Date:	Click here to enter a date.	Area Audited:
Task Evaluated:	Fatal Risk:
Evaluated By: (Name & Job Title)
SME: (Hourly Employee)

Critical Controls audited from HIRA Matrix or GSR Worksheet
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Audit Summary
Recommendations from Audit Team to Area Owner for Critical Control Improvements Divisional Leadership will develop Action Items based on audit recommendations.

AUDIT PHOTOS (OPTIONAL)
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AUDIT PHOTOS (OPTIONAL)
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