Information
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Client / Site
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Conducted on
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Prepared by
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Location
Identified hazards / concerns
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Electrical
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Burns
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Chemicals
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Explosion
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Mercury spill
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Moving machine / equipment
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Infected material
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Ladders
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Scaffolding
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Deep water
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Fire
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Fall from height
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Slips /trips
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Pressure vessels
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Noise
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Radiation
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Vermins
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Dust
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Weather
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Temperature
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Manual handling /heavy lifting
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Solitary working
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Isolated working
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Use of machines
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Cranes
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Confined spaces
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Retricted access
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Crushing /trapping
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Power tools
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Sharp objects
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Overhead power
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Underground cables
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Public highway
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Railway lines
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Sub-contractors
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OTHERS
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XYLEM REPRESENTATIVE
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CUSTOMER REPRESENTATIVE
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