PUWER Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PUWER Weekly Check Sheet

• Electric Tec-Gun Inspected

  Yes

  No

  N/A

• Large Podium Inspected

  Yes

  No

  N/A

• Small One Man Podium Inspected

  Yes

  No

  N/A

• 110v Small Breaker Inspected

  Yes

  No

  N/A

• 110v Large Breaker Inspected

  Yes

  No

  N/A

• 110v Electric Bench Saw Inspected

  Yes

  No

  N/A

• Petrol Bench Saw inspected

  Yes

  No

  N/A

• Hammer Drill Inspected

  Yes

  No

  N/A

• Petrol Cut-Off Saw Inspected

  Yes

  No

  N/A

• Petrol Mixer Inspected

  Yes

  No

  N/A

• Electric Mixer Inspected

  Yes

  No

  N/A

• Block Splitter Inspected

  Yes

  No

  N/A

• 110V Lead Inspected

  Yes

  No

  N/A

• Site Manager

  Sign