Information
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AUDIT TITLE
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SITE LOCATION WHERE AUDIT IS CONDUCTED
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AUDIT CONDUCTED ON
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AUDIT TEAM MEMBERS
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SITE MANAGEMENT MET DURING THE AUDIT
Forms
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AF1 on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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AF2 on file & displayed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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IR1's on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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IR3's on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Statutory inspection forms on file (AF3, AF4) & (GA1, GA2, GA3 or appropriate substitute).
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Safety Management Documents
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Safety Plan(PSCS only) on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Safety Plan current and signed appropriately
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Site specific safety statement available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Safety policies signed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Method Statements & Risk Assessment on file and communicated?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Site rules communicated?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Equipment Inspection
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Ladder inspection completed & records available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Electrical equipment inspection completed & register available.
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Harness inspection completed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Scaffold inspection completed? Scaffold handover cert available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Plant and Machinery checks completed? Pre-mobs provided if required?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Air receivers inspection completed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Training Matrix available & up to date?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Daily inspections completed (eg. MEWP/Plant/equipment)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Audits
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Weekly audits on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Housekeeping audits on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Audits signed off as complete?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Communication process in place for items raised?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Toolbox Talks
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Record of TBT's on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Sign in sheets maintained?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Issues arising closed out?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Subcontractors included in TBT's?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are TBT's regularly held?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Training
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Training needs identified?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Record of training available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Safe pass training documented?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Company induction training recorded?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Manual Handling training completed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Prescribed task specific training completed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Legally required training completed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Chemical Management
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SDS on file and available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Chemical risk assessments (REACH) on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Proper chemical storage facilities available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Storage facilities maintained?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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All containers labelled accordingly?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency procedures in place for incidents involving chemicals?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Fall Protection
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Harness log maintained?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Harness inspection completed and are the inspections completed regularly?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Appropriate Storage facilities available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Crane/Lifting Operation
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Lifting Appliance Certification Records available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Crane operators certification available including Fitness to Work?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Maintenance logs on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Lift plans available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Lifting equipment tagged and colour coded?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Colour code communicated appropriately?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Exclusion zones in place for lifting activities?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Trained Slinger/Signaller in use?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Appropriate method of communication provided?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Equipment stored appropriately when not in use?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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GA1, GA2 & 4 Yearly inspection Certs available where required? ( 4 yearly, 12 monthly, 6 monthly & daily)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks:
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Add media
Meetings
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Weekly supervisors meeting taking place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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HSE meeting held?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Safety rep involvement in safety meetings at appropriate intervals?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Meeting minutes distributed and filed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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SOC's/SCA's discussed at safety meeting?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Evidence on file of actions arising from meeting closed out?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Control of Sub-Contractors
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Up to date list of sub contractors available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Safety statements & Insurances on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Non conformance notices on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Pre qualification documentation on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Meetings held?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Emergency Planning
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Emergency plan in place and revised?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency contact numbers posted?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Office evacuation procedure in place and communicated?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Office fire precautions in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency access/egress signs posted?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency drills conducted and recorded?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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First aid facility in place and equipped?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Method of site evacuation alarm in place and tested?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Welfare facilities
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Eating facilities available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Drying rooms available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Toilets Provided?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
PPE
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PPE log available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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PPE appropriate to task witnessed during inspection?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Other-Miscellaneous
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Safety rep elected?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Safety rep trained?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
SECTION SUMMARY
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Remarks
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Add media
Sign Off
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Remarks
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Supplementary Photos
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Site Manager
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Inspection Auditor 1
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Inspection Auditor 2
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Time/Date
