Title Page
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Doc No
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Company / Site
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Inspector
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Date & Time
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Location
- Onsite Inspection assessment
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Identified a hazard? Click "add"
- Working at Heights
- General Work Environment
- Personal Protective Equipment
- Walkways
- Electrical
- Stairs and Stairways
- Hand Tools & Equipment
- Power Operated Tools & Equipment
- LOTO Procedures
- Crane/ Forklift
- Other
- Tower Crane
- Fire exinguishers
- First aid
- MOE
- Ladders
- Scaffold
- Mobile scaffold
- Lighting on side/ inside/outside
- Ground openings
- Lifting equipment
- Machinery certification
- Compressed gas cylinders
- Machinery safety
- Chemicals safety
- Sharp Edges
- Perimeter wall/ fence
- Safety Signs
- Airborne Dust
- Noise /Vabriation
Rate Risk level
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Risk Residual
Completion
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Additional recommendation
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Inspector's Full Name & Signature