Information
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Management Safety Visit
SPV iPad
Management Safety Visits
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2). Date
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3). Visit conducted by
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4). Participants
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5). Worksite
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6). Activity
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7). Personnel met
Observations
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Add Observation
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8). Observation 1
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9). Type
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11). Corrective actions acknowledged
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12). Immediate
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10). Answers discussions
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Add photo of Observation
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Add Next Observation
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8). Observation 2
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9). Type
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11). Corrective actions acknowledged
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12). Immediate
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10). Answers discussions
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Add photo of Observation
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Add Next Observation
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8). Observation 3
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9). Type
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11). Corrective actions acknowledged
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12). Immediate
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10). Answers discussions
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Add photo of Observation
Deferred
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Person in charge
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Deadline
16). Conclusions
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PP: Positive point DA: Dangerous action DC: Dangerous condition
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17). PP
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18). DA
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19). DC
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20). Total
21). Signatures
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22). Person met
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23). Visiting advisor
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24). Site supervisor