Information
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Center / Location
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Conducted on
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Prepared by
Field Safety Audit
JSA
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JSA Complete
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JSA Adequate
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Employee knowledgeable of Southern Safety Policies
Personal Protective Equipment (PPE)
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High visibility vest
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Hard hat
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Proper gloves for task
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Safety footwear
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Hearing Protection
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Eye Protection
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PPE Condition
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PPE Properly Worn
Fall Protection / Ladders
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Measures in place to eliminate fall hazards
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Safety Harness condition
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Safety harness properly worn
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Ladders - Correct ladder for task
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Ladders - Inspected prior to use
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Ladders - Proper use of the ladder
Working Environment
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Work area free of excessive dust
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Adequate lighting
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Walkways and exits clear of obstructions
Electricity
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Proper electrical PPE worn
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Power tools are inspected prior to use
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Electrical circuits have been isolated and tested to confirm dead?
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Isolated circuits LO/TO applied
Hot Work
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Gas Cylinders Secured
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Fire Extinguishers Present
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Gauges In Good Condition
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Hoses In Good Condition
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Flash Back Arrestors In Good Condition
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Fire Blankets In Place
Storage / Housekeeping
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Work area cleaned continuously
Vehicle
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Is the operatives vehicle in a road worthy condition?
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Tire condition
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Loading
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Fire extinguisher
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First aid kit
Other items identified
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Signed:
