Title Page
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Client
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Date and Time of Inspection
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Inspected by
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Location
General Information
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Description of work
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Take a photo of the work area
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List the names of workers
Pre-Job
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Does the facility have the permit to operate?
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Take a photo of it
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Do workers have a safe route to their place of work?
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Is the site tidy and well laid out?
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Are all people on site wearing the correct personal protective equipment?
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Are people working on site inducted on the safety procedures?
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Are workers suitably trained in using a harness?
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Are harnesses, lanyards and other safety gear checked and evaluated?
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Are safety tests conducted before the use of harness?
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Are there systems in place for consultation with workers on safety, health and welfare matters?
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Are First-Aid facilities in place and do workers know where they are?
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Are safety nets used in place for fall protection systems?
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Are there no obstructions between the work area and the net?
Job-in-progress
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Is harness worn properly and attached to secure anchorage?
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REFERENCE: Harness worn properly and attached to secure anchorage
[This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections] -
Do lanyards, anchorages, and lifelines support standard body weight?
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Does equipment function in accordance with the manufacturer's recommendations?
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Has the worker been assigned a shock-absorbing lanyard for his own use?
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Has the worker been assigned an approved travel restraint or life line rope for his own use?
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Does the worker have his own rope grab?
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Are positioning device systems used so a worker on an elevated surface can have both hands free?
Post-job
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Have any components that have been subjected to an impact been removed from service?
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Are there no suggested change in the equipment used?
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Do workers talk to supervisor about health and safety concerns and possible changes/training?
Observation
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Write down positive observation
Recommenadation
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Provide recommendation
Completion
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Inspected by (Name and Signature)