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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Start of Audit
Infrastructure & Buildings
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Fencing/Gates/Company Sign<br>
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Building/Plant visual condition
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Site Litter & General tidiness<br>
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Vegetation Management<br>
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Road and Yard Condition<br>
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Storage Bays<br>
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Washout Pits
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Drying Bay
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Offices/Outbuildings/Toilets
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Stirrer Pit
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Yard Lighting
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Fuel Tanks/Additive Bunds
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Visitor Parking
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Site Signage
Aggregates
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Access Ramp/Safety Stops/Hand Rails
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Receiving Hopper/Safety Grid
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Spillage
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Conveyor Structure/Belt Condition/Skip Condition/(Visual) Skirts/Scrappers
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Walkway/Handrails/Wind Boards/Kick Boards
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Guarding
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Bin Monitoring (CCTV) Moisture Probes
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Walls & Division Plates
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Agg Weigh Hopper/Belt - Condition, Unrestricted Movement
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Load Cells (Visual)
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Calibration Compliance
Cement
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Calibration Compliance
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Inlet Pipes/Signage/Auto Shut off Valves/Padlocks/Whip Arrest
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Silo Structure (Visual) Handrails/Kickboards
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Filters/PRV's/High Level Alarms/Pressure Sensor/Hatch Seals
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Spillage
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Powder Weigh Hopper - Condition Unrestricted
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Breather/Filter box
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Flexible Sock Condition
Loading Point
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Condition of Mixer/Discharge Chute Dry/Wet
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Condition of Sock
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Condition of Slurryfier
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Spray Bar
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Inspection Platform
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Spillage
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Water/Add-mixture Discharge Point
Pneumatics
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General Compressor Condition
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Compressor Hours
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Air Receiver Drainage/Pressure test in Date
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Air Leaks
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Air line Lubrication
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Air line Condition
Additive & Water
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General System Condition/Pipes/Taps/Bunds
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Pumps
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Meters
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Recycled System/Stirrer/Water Tanks
Electrical
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Equipment PAT Tested
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Substation Condition
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Motor Control Units General Condition
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General Condition of Electrical Equipment
Mobile Plant
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Do you have mobile Plant on site?
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Defect Book checked and signed off
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Service record available
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Brake Test in Date
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Hours
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Isolator fitted and working
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Visual sign of collision damage
Administration
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Correct PPE - All personnel
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Visitors PPE - 3 Sets minimum
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Weekly Monthly Checklist Completed?
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Outstanding Number of Defects on plant?
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Monthly Health & Safety Pack on Site
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Latest Toolbox Talk rolled out?
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Monthly Toolbox Talk Completed
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LOTOTO Check List completed
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Standard of Health & Safety/Environmental Paper completed for the month
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Review SIP on CMMS
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Number Of Near Hits for the Month?
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First Aid Kits in date and replenished
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Number of outstanding actions on SHE ONLINE?
Sign off.
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Auditor
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Plant Supervisor
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Time completed