Information
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Site
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Conducted on
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Prepared by
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Location
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Additions Personnel onsite
Job start details
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What task are you carrying out?
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Vehicle Checks carried out?
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Any issues with your vehicle, WOF, REG and RUKs upto date?
What hazards could you encounter
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Vehicular Traffic
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Utility Services - Overhead and/or Underground
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Trips and slips, open pits
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Splicing
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Dogs on site
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Adverse weather conditions
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Irate customers
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Any other hazards?
Mitigation of hazards
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What mitigation have you put in place
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Do you have all relevant PPE for the task being carried out.
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Signature
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Additional people on site