Title Page
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Date
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Auditors Name
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Site Name
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Site Location
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Department
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Site Lead Name
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Site Lead job title
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Manager Name responsible for these works
PPE requirements
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PPE required for site
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Hard Hat
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Eye Protection
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Ear Protection
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Gloves
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Safety Footwear
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High Visibility Vest
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Face Mask
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Overalls
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Any other PPE required
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Detail PPE
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Why not and detail explanation
Workers
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Lead workers have completed at SSSTS supervisor course or equivilent?
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Detail Names of lead workers
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Are there any Barlows first aiders on site
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Name of first aiders
Young People
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Any Barlows workers on site under the age of 18
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Names of young people
Relationship
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Is there a good working relationship on site?
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detail why
Access
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Vehicles are parked in a clear and safe place
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Safe access to work site
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Detail issue with safe access
Project Information
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What works are being carried out
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What is the remaining duration of the works in weeks
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Any sub-contractors directly employed by Barlows on site
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What works are they carrying out ?
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Have they provided additional RAMS?
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Are they signed on to our RAMS
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Sub- Contractors must stop work and obtain RAMS - signed by sub-contractor supervisor
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Any agency workers directly employed by Barlows on site
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What works are they carrying out?
Site Facilities
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Health and Safety posters on display
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Health and Safety Posters
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Is the principal contractor insurance details on display
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Principle Contractors insurance details
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Are site rules on display
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Site rules
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Are emergency escape routes identified
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emergency escape routes
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Detail any other relevant information on display
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Other information
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Seperate space available for documents
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Toilets
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Access to clean hot and cold water
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Seperate area for eating and resting
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Access to bins for food waste
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Is an accident book available?
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Detail location
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Detail any other welfare facilities available
General H&S Conversation
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Any accidents on site
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Detail accident including any injured person etc
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Any near misses on site
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Detail near miss
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Any other items discussed - safe practices etc
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Are workers face fit tested
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Detail names who require fit testing
Asbestos
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Any asbestos on site
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Is there a copy of the report on site
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Have you checked it to ensure our works will not disturb any asbestos
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Why have you not checked, exposing your self and others to asbestos is illegal and a major health hazard
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Have all Barlows and associated workers read and signed to say they understand the document and where the asbestos is in the building
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Stop work immediately and carry out toolbox talk on asbestos and get all to sign register
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Are you happy asbestos is being controlled correctly
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Site lead to confirm asbestos information is correct
Risk Assessment and Method Statement
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Is there a risk assessment on site for the works
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What is the issue date
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RAMS been reviewed in the last 3 months from the issue date
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RAMS signed by all operative working to the works on the risk assessment
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Is the risk assessment suitable for the works
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detail why
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Copy of risk assessment has been obtained for our records
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Is the Site lead happy they are competent to manage works
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Comments from Site Lead
Works on site
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Any live working
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Isolation works
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Detail type of isolation
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Engineer is competent is carrying out the isolation
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COSHH works are being carried out
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Detail works involving COSHH
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COSHH assesments have been carried out on all items
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Additional PPE required
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Comments on COSHH
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Photo 1
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Photo 2
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Photo 3
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Working at Height
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Step ladder
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Are they suitable for works
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What condition are they in
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Are they labelled
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Extension ladders
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Are they suitable for works
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What condition are they in
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Are they labelled
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What number
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Podium Steps
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Are they suitable for works
- Yes
- No
- Not Sure
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What condition are they in
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Pop up
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Are they suitable for works
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What condition are they in
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PAVs
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Are they suitable for works
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What condition are they in
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MEWPS
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Type of MEWP
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Are MEWPS RAMS available
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Are they suitable
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Names of trained operative
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IPAF Cards available
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Take photo
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Daily check sheet available for review
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take photo of check sheet
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Is loler cert in date
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MEWP work must stop
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Lead engineer sign to confirm work has stopped
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Is the harness suitable for works
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Detail serial number and manufacture date
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Take photo
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MEWPs work must stop until these are in place
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Lead Engineer to sign to that all MEWP works have stopped until RAMS is in place
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Tower Scaffold
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Are Tower Scaffold RAMS available
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Are they suitable
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Names of trained operative
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PASMA Cards available
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Take photo
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Tower Scaffold work must stop until these are in place
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Lead Engineer to sign to that all TowerScaffold works have stopped until RAMS is in place
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Cutting or grinding
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Detail works
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Is it hot works
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Additional PPE required
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Do you hold abrasive wheel training in the last 18 months
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Drilling
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Drilling works are being carried out
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Detail drilling works
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Additional PPE required
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What dust controls are in place
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Comments on drilling
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Gas works
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Detail gas works
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Engineer is trained and competent to work on gas
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Photo of gas card
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Hot works
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Details works and safety precautions
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Manual handling
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Detail manual handling task
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Additional PPE required
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Comments on manual handling
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Electrical works
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Detail of electrical works
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Additional PPE required
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Engineer is trained and competent on electrical works
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Comments on electrical works
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Do you have a complete lock off kit
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Lock off kit is to be booked out ASAP
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Any other works on site
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Detail works
Site walk around
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First Aid kit complete and available
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Take photo
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Location
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Eye wash complete and available
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Take photo
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Location
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Detail any other emergency equipment
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Temporary power installed and available
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Installed by Barlows
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Installation certificate issued and available to view
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Voltage of temporary power
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The site conditions are appropriate for voltage
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Temporary power installation is not causing a hazard
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Photo of temporary power
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Photo of temporary power
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The working areas are clear of slip and trip hazards
Environment
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How is waste being managed?
Hazards
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Any hazards identified during visit
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Detail hazards
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Any action taken
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Detail action taken
Photos of Works
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Photo 1
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Photo 2
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Photo 3
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Photo 4
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additional photos required
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Photo 4
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Photo 5
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Photo 6
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Photo 7
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Photo 8
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Photo 9
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Photo 10
Advice given
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Any advice given - work safely and sensibly - come to work safe - work safe - home safe
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Detail advice given
Test Equipment - MFT, test probes etc
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Do you have test equipment
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What type, make and model
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Serial number
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Is in calibration date
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Do you have additional test equipment 1
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What type, make and model
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Serial number
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Is in calibration date
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Last calibration date
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Comments on tester
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Do you have additional test equipment 2
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What type, make and model
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Serial number
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Is in calibration date
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Last calibration date
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Comments on tester
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Do you have additional test equipment 3
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What type, make and model
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Serial number
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Is in calibration date
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Last calibration date
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Comments on tester
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Do you have additional test equipment 4
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What type, make and model
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Serial number
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Is in calibration date
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Last calibration date
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Comments on tester
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Last calibration date
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Comments on tester
Asset Labels
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Are asset labels installed on equipment
Policies and Procedures
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Are you aware of the Health and Safety Policy
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Are you aware of our ISO 9001 Quality systems
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Are you aware of our ISO 14001 environmental systems
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Are you aware of our ISO 45001 health and safety systems
Training
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Do workers require any additional training
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Asbetsos
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First Aid
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Abrasive Wheel
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PASMA Training
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IPAF
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Harness
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Any other training 1
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Any other training 2
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Any other training 4
Additional Comments
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Additional Photos required
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Photo 1
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Photo 2
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Photo 3
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Photo 4
Site Rating
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Site rating
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Detail why
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Detail why
Barlows Safety/Works Rating
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Detail why
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Detail why
Site Lead Signature
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All information is correct
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Signature
Auditors Signature
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All information is correct
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Signature
