Title Page
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WEEK N°:
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Date:
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Prepared by
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Client / Site:
SOR1
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
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Date:
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Location:
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Sub-contractor:
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Supervisor:
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WPS:
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Status:
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Findings:
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Actions:
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Illustration
SOR2
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
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Date:
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Location:
-
Sub-contractor:
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Supervisor:
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WPS:
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Status:
-
Findings:
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Actions:
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Illustration
SOR3
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
-
Date:
-
Location:
-
Sub-contractor:
-
Supervisor:
-
WPS:
-
Status:
-
Findings:
-
Actions:
-
Illustration
SOR4
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
-
Date:
-
Location:
-
Sub-contractor:
-
Supervisor:
-
WPS:
-
Status:
-
Findings:
-
Actions:
-
Illustration
SOR5
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
-
Date:
-
Location:
-
Sub-contractor:
-
Supervisor:
-
WPS:
-
Status:
-
Findings:
-
Actions:
-
Illustration
SOR6
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
-
Date:
-
Location:
-
Sub-contractor:
-
Supervisor:
-
WPS:
-
Status:
-
Findings:
-
Actions:
-
Illustration
SOR7
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Risk
- Work at elevation: Risk of falling and falling objects
- Lifting Operations
- Electrical Work: Including distribution/temporary services
- Other: List other observations not covered previously
- Chemicals or substances
- Energy Sources: This is not limited to Lock out Tag out
- Confined Spaces
- Excavations: status trenching
- Mobile Equipment
- Driving
-
Date:
-
Location:
-
Sub-contractor:
-
Supervisor:
-
WPS:
-
Status:
-
Findings:
-
Actions:
-
Illustration
