Information
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Audit Title
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Document No.
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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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1. What is the injured associate’s name?
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2. What happened (as much detail as possible to avoid follow up questions)?
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Add media
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Add media
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3. Who called in the injury?
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4. Was professional medical attention required, and if so, when do we expect the injured associate to return to work?
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5. What was the root cause?
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6. What is the suggested corrective action?
