Information
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Document No.
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Site Address
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Job Reference Number
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Completed
Safe to Drill
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Please review job pack and installation route. All penetrations into the building, through floors and walls need to be checked, marked and photographed prior to work commencing. Fixing penetrations for wall dogs, trunking, containment etc should be checked but do not need to be photographed and recorded in this sign off.
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Drill Hole 1
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Drill Hole 2
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Drill Hole 3
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Drill Hole 4
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Drill Hole 5
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Is there additional drill holes
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Drill Hole 6
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Drill Hole 7
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Drill Hole 8
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Drill Hole 9
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Drill Hole 10
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Is there additional drill holes
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Drill Hole 11
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Drill Hole 12
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Drill Hole 13
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Drill Hole 14
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Drill Hole 15
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Is there additional drill holes
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Drill Hole 16
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Drill Hole 17
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Drill Hole 18
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Drill Hole 19
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Drill Hole 20
Existing Conditions
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Please photo and record any aspects of the site that you feel need highlighting before work commences. This can include, but not limited to;
- Broken or damaged ceiling tiles
- Broken or damaged hatches / doors
- Rubbish / mess in risers
- Broken or damaged paving slabs / bricks -
Photographs
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Confirm ground will be scanned where digging / disturbance required?
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Have you reviewed asbestos register?
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Seek asbestos register from Project Manager
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Are you confident that ACM will not be disturbed as part of installation works?
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Do not proceed with any disturbance works. Seek guidance from Project Manager
Sign Off
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We/I acknowledge the safe system of work provided and will work to the control measures outlined. Where the task deviates significantly from the Safe System provided we/I will raise with Project Manager to authorise.
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Engineer 1
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Engineer 2
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Engineer 3
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Engineer 4
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Engineer 5
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Engineer 6
