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
50m PPE and Emergency Equipment Check
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x2 Respirators (Acid Room)
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x2 Aprons (Acid Room)
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x2 Pairs of Gloves (Acid Room)
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x2 Safety Goggles (Acid Room)
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Disinfectant Wipes
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Safety Shower- 50m Acid Tank (Run for 60 seconds)
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x1 Respirator (Plant Room)
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x1 Apron (Plant Room)
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x1 Safety Goggles (Plant Room)
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Ear plugs or earmuffs (Plant Room)
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All Chemicals Labelled and stored correctly
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Chlorine Tank Safety Shower- 50m Chlorine Tank (Run for 60 seconds)
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Chlorine Tank Eye wash Station- 50m Chlorine Tank (Run for 60 Seconds)
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Plant Room Safety Shower- 50m Plant room (Run for 60 seconds)
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Plant Room eye wash station- 50m Plant Room (Run for 60 seconds)
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Staff Initials (Lodge Any problems in actions)
25m Pool PPE and Safety Equipment Check
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Emergency Shower- 25m Plant room (Run for 60 seconds)
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Eye Wash Station- 25m plant room (Run for 60 seconds)
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x2 Respirators (25m Plant Room)
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x2 gloves (25m Plant room)
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x2 aprons (25m Plant Room)
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x1 face Sheild (25m Plant Room)
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Disinfectant Wipes
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All Chemicals labelled and stored correctly (25m Plant Room)
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Emergency Shower- 25m Chlorine Tank (Run for 60 seconds)
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Eye wash station- 25m chlorine tank (Run for 60 seconds)
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Staff initials: Lodge any Issues in actions
