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
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Task / Activity Description
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Persons Involved
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Are handrails being used when person is using the stairs?
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Are handrails fit for use for the task being observed?
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Are dedicated pathways used when walking in operational areas?
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Is the correct type of foot protection used when walking in operational areas?
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Are walking and working surfaces clear & free from obstruction or tripping hazards?
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Is housekeeping in operational areas of an acceptable manner?
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Are ladders on a stable surface, with someone assisting to hold it steady?
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Are the standards and requirements for working surfaces at heights adhered? (E.g. Too short ladder vs. scaffolding?)
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Is the desired behaviour of avoiding stepping on objects or into puddles adhered?
