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
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Pre Vail Wage
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Normal Work Hours
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Job Trailer On-site
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Storage Box
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Special PPE
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Hi-Viz Clothing Required
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Provide Temp Lighting
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Provide Temp Power
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Excavation Trences
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Are Trenches Greater than 4ft.
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Demolition/Renovation
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Fall Protection
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Roof Work/Leading Edges
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Hazard Communication
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SDS Chemicals On-site
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Will Power Shut Down be Needed
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Will Ladders be Used
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Will Ladders Need To Be 10ft or Less
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Will Extension Ladders Be Needed
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Will Scaffold Stair Towers Be Needed
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Will Scissor Lifts Be Needed. If yes, will they need to be gas, electric or both.
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Will Boom Lifts Be Needed
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Will Respiratory ProtectionBe Needed
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Confined Space
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Attics, Crawl Spaces, Vaults, etc.
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Is Smoking Permitted
