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
Fatigue Mangement
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Is everyone well rested?
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Ensure corrective actions are in place to Manage
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What are the corrective actions?
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Is anyone traveling home today (outside of fatigue hours ?)
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Please fill out fatigue management document
Incidents and Hazards
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How do you rate yesterday's shift
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Please give details and corrective actions
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Was there an incident in the previous 24hrs?
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Brief outline incident
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Is a Toolbox required for this Incident ?
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Please complete toolbox and attach
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Are there any hazards to report
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There are always hazards , please re ask question
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What are the hazards and the Controls
Work to be performed today
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What is the work to be performed
Any other issues (open forum)
Sign to confirm you understand and agree with Pre start
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Harry Mullett
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Dannel Smith
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Graham Hill
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David May
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Peter Hyde
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Andrew Stephens
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Philippe St-cyr
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Mark fox
Supervisor sign off
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Add signature