Title Page
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Conducted on
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Client/Site
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Created By
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Prepared by
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Location
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Job Task
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Personnel
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Is JSA complete and properly filled out?
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Is permit filled out correctly?
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EAP established?
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Sim- ops completed while supporting company?
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Wheel Chocks, Cones and Meet & Greet sign out and visible?
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Grounding/ Bonding properly done?
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All P.P.E worn?
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Fire Extinguisher inspected?
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First Aid Kit inspected?
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Are any contents missing in the First Aid Kit?
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LOTO complete?
Vacuum Truck Audit
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Fitting on trailer in good condition?
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Tires/ Rims in good condition?
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Inside of cab clean and in good condition?
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Audited
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Auditor