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
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X=Not applicable
0=Non compliance
1=insufficient
2=acceptable
3=excellent -
All workers are wearing proper safety glasses.
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Workers generating particle debris are wearing appropriate PPE.
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Workers understand company policy on eye irritation.
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Workers are protected from arc burn.
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Workers are wearing proper footwear.
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Workers are correctly using proper head protection.
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Workers are wearing appropriate clothing.
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Workers are wearing appropriate hand protection.
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Workers are wearing proper hearing protection.
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Workers involved in specific activity are correctly using appropriate respirators.
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Workers understands the right to know policy.
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Full body harness and lanyard worn properly.
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Lanyard tied off to proper anchor point able to withstand 5000 lbs.
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Special situation PPE is available in location needed.
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