Title Page
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Project Name:
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Project Number:
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Prepared by:
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Conducted on:
Zero Incident
COVID Requirements
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Face Coverings and Screening Per Owner Requirements
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Trailers/Break Areas Clean
Weekly Safety Audit
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Being Completed
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Date of Last Audit
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Completed By
Daily Pre-Task Planning
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Being Completed
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Completed By
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Reviewed With Crew
Safety Lead
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Safety Lead Assigned
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Safety Lead Participate in Audit
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Audit Reviewed With Safety Lead
Stretching
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Stretching Completed Daily
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Safety Observation (click "add safety observation" to start)
Safety Observation
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Description
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Risk Level
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Location
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Contractor
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Individual(s)
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Corrective Action (a follow up reminder can be added by clicking the 3 dots to the right)
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Photos
Additional Notes and Signature
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Additional Notes:
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Audit Reviewed with Superintendent
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Completed by:
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Superintendent / Foreman: