Title Page
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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
Project Information
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Project Title
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Job No.
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Project Manager
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Supervisor
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Date
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Audit Completed By
Site Inspection
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Workplace Safety Plan in place?
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All Personnel Inducted?
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Work Procedures in Place
- Trenching
- working from Height
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Weekly Safety Inspections Carried out?
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When was last safety inspection?
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Emergency Information displayed?
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Plant Daily Inspections Completed?
Subcontractors
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Complete for any subcontractors currently on site
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Subcontractor Name
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Evidence of own OH&S?
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Compliance with Streetworks OH&S?
Corrective Action
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Follow up Audit Required?
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Proposed Date
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Completed By