Title Page
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Site conducted
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Certificated / Applicant Company:
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Report Number:
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Company Representatives:
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Customer / User:
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Location
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User Representatives:
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Restrictions made by user:
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Auditor / Engineer
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Date of Audit
Inspection One
Pre Design - Declaration of Conformity
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PD1 Request the Fire Risk Assessment (FRA), Fire Policies and Evacuation plan?
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Comments
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PD2 Request building as fitted, maintenance and inspection documentation and records?
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Comments
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PD3 What is the Purpose of the Building?
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Comments
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PD4 Who uses the building?
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Comments
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PD5 Requested Log Book/Manual to be Provided?
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Comments
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PD6 Who is the responsible person, who do I report to?
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Comments
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PD7 Are their any disabled / young / old users?
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Comments
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PD8 What are the ceiling heights?
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Comments
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PD9 Any areas of High Risk?
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Comments
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PD10 Local legislation been confirmed?
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Comments
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PD11 Location of Site?
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Comments
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PD12 Do you require protection for 'Life' or 'Property'?
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Comments
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PD13 Racking or obstacles?
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Comments
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PD14 Ceilings types (Flat / Pitched)?
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Comments
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PD15 Where will the Supply / Supplies be fed from?
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Comments
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PD16 Request the Asbestos Register?
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Comments
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PD17 Location of Escape Routes
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Comments
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PD18 Location of Muster Points
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Comments
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PD19 How many floors within the building?
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Comments
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PD20 Does the building contain lifts?
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Comments
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PD21 Are any of wash room cubicles full floor to ceiling heights?
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Comments
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PD22 Is there any proposal for extending the building?
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Comments
Signed Conformation
Exclusions
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The following information could not be provided or completed for reasons beyond the control of the company?
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Reason
Is a subsequent site survey?
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A subsequent visit by an Engineer is required to be complete a site survey?
Engineer
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I certify that the above information has been requested, provided and reviewed prior to meet the client design and legal requirements, before submitting the design back to the client prior to any works being instructed.
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Engineer
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Date
Qualified Supervisor / Manager
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I certify that the above information has been requested, provided and reviewed prior to meet the client design and legal requirements, before submitting the design back to the client prior to any works being instructed.
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Qualified Supervisor / Manager
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Date