Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

BRIEFING BY MANAGER

  • YTT FORMAT ?

  • HSSE FIRST IN THE AGENDA

TAKE 5

  • HAVE ALL OF THE WORK PARTY COMPLETED THE REQUIRED TRAINING AT CLARK?

  • HAS THE SUPERVISOR OR LEAD MAN DONE BOTH 2A AND 2B1 TRAINING?

  • TAKE 5 LED BY THE SUPERVISOR OR LEADMAN

  • TAKE 5 DISCUSSED PROPERLY

  • APPROVED JHA USED AS GUIDE

  • ALL SPECIFIC HAZARDS AT THE WORKPLACE IDENTIFIED DURING TAKE 5 DISCUSSION

  • SUPERVISOR CASCADED TO ALL MEMBERS THE LATEST HSSE ALERTS

  • HAS THE SUPERVISOR PHYSICALLY POINTED OUT HAZARDS WHERE THE TEAM IS GOING TO WORK? (MUST BE IN THE WORK LOCATION)

  • APPROVED AND VALID PERMIT AVAILABLE ONSITE

  • SUPERVISOR AWARE OF OTHER ACTIVITY IN THE AREA

  • Signature of person inspecting SPEX

  • Signature of person inspecting KEPPEL

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