Information
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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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Worker in charge: i certify that the above control measures have been implemented and the site is safe.
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Add signature
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Select date
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Employees in attendance.
Person
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Add signature
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Select date
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Is the job safe to proceed?
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High risk - approval MUST be obtained from the QTP before proceeding.
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Medium risk - approval must be given from electrical worker in charge.
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Implement agreed risk management controls before proceeding.
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Hierarchy of control 1. Eliminate -> 2. Substitute -> 3. Isolate -> 4. Redesign -> 5. Administrative -> 6.PPE