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
Injuries YTD
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Lost Work Cases (LWC)
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Total Restricted Cases (RWC)
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Minor
Strengths
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1
-
2
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3
Gaps / Weakness (specifically safety observations / incident invest)
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1
-
2
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3