Information
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Reference (Job number / DS5 / Date)
DELTA SERVICES Daily Exposure Record
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Operative
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Week Start Date:
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Week End Date:
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SAT -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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SUN -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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MON -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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TUES -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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WED -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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THURS -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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FRI -
Site Location and Activity
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Asbestos Type:
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R.P.E
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Working Time From
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Working Time To
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Total Hours
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Fibre Levels
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Personal Monitoring or Estimate
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Total Exposure
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Supervisor Signature
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Project No.
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National Insurance Number (OPERATIVE)
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Total weekly exposure fibre hours
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NOTES
Where personal monitoring has taken place please insert the certificate number. Personal monitoring results can be used for assessing the exposure of all operatives carrying out the same works within the same enclosure. For estimated results please insert the letter E
