Title Page
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Customer Name
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Contract Number
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Conducted on
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Prepared by
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Location
Surveyed Works
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Description of the works being surveyed
Site Access
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Vehicle Access
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Site Access i.e long walk, access through property, through rear, etc.
Manual Handling - Recommendations
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Lifting Equipment
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Hoist Required?
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Can materials be stored on site?
Working At Height
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What Height will we be working at?
- Ground
- First
- Second
- Third
- Other
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Scaffold recommended?
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Scaffold Location?
Electrical/Pipework
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Household cables present?
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Overhead cables?
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Shrouding Required?
Asbestos
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Is Asbestos present near the work area?
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Does the asbestos need inspecting
Structural
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Are Lintels Present?
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Are Acros Required?
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Strongboys Required?
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Hoist Required
Installation
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Control/Planning Required?
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Customer Availability
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I can confirm the Risk Assessment has been completed to the best of my Knowledge. NBE to make full responsibility for works to be completed in accordance to HSE.