Title Page
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Document No.
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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
Safety Committee Eligibility Review
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Is the workplace safety committee within the state of PA?
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Has the safety committee been in existence for 12 consecutive full months?
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Does the committee represent all primary operations?
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Is the safety committee composed of a minimum 2 employee representatives and 2 employer representatives? It is okay to have more employee representatives on the committee.