Title Page
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Conducted on
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Prepared by
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Location
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Crew Names
- Liam Fletcher & Jamie Rooney
- Dean Pyper & Liam Jackson
- Carl Jeffery & Niall Coleman
- Michael Ronaldson & Gareth Leach
- Daniel Arczynski & James Newton
- Kieren Gosney & Ben Liversidge
- Ben Rowley & Sean Lee
- Mathew Godber & Daniel Giles
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Customer :
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Job Number :
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Site :
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Date of Installation :
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Are all company staff wearing the correct PPE for the task? (Take a Photo of each crew member)
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Explain why
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Is there an in-date method statement for the task?
Stop work and contact your Line Manger
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If "Yes" take a photo of the front cover
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Have all the Hazards been identified on the Risk Assessment?
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Carry out an onsite Risk Assessment and get it approved by your Line Manager
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Time Left Home/Depot?
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Time Returned Home
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Materials Including VAT (Attach photo of receipts)
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Is a hotel required?
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Is the installation complete?
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Take photos of the completed/uncompleted installation
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Have there been any issues that need reporting? (If ‘yes’ please add a ‘note’ - who reported to - what was the outcome - all details)
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Customer name ?
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Customer signature
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Crew signature
