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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1. Safety Glasses, Proper Boots and Hard Hat Required
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2. Work Gloves Required
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3. Rough Terrain
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4. Overhead Loads
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5. Steep Terrain
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6. Hot Work
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7. Dangerous Weather (Extreme Heat or Cold/Inclement Weather)
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8. Ditches Sloped Correctly
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9. Slips, Trips, and Falls
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10. All Guards Properly In Place On Tools
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11. Fire Protection Needs
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12. Pinch Points
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13. Rigging Equipment Defective
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14. Working Near Water
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15. Heavy Equipment
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16. Fall Protection Needed
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17. Any Hazardous Materials on the Job Site
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18. Any Other Potential Hazards?
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19. Emergency Action Plan Reviewed
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Comments or Corrections.
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