Title Page
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Conducted on
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Prepared by
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Employee Name
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Location
Risk assessment, Safe working policy and Tool Box talk
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Have you received and read the documents below (either in a hard copy or via email?)
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Peter Ashley Coronavirus Risk Assessment ( 069 Corona virus)
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Please contact the management immediately for a copy
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Peter Ashley safe working policy (Covid 19)
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Please contact the management immediately for a copy
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Peter Ashley toolbox talk (Covid 19)
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Please contact the management immediately for a copy
PPE distribution (April 2020)
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Please complete the questions below. Please note these are for the period 24th March 2020 to 1st May 2020
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Have you received any disposable nitrile gloves?
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Please contact management immediately
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Have you received any hand sanitiser gel?
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Please contact management immediately.
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Have you received any face masks?
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Have you declined having a face mask?
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Please note that they are still available at anytime by using the order form on the I Auditor app or seeing a member of management. At all times it is the employees responsibility to contact the office to order replenished PPE after the initial distribution within the specified order lead times.
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If you require a face mask please urgently see a member of the management team
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Employee signature
