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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Subcontractors present
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Housekeeping & Sanitation
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Personal Protective Equipment
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Fire Protection & Flammable Liquids/Materials
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Respiratory Protection
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Signs, Signals & Barricades
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Walking & Working Surfaces/Slips/ Trips/Falls
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Materials Handling, Storage, & Disposal
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Hand, Power & Powder Actuated Tools
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Welding, Cutting, Grinding, & Burning
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Electrical & Ground Fault Circuit Interrupters (GFCI)
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Control of Hazardous Energy (Lockout/Tagout)
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Scaffolding, Aerial, Scissor & Boom Lifts
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Ladders, Stairways, & Ramps
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Fall Protection & Prevention
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Cranes, Derricks & Hoists / Rigging
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Motor Vehicles / Seat Belts
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Heavy Equipment & Mechanized Equipment
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Excavations, Trenching & Shoring
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Confined Space Entry
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Concrete & Masonry Construction
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Steel Erection & Decking
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Underground Construction/Tunneling
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Demolition
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Floor & Wall Openings
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Traffic Controls & Flagging, High Visibility PPE
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Hazard Communication/Toxic/Hazardous Substances
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Other
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Other
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Other
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Other
Confirmation
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General / Additional Comments:
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Inspectors Signature:
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Superintendent / Foreman Signature:
