Title Page
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Document No.
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Audit Title
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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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House keeping-Yard,equipment and location clean
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Add media
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Fire extinguisher hung and up to date
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Add media
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LO/TO used when necessary. Equipment clean and in place
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Add media
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Guards on tools and equipment used and in place
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Add media
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Tripping Hazard
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Add media
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Ladders used in correct way
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Add media
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Electrical cords in good condition and used correctly
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Add media
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Air hoses in good condition and used correctly
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Add media
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PPE used correctly and for the correct application
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Safety glasses
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Safety vest
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Hearing protection
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Proper clothing
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Add media
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Forklift used by a qualify operator.
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Seatbelt used
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Equipment and. Machinery clean and in good condition
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Add media
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Warehouse, floors and location free of sawdust and trash.
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Any other unsafe acts noticed?
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Add media
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Safety Reviewer: