Information
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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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Employee Name
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Employee Position
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Orientation Date
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Employee Start Date
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Employer, supervisor & worker responsibilities
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Safety Policy
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Safety Rules
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Toolbox & Committee meetings
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Alcohol & drugs in the workplace
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Tool/Machine safety & guarding
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WHMIS training & location of MSDS
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Use of Equipment & Preventative maintenance
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Personal Protective Equipment (PPE)
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Disciplinary Process
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Use & Storage of tools, equipment & supplies
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Reporting of near misses, incidents & accidents
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Fire prevention, protection & control
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Safe Job Practices & Procedures
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Fall Protection
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Confined Space
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Lockout/Tagout Procedures
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Working Alone
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Workplace housekeeping practices
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Emergency evacuation procedures (Muster Point)
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I acknowledge that I have received instruction in the item(s) identified above and understand the expectations to comply with Fast Plumbing & Heating Ltd. Safety &Health Program, practices, policies and procedures reviewed. I acknowledge that the management of Fast Plumbing and Heating Ltd. is to be notified of any safety concerns, problems and incidents/accidents that may arise.
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Employee:
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Trainer:
