Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Unit No:
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NPU Gauge Reading
DIRTY COMPARTMENT
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Extractor Unit: NPU
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Pre Filter
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Interior Structural and Painted Surfaces
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Non – Return Vent Grill
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Door – Exterior Including Sign DIRTY
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Door Lock
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Door Closing Mechanism
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Heating
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Seating & Clothing Hooks
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Electrical Sockets
SHOWER COMPARTMENT
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Interior Structure and Painted Surfaces
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Shower Cubicles
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Shower Heads, Hoses, Plumbing
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Ventilator Grill
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Connecting Doors Self Closing
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Drains
CLEAN COMPARTMENT
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Interior Structure and Painted Surfaces
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Ventilator Grill
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Personal Lockers
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Door – Exterior Including Signs CLEAN
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Door Closing Mechanism
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Door Lock
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Mirror
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Seating & Clothing Hooks
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Batter Charging Points
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Heating
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Electrical Sockets
EXTERIOR
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Structure and Painted Surfaces
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Drains, Pipe work, Water Inlet
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Waste Water Filter System
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Support Legs
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Wheels and Tyres
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Spare Wheel
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Towing Connections
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Electrical Connections
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Electrical Supply Isolator
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Earth Leakage
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Wheel Brace
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Generator (if applicable)
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Water Boiler and Flue
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Gas Bottle and Feeder pipe
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Hand Brake System
TEST CERTIFICATES
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Air Clearance
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DOP
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Gas
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Electrical
Any Faults Must Be Reported Immediately to the Asbestos Manager
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Supervisor Singnature