Information
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Audit Title
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Document No.
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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
Carpark
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Flooring/Slip/Trip Safety Concerns?
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Furniture/Equipment/Plant Safety Concerns?
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Fire Exits Clear and Safe?
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Electrical Cables/GPO Condition/Safety?
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Ergonomics Safety Concerns
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Manual Handling/Heavy Lifting/Storage Safety Concerns?
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Ventilation/Air Quality Safety Concerns?
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Chemical/Dangerous Materials Safety Concerns?
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Other/Miscellaneous?
Warehouse
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Flooring/Slip/Trip Safety Concerns?
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Furniture/Equipment/Plant Safety Concerns?
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Fire Exits Clear and Safe?
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Electrical Cables/GPO Condition/Safety?
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Ergonomics Safety Concerns
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Manual Handling/Heavy Lifting/Storage Safety Concerns?
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Ventilation/Air Quality Safety Concerns?
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Chemical/Dangerous Materials Safety Concerns?
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Other/Miscellaneous?
Office
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Flooring/Slip/Trip Safety Concerns?
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Furniture/Equipment/Plant Safety Concerns?
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Fire Exits Clear and Safe?
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Electrical Cables/GPO Condition/Safety?
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Ergonomics Safety Concerns
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Manual Handling/Heavy Lifting/Storage Safety Concerns?
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Ventilation/Air Quality Safety Concerns?
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Chemical/Dangerous Materials Safety Concerns?
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Other/Miscellaneous?
Kitchen/Staff Room
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Flooring/Slip/Trip Safety Concerns?
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Furniture/Equipment/Plant Safety Concerns?
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Fire Exits Clear and Safe?
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Electrical Cables/GPO Condition/Safety?
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Ergonomics Safety Concerns
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Manual Handling/Heavy Lifting/Storage Safety Concerns?
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Ventilation/Air Quality Safety Concerns?
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Chemical/Dangerous Materials Safety Concerns?
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Other/Miscellaneous?
Toilet Facilities
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Flooring/Slip/Trip Safety Concerns?
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Furniture/Equipment/Plant Safety Concerns?
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Fire Exits Clear and Safe?
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Electrical Cables/GPO Condition/Safety?
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Ergonomics Safety Concerns
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Manual Handling/Heavy Lifting/Storage Safety Concerns?
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Ventilation/Air Quality Safety Concerns?
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Chemical/Dangerous Materials Safety Concerns?
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Other/Miscellaneous?
Courtyard
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Flooring/Slip/Trip Safety Concerns?
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Furniture/Equipment/Plant Safety Concerns?
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Fire Exits Clear and Safe?
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Electrical Cables/GPO Condition/Safety?
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Ergonomics Safety Concerns
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Manual Handling/Heavy Lifting/Storage Safety Concerns?
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Ventilation/Air Quality Safety Concerns?
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Chemical/Dangerous Materials Safety Concerns?
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Other/Miscellaneous?
Completed By
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Completed By (person 1)
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Completed By (person 2)