ELPHA Daily Pre Start

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Was there any near misses<br>

  Yes

  No

  N/A

• Are there any safety issues

  Yes

  No

  N/A

• Is there any safety suggestions

  Yes

  No

  N/A

• Comments or points raised<br>

  Yes

  No

  N/A

• Work area inspection/ any changes

  Yes

  No

  N/A

Corrective action

• Is there any action required

  Yes

  No

  N/A

• Action by

  Sign

• Action by

  Sign

Persons present

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign

• Person present

  Sign