Information
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Site conducted
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Location
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Date
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Gang
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Agent
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As you are checking all 5 points with gang before work start , please read the the promise which they agree to and complete with signature
POINTS…
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Is there enough chapter 8 on site for gang to start working safely with correct permit displayed (PROVIDE 2 PHOTOS)
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Has the POWRA and F91 been completed for site ?
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Do the gang have CHARGED tablet ?
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Depotnet start complete with correct PN uploaded
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Is correct PPE being worn on site (PROVIDE PHOTO)
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The PROMISE…….
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1) CONTINUE TO MAINTAIN SAFE SLG FOR WORK FORCE ,PEDESTRIANS AND TRAFFIC
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2)CONTINUOUS ASSESSMENT OF SITE CONDITIONS ,PLANT AND EQUIPMENT, AND UG SERVICES
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3) CONTINUOUS REFERENCE TO UPDATED RAMS AND GUIDANCE
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4) UPLOAD AND DOWNLOAD DAILY OF PRINTS ,DATA AND PHOTO EVIDENCE
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5) WORKING SAFELY THROUGHOUT THE DAY USING CORRECT PPE FOR THE TASKS AT HAND .
Additional comments / feedback
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Please provide any further relevant details not included , yours / gang feedback
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Please indicate any further action as a result of your report
Signature
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Agent Please sign.
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Foreman please sign
