Title Page
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Document No.
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Site/ Project
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Location
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Date
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Operative Name
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Vehicle Parking Arrangements (Add comments if applicable)
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COMMENTS
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Designated Walkways to Site Compound (Add comments if applicable)
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COMMENTS
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Site Registration i.e. Signing In/Out (Add comments if applicable)
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COMMENTS
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Personal Protective Equipment (PPE) Requirements identified and worn (Add comments if applicable)
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COMMENTS
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Electrical Equipment PAT Testing current? (Add comments if applicable)
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COMMENTS
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Work Equipment in good working order i.e. Hop Ups, Steps, Hand tools, etc (Add comments if applicable)
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COMMENTS
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Awareness of Emergency Arrangements including Firefighting and first aid (Add comments if applicable)
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COMMENTS
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Welfare Arrangements
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Cleanliness of toilets (Add comments if applicable)
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COMMENTS
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Toilet - Hot and cold running water. (Add comments if applicable)
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COMMENTS
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Dryers/ Paper Towels (Add comments if applicable)
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COMMENTS
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Drying Room Available and operational (Add comments if applicable)
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COMMENTS
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Canteen - clean and tidy (Add comments if applicable)
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COMMENTS
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Canteen - Hot and cold water (Add comments if applicable)
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COMMENTS
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Fresh drinking water (Add comments if applicable)
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COMMENTS
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Hazards/ Operational Board and currant (Add comments if applicable)
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COMMENTS
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General directional and safety signage. (Add comments if applicable)
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COMMENTS
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Designated walkways to site works in place, level, appropriately lit and free from debris (Add comments if applicable)
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COMMENTS
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Crossing Points appropriately designed and marked (Add comments if applicable)
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COMMENTS
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Materials properly stacked and stored in designated lay-down areas (Add comments if applicable)
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COMMENTS
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Safe Access and egress to place of work, scaffold in place and signed off (Add comments if applicable)
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COMMENTS
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Housekeeping in work environment by CMS (Add comments if applicable)
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COMMENTS
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Housekeeping in work enviroment by others (Add comments if applicable)
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COMMENTS
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Area free from slips, trips and fall hazards (Add comments if applicable)
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COMMENTS
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Property left clean and tidy, safe and secure at end of the working day (Add comments if applicable)
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COMMENTS
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All waste transferred to designated skip or returned to CMS for recycling/ disposal (Add comments if applicable)
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COMMENTS
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Concerns identified-
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Reported by
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Reported to
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Check Sheet completed by-