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Daily Pre-Start Safety Inspection

Complete

Score 50% Flagged items 0 Actions 0

Document No. 000001

Audit Title  

Client / Site  

Conducted on 02.03.2023 15:27 +03

Prepared by Arif khan

Location

Personnel  

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1.Audit-50%
Audit 50%  
1.1.DailyWorkSummary-100%
 
Daily Work Summary 100%

What type(s) of work are being performed today? Select all

Excavation
that apply.

Site / Project Name  

Describe the works to be undertaken today  

Have all crew members performed daily stretch and flex

Yes
activities?
1.2.Today'sTaskBreakdown
 
Today's Task Breakdown  

Break today's work into individual step-by-step-tasks below. Assess each task for hazards and
controls
1.2.1.WorkTask
 
Work Task  
1.2.1.1.WorkTask1
Work Task 1    

Describe this task  

marking underground utilities

What category does this task fall under? Excavation

Select potential hazards that may be encountered while Fall / Gravity

completing this task today.
Equipment Issues

Power Lines

What categories of hazard control will you apply to this task?  

What specific controls will you apply to the above hazards for Replacement
this task?
Spotters
1.2.1.2.WorkTask2
Work Task 2    

Describe this task  

Excavating marked area

What category does this task fall under? Excavation

Select potential hazards that may be encountered while

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completing this task today. Fall / Gravity

Underground Utilities

Overhead Obstructions

Engineering - Isolate people from

What categories of hazard control will you apply to this task? the hazard

What specific controls will you apply to the above hazards for Lighting
this task?
Barricades

Signage
1.3.FinalChecks-0%
 
Final Checks 0%

Does every member of the on-duty crew have adequate and

No
appropriate PPE for today's work tasks?
1.4.CrewSignOff
 
Crew Sign Off  

Each present team member to sign name and signature acknowledging the above tasks, hazards
and controls.
1.4.1.TeamMember
 
Team Member  
1.4.1.1.TeamMember1
Team Member 1    

Name & Signature  

dwdd
02.03.2023 15:34 +03
1.4.1.2.TeamMember2
Team Member 2    

Name & Signature  

deffw
02.03.2023 15:35 +03
1.4.1.3.TeamMember3
Team Member 3    

Name & Signature  

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wef3
02.03.2023 15:35 +03

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