Title Page
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Site Name
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Client
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Site No
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Conducted on
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Prepared by
Pre-Start Check List - Section 1
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Gas on site
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Nitrogen on site
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Labour on site
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Lifters & mobile pop ups on site
Pre-Start check list - Section 2
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Hot works permit agreed and signed
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Working at height permit received
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Roof access permit received
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Fire alarms isolated
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Refrigeration alarms isolated
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Time work commenced
Post Works Check List - Section 1
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Fire watch complete
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Hot works permit signed off
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Roof access permit signed off
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Working at heights permit signed off
Post Works Check List - Section 2
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Access equipment safely stored in yard.
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All cylinders stored securely
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Gas level checked
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Cases and coldstores checked
Post Works Check List - Section 3
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Materials use (Please List)
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Nitrogen used
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Co2 used
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PED - Pass or Fail
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Time works complete
Additional Information
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Next Day visit completed
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Completion email sent to account manager
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Photos
