Title Page
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Document No.
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Select date
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Building or Location
- Bldg 1
- Bldg 2
- Bldg 3
- Yard
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Prepared by
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Was wearing all required PPE?
- Yes
- No
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Name (employee, truck driver, contractor)
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Company they work for?
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What PPE was missing?
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Did the person being audited know he had to wear the PPE that was missing?
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Direction given (if PPE was missing at time of inspection)
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