Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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This checklist is to be completed by the person proposing to enter a subfloor area beneath a house
Personnel training and PPE
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Have you had confined spaces training?
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Are you wearing suitable PPE?
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Do you have a spotter who has has had confined spaces training?
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Are there a reasonable number of air vents to allow cross-ventilation?
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Is your path clear of hazards such as broken glass or wire?
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Is there at least 500mm clearance
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Is the subfloor clear of large amounts of mould, sludge, or rotting vegetation?
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Will you spend less than 2 minutes in the sub-floor?
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100% score - proceed with caution and watch for hazards and obstructions.