Tom Garrett

Escalation and Accident Prevention

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Job Number
Date and Time
Is it related to any of these high risk escalations?
- Pitched roof access
- Flat roof access
- Triple ladder work
- High level clipping
- Step ladder
- Loft working
- No, other
Attach picture of Ladder structure sent by this engineer
Please detail this escalation?
Are there any Safety factors?
Is any coaching needed or given?
Did you make any recommendations?
What time did this engineer make contact on completion?
Was everything ok?
Comments:

Tom Garrett

Escalation and Accident Prevention

Use this Template

Print as PDF

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