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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Luke Gamble
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
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Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
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Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
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Add signature
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Employee 1
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
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Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
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Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
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Add signature
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Employee 2
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
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Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 3
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 4
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
-
Employee 5
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
-
Employee 6
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 7
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 8
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 9
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 10
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 11
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
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Employee 12
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Have you received the following PPE?<br>- 2 high visibility long pants<br>- 2 high visibility long sleeve shirts<br>- 1 high visibility vest<br>- 3 boot covers<br>- 1 pair of gloves<br>- 1 glove clip<br>- 2 glasses clear<br>- 2 glasses tinted<br>- 1 wide brim hat<br>- 1 hard hat<br>- 1 head lamp<br>
-
Have you provided the following PPE?<br>- 1 pair of steel cap boots<br>
-
Have you been shown where the following PPE is located?<br>- sunscreen<br>- zinc<br>- earplugs
-
Add signature
