Title Page
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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
Site access
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Adequate stairs
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Clean level ground?
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Adequate ramps
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Adequate ladders
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Fire protection
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Inspected
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Extinguishers where required
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Fully charged
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Visible
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Personal protective equipement
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Fall protection
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Head protection
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Hearing protection
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Skin protection
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Eye and face protection
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Respiratory protection
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Guardrails and barricades
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Located where required?
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Properly constructed
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Adequately secured
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Ladders
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Proper angle
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Secured top and bottom
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Proper size and type
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Good condition
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Workers following best practices
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Public pathway
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Minimum height and width requirements
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Good location
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Covered where required
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Railing on street side
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Lighting
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Housekeeping
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Clean work areas
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Clear walkways
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Fall protection
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Properly worn
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Approved fall equipement
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Inspected prior to use
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Control zone
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Guardrails
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Fall plan
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Fall training
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Scaffold
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Properly planked
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Properly imstalled
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Properly secured
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Toe boards
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Acceptable loading
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Guardrails
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Access and egress
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Inspected with tag in place
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Power tools
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Cords good condition
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Good condition
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Guards in place
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Electrical safety
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Aerial lines tagged and secured
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LOTO
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GFI being used
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Locates conducted
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Gas cylinders
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Caps on and gauges off when stored
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Secured properly
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Properly hooked upworker education
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Properly moved or lifted
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Properly secured
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Properly located
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Workers requirements
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Right to refuse
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Responsible to report
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Hazard identification
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WHMIS training
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Injury reporting
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First aid
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First aid kit
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First aid personnel
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First aid room
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Cranes and Hoists
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Safe set up
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Maintenance log available
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Trained operator
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Condition of rigging
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Safety catches on all hooks
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Proper use of tag lines
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Trained rigger
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No one under loads
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Communications
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Traffic control
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Properly located
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Appropriate delimitation and sinage
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High visibility
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Traffic plan
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Trained traffic controllers
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Welding
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Rods and cylinders labeled properly
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MSDS available
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Properly secured ground cables
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Proper eye protection
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Proper exhaust system
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Proper screening
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Cylinders secure
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Fire extinguishers available
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Hot work permit
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Elevated work platform
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Worker training
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Proper use
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Inspected prior to use
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Acceptable loading
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Manufactures operating manual
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Fall protection used
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Fall protection plan
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Fall protection training
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Electricity
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Locates for buried survices
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Overhead services flagged and guarded
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Limits of approach
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LOTO
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Worker training
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Signs and control zones
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Signs and print material
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Regukations
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Safety posters
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SDS
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Warning signs
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Emergency phone list
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Material storage
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Properly located
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Safely piled,stacked,bundled
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Properly moved or lifted
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Properly labeled
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Trenching and excavations
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Properly sloped
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Soil placed properly
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Proper shoring
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Access egress
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Material stored above trench
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Confined space
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Proper access
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Air tested prior to entry
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Rescue equipement
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Safety harness, lifeline properly anchored and used
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Safety wach
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Ongoing monitoring
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Enters permit
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Control zone
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Confined space training
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Scaffod
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Competent worker installation
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Fall protection
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Sills properly imstalled
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Screw jacks being used
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Base plates and screw jacks connected to the frame and in contact with the sills
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Scaffold level and plum
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Scaffold leg braced
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Guardrails in place
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All clamps secure
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Scaffold secured
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Control zone
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Planks 12" minimum overlap and extend beyond 6"
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Toe boards
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Access and egress
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Scaffold Inspection. Tag in place
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Engineers drawings
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Mobile equipement
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Pre trip inspection
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Workers wearing high visibility
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Control zones
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Certified operator
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Add signature
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Add signature
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