HSEC-FOR-4.5.5 - Internal Audit - Surface HSEC InspectionInspector

• Internal Audit

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• Document No.

• Client / Site:

• Location - Job#
  Address

• Division:

• Supervisor:

• Drill # and type/model:

• Inspector:

• Conducted on

  Date

• Personnel wearing approved hard hats?

  Yes

  No

  N/A

• Personnel wearing approved safety glasses?

  Yes

  No

  N/A

• Personnel wearing approved hearing protection?

  Yes

  No

  N/A

• Personnel wearing approved foot protection?

  Yes

  No

  N/A

• Personnel wearing approved and clean snug fit clothing?

  Yes

  No

  N/A

• Personnel - Minimum Training and Induction completed?

  Yes

  No

  N/A

• Is the main rotation guard properly installed?

  Yes

  No

  N/A

• Is the main winch drum guard properly isntalled?

  Yes

  No

  N/A

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  Yes

  No

  N/A