Information
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Document No.
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Audit Title
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Fleet Number & Type
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Site
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Conducted on
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Audit conducted by
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Personnel
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Is machine Chocked correctly?
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Does the job require the Isolator on?
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Is the Isolator in the correct state?
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If an Out of Service Tag is required is it attached?
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Are all Tags filled out correctly, signed & dated?
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If there is no Out of Service Tag fitted is a Test Tag fitted to the designated control point?
- Was there any follow up that was required?
Sign Off
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Sign once Audit is completed