Information
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Document No.
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Site Address
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Job Reference Number
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Completed
Existing Conditions
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Please photo and record any aspects of the site that you feel need highlighting before work commences. This can include, but not limited to;
- Broken or damaged ceiling tiles
- Broken or damaged hatches / doors
- Rubbish / mess in risers
- Broken or damaged paving slabs / bricks -
Photographs
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Confirm ground will be scanned where digging / disturbance required?
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Confirm walls/floors will be scanned where drilling required?
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Have you reviewed asbestos register?
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Seek asbestos register from Project Manager
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Are you confident that ACM will not be disturbed as part of installation works?
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Do not proceed with any disturbance works. Seek guidance from Project Manager
Sign Off
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We/I acknowledge the safe system of work provided and will work to the control measures outlined. Where the task deviates significantly from the Safe System provided we/I will raise with Project Manager to authorise.
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Engineer 1
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Engineer 2
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Engineer 3
