Information
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Audit Title
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Site & Job Number
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Location
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Conducted on
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Inspectors
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Inspection items
Inspection Item
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Description
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Take Photo
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Draw
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Hazard Class
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Class A Hazard - A condition or practice likely to cause permanent disability, loss of life or body parts, and/or loss of structure equipment or material.
Class B Hazard - A condition or practice likely to cause serious injury or resulting in temporary disability or property damage that is disruptive, but not excessive.
Class C Hazard - A condition or practice likely to cause minor non-disabling injury or non-disruptive property damage.
Good/Standard - No action required -
Abatement Date (Correction Date)
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The item must be fixed by this date
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Abatement Completed
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Responsibility
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Comments /Notes
