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
Fall Prevention
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Controls in place to prevent persons falling one level to another
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Perimeter protection checked to ensure adequate to prevent falls
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Access systems in place, inspected and approved for use
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Temporary structures have been designed by competent person and signed off as meeting standard
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All penetrations are protected, clearly identified and covers fixed down
Logistics
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Public protection controls in place
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Controls in place on site to separate people and plant
PLANT AND EQUIPMENT
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Plant is in good order and well maintained
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Plant / equipment operated safely and in accordance with manufacturer's instructions and site rules
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Operators are competent and certified
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Plant logbooks in place and maintained
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Plant and people separation controls are in place and adequate