Title Page
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Document No.
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Conducted on
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Prepared by
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Location
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Personnel
Inspection
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Are all access ways clear?
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Are all tags current on electrical leads and power tool?
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Have all workers been inducted?
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Is all safety signage posted and visible?
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Are all workers using correct PPE and have they been given training in its use?
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Are all electrical leads elevated from ground?
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Have all mechanical lifting devices been inspected/serviced and are they fit for use?
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Has forklift been serviced to manufactures standard?
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Are toilets/change rooms in a clean hygienic state?
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Does all fire fighting equipment (extinguishers and hose) current tagged?
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does all machinery have guards attached to manufacturers standard?
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Have dust extractors clean and fit for use?<br>
General comments
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Insert any comments that may be relevant to audit
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Safety representative signature