Title Page

  • Conducted on

  • Prepared by

  • Date

  • Location
  • Task

  • Give details of the task involving operatives working with 2 metres.

  • How many persons will be involved in the task?

  • How long will the task take?

  • What PPE will be use to minimise the potential spread?

  • What further controls can be implemented? e.g. back to back working!

  • What hygiene measures are in place to reduce the spread? e.g. washing before commencement of task.

  • Will any cleaning measures be applicable e.g. cleaning the item before and after installation.

  • How will PPE be disposed of or cleaned after the task?

  • Any other measures

  • Manager Signature

  • Operatives signature

  • Operatives Signature

  • Operatives Signature

  • Operatives Signature

  • Operatives Signature

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