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
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List of Emergency Numbers Posted
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First Aid Kit & Instructions Available
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Job Personnel Informed of Accident Proceedures
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Someone the Job Trained in First Aid & CPR
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Housekeeping
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Aides & Stairs Clear of Obsticales
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Aisles and Stairs Adequately Lighted
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Work Area Generally Clean
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Holes, Stairwells, Openings, ect. Barricaded
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Material Stored Safely
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Fire Prevention Equipment Available
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Waste Container of Adequate Size
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Electrical Equipment
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Tools Properly Grounded or Double Insulated
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Cords in Good Condition (No Taped Splices)
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Plugs and Receptacles in Good Condition
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Tools Operating Properly
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Tools Inspected &Tested Before Use
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Chemicals, Acids, Gases, ect. Safely Stored
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Mechanical Equipment Checked & Good Working Order
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Ladders Checked & in Good Condition & Properly Used
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Scaffolds Checked & in Good Condition & Properly Grounded
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Rubbish Disposed of Properly
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Safety Signs Posted Where Needed
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Personnel Forbidden to Ride Material Hoist
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PPE (Glasses, Hardhats, Gloves, Boots, ect.)
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Personal Tools Checked Regularly & in Good Condition
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Additional Checks Pertinent to the Job
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Fire Extinguishers Properly Tagged & Inspected
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Inspection Comments:
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Super/Foreman
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Inspector
