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
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Select date
General
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Safety manual up to date
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Safety policies posted (available)
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First aid personnel/facilities (training current)
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First aid kit (complete/proper type)
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Fire extinguisher (charged/inspected)
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Emergency exits (visible/obscured)
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PPE (acceptable/worn)
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Warning signs
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Emergency number posted (available)
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General housekeeping
Site Rules
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Access restricted
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PPE (special requirements)
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Security
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Smoking
Site Equipment
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Ladders/scaffolding/inspections
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Cords/ropes
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Hoisting equipment
Power Tools
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Double insulated or grounded
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Specific training
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Safety guards
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Inspected
Other - specify
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Ventilation
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Work at heights
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Fall protection
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Orientation
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Scissor lift training
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Powder actuated tools training
On Site Conditions
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Noise level acceptable
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Particles in the air
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Lighting adequate
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Temperature ok
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Falling objects (risk of)
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Stacking of material (safe/unsafe)
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Trip/fall hazard
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Machinery
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Sanitation facilities
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Overhead power lines
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Underground service
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Electrical lockout required
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Temporary installation
Confined Space Required
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Proof of training
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PPE
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Hazard assessment carried out
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Entry permit fill out
WHMIS
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Proof of training
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Proper labelling
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MSDS's current - (not observed)
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Asbestos a concern
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Flammable/explosive products
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Reactive/corrosive products
Other - Specify
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Trenching
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Traffic control
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Rigging
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Vehicle operation
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Guardrails/barriers
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Log books for equipment
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Work safe reports
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Comments/observations
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Inspection by:
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On site employee: