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Scan this QR code to use this paper checklist on your smartphone or tablet. Visit www.iauditor.com
Is your take 5 done today?
Correct Isolation and Tagging?
Correct PPE being worn for task at hand?
Is the house keeping acceptable?
Has a hot work permit been done.
Has a confined spaces risk assessment been done?
Working at heights?
Photos of site
Observers should acknowledge employee being observed and encourage their involvement by adding comments.
Employee job title
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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