Title Page
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Name of Supplier45
- Charles Brand
- Circet
- Glenevin
- AMG
- Finer
- Gigalight
- N/A
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Prepared by
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Conducted on
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Data for month of
Monthly Reports
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Sub contractors.
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Did you report any Incidents, HIPO's, LOPO's or Weak signals in this reporting period
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Event type
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Details of how addressed and closed out (If applicable)
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Did you report any further Incidents, HIPO's, LOPO's or Weak signals in this reporting period
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Event type
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Details of how addressed and closed out (If applicable)
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Did you report any further Incidents, HIPO's, LOPO's or Weak signals in this reporting period
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Event type
-
Details of how addressed and closed out (If applicable)
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Did you report any further Incidents, HIPO's, LOPO's or Weak signals in this reporting period
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Event type
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Details of how addressed and closed out (If applicable)
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Did you report any further Incidents, HIPO's, LOPO's or Weak signals in this reporting period
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Event type
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Details of how addressed and closed out (If applicable)
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Volume of weak signals closed out
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Volume of weeks signals open
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Principal Contractor Direct Staff Numbers
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Principal Contractor Direct Person hours
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Contractor Staff Numbers
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Contractor Hours
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Meterage dug.
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Number of Utility strikes.
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Miles Traveled for work purposes.
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CAT A routine inspections failed?
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CAT B Inspections failed?
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Eligible Vehicles in Fleet and Allowance Paid Vehicles
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Number of daily pre-use driver checks completed for month?
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Number of pre-use checks for Plant for the month?
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Details of enforcing authority visits. (Date and who attended)
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Health and safety initiatives.
