Title Page
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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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Is JHA completed ?<br>
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Is truck inspected ?
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Drinking water
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First aid kit
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Is PPE worn properly ?
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Walking / Working surfaces safe
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Ladders / Scaffolds
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Fall protection
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Harness and lanyard work properly
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Electrical Tools / Electrical cords properly used
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Fire extinguisher accessible and inspected
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Equipment inspected
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Excavation properly slope, bench and inspected
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Traffic control
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Additional observations