Title Page
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Conducted on
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Prepared by
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Date
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Location
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Task
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Give details of the task involving operatives working with 2 metres.
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How many persons will be involved in the task?
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How long will the task take?
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What PPE will be use to minimise the potential spread?
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What further controls can be implemented? e.g. back to back working!
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What hygiene measures are in place to reduce the spread? e.g. washing before commencement of task.
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Will any cleaning measures be applicable e.g. cleaning the item before and after installation.
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How will PPE be disposed of or cleaned after the task?
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Any other measures
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Manager Signature
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Operatives signature
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Operatives Signature
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Operatives Signature
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Operatives Signature
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Operatives Signature