Hazards Identified
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Daily Tailboard Meeting Complete
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PPE Last Hazard Control