Title Page
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Conducted on
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Prepared by
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Site name
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Equipment serial number
Defects
- Defect information
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A defect - Unsafe, out of service. B defect - To be completed on/before next site visit.
C defect - Observation/Recommendation -
Category of defect
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Description and photos of defect
Additional information
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Is a site survey required?
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Have you identified how the remedial can be carried out?
