Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Site Induction
Section A
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Name:
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Company Name:
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Scheduled works:
Section B
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You are required to sign in and out when leaving the premises. Please remember to sign back in upon your return.
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I acknowledge the signing in/out requirements?
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The fire alarm is tested on Wednesdays at 09:15. This should be a continuous alarm tone
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Aware of fire alarm testing date/time?
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In the event of a fire alarm activation, you are required to make your way to the fire assembly point.
- Please leave by the nearest available exit
- DO NOT use the lifts
- DO NOT stop to collect personal belongings
- Wait at the emergency assembly point for further instructions from the emergency services
- DO NOT return to the premises until advised to do so. -
I acknowledge the process to follow in the event of an emergency?
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First Aid stations are provided on this premises, should you require a first aider, please follow instructions as advised upon arrival.
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I am aware of the process to follow, should I need first aid whilst on site?
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Toilets are situated on this premises you will be informed of their location.
Tea/Coffee making facilities are available and will be pointed out to you. -
I am aware of the toilet location and the tea/coffee facilities on site?
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Access to the building is controlled by an electronic pass. Please ensure that passes are clearly visible whilst onsite. Visitor's/Contractor's passes should be returned to reception at the end of each day. Any keys provided must be kept secure and returned before leaving site.
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I will adhere to the premises security procedure and return keys passes before departure?
Section C
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Will you be using any plant or equipment?
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What equipment will you be utilising?
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Will the scheduled works involve the use of any hazardous substances?
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Contractor Signature:
Section D
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Site specific RAMS have been provided for the works and in date?
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Operatives ladders are safe and compliant to BS EN131 - ladders tagged and within date?
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Operative have the necessary PPE as specified in the submitted RAMS?
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Pass Issued:
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Keys issued?
Section E
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Does the scheduled work involve any of the below:
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Does the works require fall under CDM regulations (Over 30 days, more than 500 man hours or more than 20 operatives?
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FM Signature: