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
Scaffolds
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Scaffold Type:
Scaffolding/Tower/Podium
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Type & Reference Number:
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Location:
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Date & time of inspection:
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Details:
Excavations
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Excavation Type:
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Excavation Type:
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Location:
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Date & time of inspection:
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Details:
Lifting Equipment
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Equipment Type:
Strops/Chains
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Equipment Type:
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Location:
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Serial Number:
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Date of next thorough examination:
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Date & Time of inspection:
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Details:
Miscellaneous Equipment
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Equipment Type:
Type:
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Equipment Type:
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Location:
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Serial Number:
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Date of next thorough examination:
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Date & Time of inspection:
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Details:
Electrical Test
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Equipment Type:
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Equipment Type:
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Sub Contractor:
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Date & Time of Inspection:
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Details:
Fire Prevention
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Fire points:
Fire Points:
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Number:
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Location:
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Date & Time of Inspection:
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Extinguisher Types:
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Details:
Harness
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Harness/Lanyard:
Harness and Lanyard:
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Harness/Lanyard Type:
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Serial Number:
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Last Annual Inspection Date:
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Date & Time of Inspection:
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Details:
Hoarding
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Hoarding Type:
Hoarding:
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Hoarding Type:
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Location:
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Date & Time of Inspection:
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Details:
Ladders
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Ladder/Steps:
Ladder/Steps
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Ladder/Steps Type:
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Location:
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Date & Time of Inspection:
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Details:
Welfare
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Welfare:
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Welfare Type:
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Date & Time of Inspection:
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Details:
Operatives Qualifications:
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Operatives Qualifications:
Qualifications:
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Operatives Name:
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Card Type:
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Date of Inspection:
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Card Expiry Date:
Plant Checks
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Plant Type:
Plant:
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Plant Details:
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Serial Number:
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Date of last Thorough Examination:
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Date & Time of Inspection:
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Details:
Inspections
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Miscellaneous Inspections:
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Inspection Type:
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Date &Time of Inspection:
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Details: