Information
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Safety Report (Insert Project Name)
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Audit Conducted On:
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Job Site Location / Address
Audit Information
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Company
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General Job Site Safety Audit Comments
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Foreman/Field Supervisor Name
Access
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Type of Roof Access
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Roof System
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New Construction or Reroof
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Access Comments
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Access Pictures
Fall Protection
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Warning Line System 6ft From Fall Hazard
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Harness Inspection
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Skylight Protection
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Fall Protection Comments
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Fall Protection Pictures
Ladder Safety
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Top & Bottom Properly Secured
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Properly Set At 3ft Above Roof Surface
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Top & Bottom of Ladder Clear Of Trip Hazards
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Ladder Number(s):
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Ladder Inspection
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Ladder Comments
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Ladder Pictures
PPE
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All Required Proper Personal Protective Equipment Used
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High Visibility Vests Worn
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PPE Comments
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PPE Pictures
Electrical Safety
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Ground Fault Circuit Interruptor Used
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Power Line Protection
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Power Tools Inspected And Compliant
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Safety Guards on Power Tools
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Extension Cords Inspection
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Electrical Comments
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Electrical Pictures
Fire Safety
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Kettle Area Sectioned Off Properly
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Liquid Propane Tanks Secured Upright
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Metal Gas Cans with Flash Guard
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Fire Extinguisher Must Be Near Work Area, Properly Tagged & Charged, with Pin
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Fire Safety Comments
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Fire Safety Pictures
Miscellaneous
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Eye Wash Bottle & First Aid Kit Available
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Knowledge Of How/Where To Access Safety Data Sheets On Masterkey
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Job Sit Organized / Housekeeping
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Miscellaneous Safety Comments
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Miscellaneous Pictures
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Report Reviewed With Foreman On Site
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Foreman Signature
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Preparer Signature
