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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Date
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M+W Coverage Personnel
- Gary Allain
- Jerry Akins
- Ron Bell
- Lisa Burniche
- Michael Braden
- Mitch Brown
- John Bryant
- Russell Cameron
- Scott Cashin
- Wendy DeNew
- Matthew Gac
- Gogi Gwardschaladse
- Art Hommel
- Dan Jeski
- Amelia Jezierski
- James Kehoe
- Donny Littlejohn
- Derek Maiellaro
- Nick Maryanopolis
- David McLaughlin
- Cody Messier
- Jarrod Mills
- Lee Ogle
- Robert Petri
- Ron Porter
- Dennis Robbins
- Terry Shupe
- Martin Tremblay
- Marc Turgeon
- Ryan Washburn
- Eric Williams
- Brian White
- Other
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Weather
Contractor 1
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Contractor
- NA
- AC Dellovade
- BBL
- Coghlin
- Collett
- DMC
- DSI
- FCS
- Gross
- ICON
- JAF JR
- KM Kelly
- Kleeberg-Tougher
- Kone
- Lotus
- M+W
- M&L
- Mid State Steel
- PCI
- P+H
- P&J
- RCC
- Stonhard
- TFS
- Whiting-Turner
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Start Time
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End Time
Crew 1
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
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Specific column location if applicable
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List any subcontractors
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Any safey issues observed? (if yes, describe including names, locations and times)
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Photos
Crew 2
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
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Specific column location if applicable
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List any subcontractors
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Any safey issues observed? (if yes, describe including names, locations and times)
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Photos
Crew 3
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
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Specific column location if applicable
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List any subcontractors
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Any safey issues observed? (if yes, describe including names, locations and times)
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Photos
Crew 4
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
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Specific column location if applicable
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List any subcontractors
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Any safey issues observed? (if yes, describe including names, locations and times)
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Photos
Contractor 2
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Contractor
- NA
- AC Dellovade
- BBL
- Coghlin
- Collett
- DMC
- DSI
- FCS
- Gross
- ICON
- JAF JR
- KM Kelly
- Kleeberg-Tougher
- Kone
- Lotus
- M+W
- M&L
- Mid State Steel
- PCI
- P+H
- P&J
- RCC
- Stonhard
- TFS
- Whiting-Turner
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Start Time
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End Time
Crew 1
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 2
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 3
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 4
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Description of Work
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Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Contractor 3
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Contractor
- NA
- AC Dellovade
- BBL
- Coghlin
- Collett
- DMC
- DSI
- FCS
- Gross
- ICON
- JAF JR
- KM Kelly
- Kleeberg-Tougher
- Kone
- Lotus
- M+W
- M&L
- Mid State Steel
- PCI
- P+H
- P&J
- RCC
- Stonhard
- TFS
- Whiting-Turner
-
Start Time
-
End Time
Crew 1
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 2
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Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 3
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 4
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Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Contractor 4
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Contractor
- NA
- AC Dellovade
- BBL
- Coghlin
- Collett
- DMC
- DSI
- FCS
- Gross
- ICON
- JAF JR
- KM Kelly
- Kleeberg-Tougher
- Kone
- Lotus
- M+W
- M&L
- Mid State Steel
- PCI
- P+H
- P&J
- RCC
- Stonhard
- TFS
- Whiting-Turner
-
Start Time
-
End Time
Crew 1
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 2
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Crew 3
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Contractor 5
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Contractor
- NA
- AC Dellovade
- BBL
- Coghlin
- Collett
- DMC
- DSI
- FCS
- Gross
- ICON
- JAF JR
- KM Kelly
- Kleeberg-Tougher
- Kone
- Lotus
- M+W
- M&L
- Mid State Steel
- PCI
- P+H
- P&J
- RCC
- Stonhard
- TFS
- Whiting-Turner
-
Start Time
-
End Time
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Contractor 6
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Start Time
-
End Time
-
Description of Work
-
Area of Work
- NFX Sub Fab
- NFX Fab
- NFX Interstitial
- NFX Fan Deck
- NFX Penthouse
- NFX RCTO
- NFX Roof
- NFX Exterior
- CUB L1
- CUB L2
- CUB Roof
- CUBX L1
- CUBX L2
- CUBX Roof
- NFN Roof
- NFC Roof
- CUB Exterior
- NFN Bump
- NFX Link
- Other
- Not Applicable
-
Specific column location if applicable
-
List any subcontractors
-
Any safey issues observed? (if yes, describe including names, locations and times)
-
Photos
Additional notes and observations
-
Additional comments (if yes, be specific)
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Prepared by: