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
Health, Safety & Environmental Conversations
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What are the top 3 to 5 concerns you have regarding health safety and the environment
Concern
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What is the concern
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Noise . Hazardous manual tasks. Confined space.Falls. High risk work(eg cranes/boom lifts) . Electrical . Diving . Mobile plant . Pressure equipment . Lifts . Asbestos disturbance. Refrigerant/ fuels/ chemicals . Hazardous chemicals . Airside . Inmates . Vehicles . Weather conditions . Fatigue . Working alone .
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Take photo if necessary
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What have we put in place to eliminate the risk ?
Control (Note Where In The Hierarchy Of Controls)
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Do we need to do this at all - is there a better way of doing this? Hierarchy of Control: Eliminate - Substitute - Isolate - Engineering control - Administrative control - PPE
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Add media
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Are these the top risks for the site?
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Are any of our subcontractors on site?
Observe Subcontractor - Are They Working Safely?
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Add media
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What positve safety, health and environmental aspects did you see?
Positive HSE Aspect
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Add media
