Information
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Audit Title
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Document No.
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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
ISSUE
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Enter date and time of this review.
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For any issues identified during this review, provide comments below the question, including any actions taken already.
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If a JSA was used in the Pre-task briefing, did it adequately cover all of the hazards and control measures?
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If a JSA was not used in the Pre-task briefing, did the Pre-task briefing checklist cover all of the hazards and control measures?
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If a JSA was not used in the Pre-task briefing, should a JSA be developed for this job?
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Was the task accomplished with expected results?
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Were there any unexpected occurrences during performance of the job?
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Are there recommended changes to the work that could have improved the safety or efficiency of the work, i.e. PPE, work environment, tools, materials, equipment, etc.?
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Was planning and scheduling optimized to reduce the potential for human error?
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Was material on hand and staged prior to beginning job.
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Did supervision provide the needed support and appropriate guidance when necessary?
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Did you notice any human factor issues, improper or missing labels, or any significant physical hindrances to the performance of the work?
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Did all workers have proper training needed or required to successfully and efficiently complete the the job?
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Was the work area clean and housekeeping adequate before work began?
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Is additional follow up required from this POST-JOB Review.<br>( if YES, then the Foreman/Supervisor/Lead Performer is responsible to provide this feedback to the responsible group for action. )
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Did all involved with the work understand their individual responsibilities?
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NEAR MISSES:
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INTERVENTIONS:
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LESSONS LEARNED:
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ATTENDEES:
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3/12/2013 Frank Deller