Information
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Audit Title/Client/Date (reverse order)
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Prepared by
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Location
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Personnel
EVALUATION
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Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?
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Do all persons appear to understand the requirements of the JSEA & have signed off?
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Was hot work performed in an area where any of the following conditions were present:
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Working Within 10 metres of any battery on charge? (batteries on charge produce explosive hydrogen gas)
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Above or within 15 metres of any exposed or unprotected combustable material?
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In or within 15 metres of any fuel store or refueling station?
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Within 15 metres or directly above a vessel which carries or may have carried diesel oil or other petroleum products?
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Within 15 metres or directly above any area from which spillage of petroleum products may have accumulated?
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Are fire resistant blankets being used cover exposed combustible material?
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Is fire fighting equipment within 9 metres of the task?
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Are exclusion zones implemented & adjacent workers & others in close proximity warned of the risks by signposting?
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Is appropriate PPE available & being worn? (where applicable)
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Fire resistant & insulating gloves, safety footwear, aprons & head covering
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Correct class of particulate filter
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Correct filters for eye protection
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Are fire spotters assigned for up to 30 minutes after the hot work is completed?
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Are there any other risks or issues associated with the activities observed?
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If yes, provide details
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Location of Observation
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COMMENTS & RECOMMENDATIONS
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Comments & recommendations to be actioned by
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Signature of observer