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
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Are there any hazards from HV Electricity that require additional control measures?
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Is the area clear of hazards from Slips, Trips or Falls on the same level?
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Is the area clear of hazards from Falls from Height?
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Is the area clear from hazards from Falling/Flying objects?
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Is the area free from hazards from Chemicals/Harmful Substances?
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Is the area free from hazards from Heat/Fire/Explosion?
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Is the area free from hazards from Asphyxiation/Drowning?
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Is the area free from hazards from contact with moving parts?
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Is the area free from hazards from Objects overturning/collapsing?
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Is the area free from hazards from Manual Handling?
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Is the area free from hazards from vehicles?
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Is the area free from hazards from the work of others?
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Is the area free from hazards from entry into confined spaces?
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Is the area free from hazards from Dust?
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Is the area free from hazards from Fumes?
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Is the area free from hazards from Noise?
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Is the area free from hazards from Vibration?
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Is the area free from hazards from Electricity?
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Is the area free from hazards from Radiation?
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Is the area free from hazards from poor Lighting?
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Is the area free from hazards from Temperature (high or low)?
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Are there any hazards from Lone Working?
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Are there any hazards from adverse weather?