Encore Electric Executive Audit - Struck by Hazards

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Are reflective vest worn by all employees?

  Yes

  No

  N/A

• Add media

  Media

• Are materials being stored windsafe?

  Yes

  No

  N/A

• Add media

  Media

• Are areas protective from overhead hazards? (Toe boards or falling object protection where appropriate).

  Yes

  No

  N/A

• Add media

  Media

Signatures

• Person performing the Audit

  Sign

• Site Supervisor

  Sign