Site Information
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Site Name
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Site Address
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Date
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Site Auditor Name
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Audit Reference Number
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Site Contact name
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Contact Phone Number
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Principle Client / Contractor
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Pure Power Engineer Name
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Pure Power Job Number
Site Access Requirements
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Site Induction Required
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Site Induction Completed
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Signed in with Site Security
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Method & Risk Assessment Signed
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Permits to Work
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Hot Work Permit Required
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Check Asbestos Register
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Check Fire alarm Test date and time
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Slip Trip Hazards Identified
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Welfare Facilities Available
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PPE
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Hi Vis Jacket
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Ear Defenders
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Protective eyewear
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Protective gloves
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Safety Footwear
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Safety Headwear
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Protective clothing
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Branded work shirt
First Aid / Accident Reporting / Fire and Emergency Assembly Measures
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Engineer in possession of first aid kit
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Engineer First aid kit expiry date
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Engineer aware of location of first aid room
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Engineer aware of accident reporting procedure
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Engineer aware of fire and emergency assembly point
Engineer Appearance
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Wearing Group Uniform
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Uniform Clean
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Uniform in good condition
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Safety Foot Ware In Good Condition
Company Vehicle Checks
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Vehicle External condition.
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Vehicle Cabin Condition Clean.
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Vehicle Pre Use Checks completed.
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Tyre Condition
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Materials Correctly Stored and secure
Electrical Tools and Hand Tools
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Portable Electrical Tools PAT Test Valid
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Portable Electrical Tools PAT Test Valid Date Valid
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Electrical Tools In Good Working Condition
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Hand Tools In Good Working Condition
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Lifting Equipment in use
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Lifting Equipment In Good Working Condition
Electrical Test Equipment
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Electrical Test Equipment Brand
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Electrical Test Equipment Model Number
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Electrical Test Equipment Serial Number
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Is the Electrical test equipment Calibrated
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Electrical test equipment calibration Date
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Electrical test equipment calibration required
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Line Test Proving Unit accessible
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Line Test Proving Unit Good Condition
Environmental and Waste Handling - - Waste Handling Number CBDU529812<br>
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Arrangements for waste disposal
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Housekeeping
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Waste Oil Containment
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Spill Kit Available
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Noise Controls
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Waste Note With Waste Oil
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Waste handling note completed and attached
Competency <br>
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Are the attending engineer/s trained and competent to carry out the tasks assigned?
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Comments
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Comments