Title Page
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Client / Site
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Conducted on
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Prepared by:
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Site Type
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Site Status
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Technicians
- Yousuf Khan
- Sukhdeep Singh
- Nikunjh Patel
- Ajay Kumar
- Rajwinder Singh
- Baljeet Singh
- Gurpreet Singh
- Gurpreet Singh Lally
- Priyank Maisurya
- Tarapreet Singh
- John Dos Santos
- Arjay Santos
- Gurusewak Singh
- Mavan Surukonti
- Ravikanth Chittari
- Harsukhpal Singh
- Harpreet Singh
- Nouman Khan
- Bijaya Sakpota
- Anakhbir Singh
- Arashdeep Singh Dhillon
- Rajneel Dass
- Kamaljeet Singh
- Lakwinder Singh
- Manoj Kumar
- Hardeep Singh
- Regis Marimo
- Lakmal Fernando
- Rajdeep Singh
- Jaydeep Ahir
- Genmar Capuno
- Gaurav Shekhar
- Gurjit Singh
- Satvir Singh
- Amit Kumar
- Gurpreet Tiwana
- Abhinandan Sharma
- Inderjit Singh
- Ashok Reddy
- Gaurav Singh
- Jaspreet Behl
- Kashif Umer
- Jeremy Glasson
- Vikramjit Singh
Health & Safety
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JSA / Pre-Start is Standard
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JSA / Is up to standards
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Has all the hazards been identified?
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If no, what are the risk not identified:
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Complete PPE
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Proper use of PPE
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PPE (Personal Protective Equipment) Requests:
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Site Set-up
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Controls in Place
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Add media
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Fire Extinguisher
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First Aid kit
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MSDS/ SDS Sheets
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Hazardous Chemical Container
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Electrical Register
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Ladder & Rack Inspection Register
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Harness / Pole Strap / Lanyard
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Fibre Sharps Container
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Volt detector (Locator)/ stud finder
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Enable Task Handbook Soft Copy
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Permits
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Permit type:
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Inspected by:
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Acknowledge by (Lead Tech)
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Lead Tech Competency Level:
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Acknowledge by (Second Tech)
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Second Tech Competency Level:
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Acknowledge by (Third Tech)
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Third Tech Competency Level:
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Field Notes (for FM use:
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Live Site Inspection Status:
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Failed Report:
