Information
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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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County Road Commission:
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How Many Facilities:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
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How Many Employees:
- 1 To 25
- 25 To 50
- 50 To 100
- 100 To 150
- 150 To 200
- 200 To 250
- 250 To 300
- 300 To 350
- 350 To 400
- 400 To 500+
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Seasonal Workers:
- YES
- NO
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Asphalt Plant:
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Crushing/Screening Operation:
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Confined Space:
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Overhead Crane:
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SeFac Post Type Equipment Lift:
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Paint Booth:
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Safety Policy/Programs:
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Safety Committee:
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Safety Committee Meeting Frequency:
-
Types Of Excavation Equipment:
- Front End Loader
- Grader
- Gradall
- Shoulder Mantainer
- Auger Truck
- Skid Steer
- Backhoe
- Excavator
- Dozer
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Bucket Truck:
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Bucket Truck Height:
- 15 Feet
- 25 Feet
- 30 Feet
- 40 Feet
- 50 Feet
- 65 Feet Plus
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ForkLifts:
- Construction Type
- Regular Type
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Types Of Miscellaneous Equipment:
- Chipper
- Broom
- Man Lift
- Vactor Truck
- Tandem Dump Truck
- Semi Truck
- Low Boy Trailer
- Post Pounder
- Atenuator Truck
- Asphallt Roller
- Air Compressor
- Tire Changing Equipment/Truck
- Wrecker Truck
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Loading Dock:
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Location Drawing:
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Location Picture
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Note's
