Information
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Document No.
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Audit Title
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Location
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Conducted on
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PUB Term Contractor
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Inspected by
Section A Documentation Review Score: 0 - Non-Compliant 1 - Compliant
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Safety Policy
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Follow-Up/Remark
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Safe Work Procedures
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Follow-Up/Remark
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Training, awareness and communication
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Follow-Up/Remark
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Group Meetings
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Follow-Up/Remark
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Incident Investigation and Analysis
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Follow-Up/Remark
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In-House Safety Rule
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Add media
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Follow-Up/Remark
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Safety Promotion
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Follow-Up/Remark
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Add media
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System for Evaluation, Selection and Control of Contractors
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Follow-Up/Remark
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Safety Inspection
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Follow-Up/Remark
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Maintenance Regime
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Follow-Up/Remark
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Risk Assessment
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Follow-Up/Remark
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Control of Movement and Use of Hazardous Chemical
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Follow-Up/Remark
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Occupational Health Programme
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Follow-Up/Remark
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Emergency Preparedness
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Follow-Up/Remark
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Environmental Control Management
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Follow-Up/Remark
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Section B Preventive Actions Against Different Types of Hazard Score 0 - Unacceptable 1 - Unsatisfactory (follow-up) required 2 - Satisfactory but there is room for improvement 3 - Satisfactory
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Physical Hazard
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Follow-Up/Remark
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Mechanical Hazard
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Follow-Up/Remark
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Chemical Hazard
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Follow-Up/Remark
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Electrical Hazard
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Follow-Up/Remark
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Fire/Explosion
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Follow-Up/Remark
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Section C Other Observations Score 0 - Unacceptable 1 - Unsatisfactory (follow-up) required 2 - Satisfactory but there is room for improvement 3 - Satisfactory
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Compliant with PUB requirements and Contract Specifications on safety
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Follow-Up/Remark
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Housekeeping
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Follow-Up/Remark
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Customer Relations and Management
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Follow-Up/Remark
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Traffic Management Plan
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Follow-Up/Remark
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