Title Page
-
Audit Title
-
Client / Site
-
Prepared by
-
Conducted on
-
Location
-
Weather Conditions
-
PPE requirement on site
-
Location of Muster Point
-
Are you working alone?
-
If working alone, carry cell phone on person and check in frequently with supervisor. Check out at the end of the day with them to ensure they know you have left the site for the day.
-
Task
-
Hazard
-
Plans to eliminate or control
-
Task
-
Hazard
-
Plans to eliminate or control
-
Task
-
Hazard
-
Plans to eliminate or control
-
Task
-
Hazard
-
Plans to eliminate or control
-
Has anything changed on site? If so, what!
-
What time did the condition change?
-
Plans to eliminate or control
-
Has anything changed on site? If so, what!
-
What time did the condition change?
-
Plans to eliminate or control
-
Has anything changed on site? If so, what!
-
What time did the condition change?
-
Plans to eliminate or control
-
Worker#1
-
Worker#2
-
Worker#3
-
Worker#4
-
Worker#5
-
Worker#6
-
Worker#7
-
Worker#8
-
Worker#9
-
Worker#10