Title Page
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Conducted on
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Prepared by
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Site:
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Job Number:
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Job Description:
Lost Time Audit
Lost Time Details
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Task 1:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 2:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 3:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 4:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 5:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 6:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 7:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 8:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 9:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Task 10:
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Setback:
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How much time was lost?
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Has this issue happened in the past?
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What could stop this from happening in the future?
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Total hours lost:
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Findings:
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Signature:
