Title Page
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Document No.
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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
- Safety Item
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Owner of item
- CLL
- V&B
- AWF
- NZ Labour Hire
- Grouting Services
- John Pike
- Harris Dowd
- summit scaffolding
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Evidence
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Comments -positive or negative
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Date and time
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Good news story
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Overall level of safety onsite