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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Personnel
Vehicle Information
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Driller
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Helper(s)
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Contractor & Unit #
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Make/Model
Safety Equipment
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Fire Extinguisher
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First Aid Kit (type)
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Identified Emergency Kill Switch
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Escape Hatch
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Seat Belts (2" AB, 3" BC)
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Two Way Radio
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GPS
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TDG Placard
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WHMIS Labels
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Dynamite kept away from Exhaust?
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Powder Cap and Magazines kept safe?
Mechanical
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Exhaust (leaks/condition)
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Fluid Leaks
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Brakes
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Parking Brake
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Drill Control Condition
Lights/Electrical
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Headlights
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Brake Lights
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Back-up Lights and Signal
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Beacon
Visibility
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Mirrors
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Windshield (cracks/chips)
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Side Screen or Glass
Winches
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Winch Condition
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Winch Cable (frays/kinks)
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Cable Clamps
Miscellaneous
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Outside Appearance
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Engine Cleanliness
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Wheel/Track Condition
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No Loose Items in Cab
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Housekeeping
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Tow Hooks
Driller PPE
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Hard Hat
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High Visibility Vest/Clothing
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Safety Boots
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Hearing Protection
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Eye Protection
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Gloves
Helper PPE
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Hard Hat
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High Visibility Vest/Clothing
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Safety Boots
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Hearing Protection
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Eye Protection
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Gloves
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Notes
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Items Needing Repair
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Auditor