Information
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Audit Title
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Document No.
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Prepared by
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Date
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Location
Act Observed
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Task
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Section
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Time
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Department
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Job No
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Is your take 5 done today?<br>
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Correct Isolation and Tagging?
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Correct PPE being worn for task at hand?
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Is the house keeping acceptable?
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Has a hot work permit been done.
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Has a confined spaces risk assessment been done?
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Working at heights?
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Other Observations
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Photos of site
Observers should acknowledge employee being observed and encourage their involvement by adding comments.
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Employee name
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Employee job title
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Employee comments
