Title Page
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Observer
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Observee
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Conducted on
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Location
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What type of work is being performed?
Observation
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What High Energy Hazards (STKY) have been Identified?
- Gravity
- Motion
- Mechanical
- Electrical
- Pressure
- Sound
- Radiation
- Biological
- Chemical
- Temperature
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Is there a control in place for this High Energy Hazard (STKY)?
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What can be done to find and implement a control for this High Energy Hazard (STKY)?
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What is the control?
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Are the controls in place considered Direct Controls?
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Is the Direct Control Specifically
