Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • ABC DEFINITION - A = potential for permanent disability, loss of life or body part, and/or extensive loss of structure, equipment or material.
    B = potential for serious injury or illness resulting in serious or temporary disability or property damage that is disruptive but less than class A.
    C = potential for injury or illness, or disruptive(non-disabling property damage)

  • Click to add observation
  • Hazard Rating ABC

  • What are your findings? Be specific.

  • Is this a repeat issue/item?

  • What is the corrective action/response?

  • Is the issue opened or closed?

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