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
Caught in Hazards
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Are guards in place on tools and equipment?
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Add media
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Do pathways have clear access and egress?
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Add media
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Will confined spaces be entered? (If the answer is yes complete confined space permit in heath and safety manual.)
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Add media
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Will there be excavation work on site?
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Add media
Signatures
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Person performing the Audit
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Site Supervisor