Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Is JHA completed ?<br>

  • Is truck inspected ?

  • Drinking water

  • First aid kit

  • Is PPE worn properly ?

  • Walking / Working surfaces safe

  • Ladders / Scaffolds

  • Fall protection

  • Harness and lanyard work properly

  • Electrical Tools / Electrical cords properly used

  • Fire extinguisher accessible and inspected

  • Equipment inspected

  • Excavation properly slope, bench and inspected

  • Traffic control

  • Additional observations

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