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
SMI WEEKLY SAFETY INSPECTION
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JOB NAME | JOB #
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LOCATION
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DATE
ADMINISTRATION
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IIPP/SDS
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PERMITS
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FIRST AID KITS
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FIRE EXTINGUISHERS
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TAILGATE METTINGS
PERSONAL PROTECTION
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EYE, HEAD, FACE, EAR, HAND, FOOT, CLOTHES
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SAFETY HARNESS/LANYARDS
HOUSEKEEPING
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SLIP/TRIP HAZARDS
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DEBRIS REMOVAL
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MATERIAL STORAGE
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CONTAINERS LABELED
FALL PROTECTION
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FLOOR/ROOF OPENINGS
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TOEBOARDS
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RAILINGS
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ACCESS ZONES
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IMPALEMENT HAZARDS
EQUIPMENT
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SCAFFOLDING
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MATERIAL LIFTS
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HAND TOOLS
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LADDERS (SECURED/PROPER HEIGHT)
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AERIAL LIFTS
ELECTRICAL
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POWER CORDS
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GFCIs
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GENERATORS
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HIGH VOLTAGE IDENTIFIED
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PANELS/BOXES COVERED
POWER TOOLS
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CONDITION
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GUARDS/SHIELDS
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SWITCHES
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ELECTRIC CORDS
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PROPER USAGE/TRAINING
WELDING
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CYLINDERS
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CABLES, CLAMPS, HOSES, TORCHES, GUAGES
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REGULATORS/CHECK VALVES
VEHICLES
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FORKLIFTS, GRADALLS, ZOOM BOOMS, SCISSOR LIFTS, SKID STEERS, AUTOMOBILES, CARTS
EXCAVATION
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BARRICADES
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ACCESS/EGRESS (WITHIN 25')
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SHORING
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INSPECTIONS
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WALKWAYS/BRIDGES
CONFINED SPACE
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PERMIT POSTED
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LOCATION IDENTIFIED
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CONTROLLED ACCESS
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ENVIRONMENTAL TESTING
ADDITIONAL COMMENTS
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COMMENTS:
CERTIFY
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JOBSITE SUPERVISOR
