Information
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Document No.
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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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SWMS No ID & description?
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Does the SWMS have the required general information?
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Did the Safety representitive involve the entire crew when filling out the SWMS?
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Did the crew acknowledge that they understand the SWMS job steps, hazards, and mitigation steps prior to signing onto the SWMS?
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Does the SWMS identify all the required PPE to preform the job?
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Does the SWMS identify all the jobs steps?
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Does then SWMS identify all the hazards associated with the job steps?
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Does the SWMS identify all actions to mitigate each hazard listed?
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Is the SWMS filled out neatly?
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Is the SWMS specific to the job being performed?
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Are all personnel signed on the SWMS that are in the safe work permit?
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Copy of SWMS
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Signature of Auditor
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Signature of Auditee
