Information
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Document No.
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Which Trane Office is Tech Associated with
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Conducted on Equipment that Belongs to
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Conducted on
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Prepared by (your name)
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I The undersigned under OSHA 1926.23 f meet the basic definition of a competent person. I certify that I conducted this audit as noted and that I have taken prompt corrective measures to eliminate any hazard if present.
Ladders and Scaffolds
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Are any defects notes on this Ladder or Schffold
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Describe issue and action taken to eliminate the hazard
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Scan Barcode if present if not take photo of device
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If bar code is not present take photo of equipment
Add additional units
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Are any defects notes on this Ladder or Schffold
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Describe issue and action taken to eliminate the hazard
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Scan Barcode if present if not take photo of device
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If bar code is not present take photo of equipment
Lockout / Tagout Equipment
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I have all necessary lockout and tagout devise necessary to preform my work safely
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Describe issue and action taken to eliminate the hazard
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Scan Barcode if present if not take photo of device
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If bar code is not present take photo of equipment
Arc Flash Equipment
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I have all necessary Arch Flash Equipment necessary to preform my work safely and it is currently in good condition.
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Describe issue and action taken to eliminate the hazard
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If bar code is not present take photo of equipment
Fall Protection Equipment
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I have all necessary Fall Protection Equipment necessary to preform my work safely and it is currently in good condition.
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Describe issue and action taken to eliminate the hazard
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If bar code is not present take photo of equipment
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During my inspection of my fall protection equipment there were defects
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Describe issue and action taken to eliminate the hazard
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If bar code is not present take photo of equipment
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Describe issue and action taken to eliminate the hazard
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If bar code is not present take photo of equipment
First Aid Kit
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I have a first aid kit and is is equipped with all the necessary basic first aid item, Such as band-aids, sterile wipes, tape and others item.
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Describe issue and action taken to eliminate the hazard
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Scan Barcode if present if not take photo of device
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If bar code is not present take photo of equipment