Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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When was the hazard identified?
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Where is the hazard located?
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Describe potential hazard.
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Is there a risk of injury to personnel or livestock
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Add photo of hazard.
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Has the manager been notified of the hazard?
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Have all staff in the vicinity been notified?
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What corrective actions have been put in place?
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Signature of person who reported hazard.
