Title Page
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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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Is the site housekeeping satisfactory?
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Has a step back 5 by 5 been completed?
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Is correct PPE being worn for this job?
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Are vehicles parked safely?
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Are staff operating in a safe manner?
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Risk and Hazard management
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Are the staff onsite knowledgeable about the health and safety aspect of the job?
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What are the current hazards and risks of your job?
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What things/actions do you use to control these risks/hazards?
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How do you encourage safety in your workplace?
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What is your emergency plan if something goes wrong?
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Comments/Observations
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Signature of Auditor