Title Page
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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
Health and Safety Equipment
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Where items should be used select YES if compliant, select NO if not compliant. Select N/A if not required. If NO attach relevant photos and notes as evidence
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High-visibility Garment
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Safety Shoes
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Safety Helmet
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Fall arrest Equipment
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Palm-coated Gloves
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Protective Goggles
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Traffic Cones
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Electrically insulated Gloves
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Other Items
Item
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Enter item name
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Is item complaint?
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Remarks
Completion
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Add personnel signature
Name
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Site visit personnel
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H&S specialist signature