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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Personnel
Previous Inspection Report
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Has the previous report been reviewed
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Have all impairments been actioned
Access / Egress
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Access openings are greater than 450mm x 450mm
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Ground access available
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Fall protection in place
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Select protection type
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Unauthorised access prevented
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Suitable attachments for harness/anchor points are in place
Electrical
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Switch panel placed in safe position
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Isolation components have been fitted to electric powered equipment
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List equipment without isolation components
Equipment
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Location
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Can augers or tubulators operate at safe distance from overhead power lines
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List equipment at risk
Equipment
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Describe location
Signage
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Confined space
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Authorised personnel only
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Harness required
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Lower auger to move
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Are signs clear, unweathered and visible
Structure
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Product level indicating devices are installed and functional
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Can lids and covers be operated from ground level or from guarded platforms
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Ladders structurally sound, unweathered, sturdy and comfortable to use
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Non access openings above maximum fill point are smaller than 150mm
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Non access openings below maximum fill point have measures to prevent accidental release
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Adequate space under silo for hopper and other equipment
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Any structural damage to support struts eg from collisions
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Is there evidence of corrosion or cracks to bolts and welds
Other
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Emergency procedures in place
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PPE available
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Loading / Unloading apron level and all weather surface
Action Register
Action Register
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List Impairments
Impairment
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Describe Impairment
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Select Priority Level
- Immediate
- Scheduled
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Action required
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Who is responsible
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Date for action to be completed
Audit Sign Off
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Auditor Signature
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Local Manager Signature