Information
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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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Select date
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
2.0 - Helmet
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2.1 - Helmet is of high visibility colour? (day glo yellow or orange)
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2.2 - Helmet has no signs of damage? (Cracks, signs of deterioration)
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2.3 - Helmet issue date is within 2 years of current date? Helmet to be replaced 2 years after the issue date (if recorded) or in accordance with manufacturers specifications
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2.4 - No hood or cap worn under the helmet? (Thin beanie above the ears is ok)
3.0 - Footwear
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3.1 - Steel capped boots worn?
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3.2 - If laces are fitted, they are securely tied at all times?
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3.3 - Footwear provides foot and ankle support, traction and protection?
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3.4 - Chainsaw operator - wearing footwear that provides protection from chainsaw cuts? (Bullie boots, Level 3 cut resistant boots)
4.0 - Hearing Protection
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4.1 - Class 5 hearing protection is worn when working around chainsaws or machinery? (Ear plugs/Ear muffs)
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4.2 - Hygiene kits are in good condition? (No rips, tears etc?)
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4.3 - No clothing or item being worn is interfering with the effectiveness of the hearing protection? (Hoodies/beanies)
5.0 - High Visibility Clothing
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5.1 - High visibility clothing is worn? (clean and visible?)
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5.2 - Complies with NZ Forestry Guidelines? (AS/NZS 4602)
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5.3 - Worn on outside of other clothing?
6.0 - Eye Protection
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6.1 - Suitable eye protection available and worn? (visors/glasses)
7.0 - Gloves
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7.1 - Gloves to be worn/available where there is potential for injury from Chemicals/Abrasions/Puncture and/or heat? (maintenance, sharpening chainsaw, breaking out)
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7.2 - Gloves suitable for task?
8.0 - Leg Protection
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8.1 - Workers using a chainsaw have protective leg wear? (Chaps/Chainsaw Trousers)
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8.2 - Condition of leg wear? (No rips, tears or damage to inner layer)
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8.3 - All straps are done up?
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8.4 - Leggings or other leg protection worn by breaker outs?
9.0 - Wet Weather Clothing
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9.1 - Wet weather clothing suitable for task is available?
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9.2 - Wet weather clothing meets high visibility standards?
Sign Off
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Auditor's signature