Information
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FSE Name:
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Territory:
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Field Visit Number.
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Conducted on
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Location
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Prepared by
AREA VEHICLE
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Has the Franchisee read and understood PRO016 (Vehicle setup and emergency procedures) ?
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Explanation
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Date to rectify
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Does the vehicle have a cargo barrier? Not applicable to dual cab utilities.
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Explanation
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Date to rectify
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Is the vehicle clean and tidy?
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Explanation
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Is everything in the vehicle properly secured?
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Explanation
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Date to rectify
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Is the sign writing in good condition?
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Explanation
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Date to rectify
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If the response is Yes
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Provide Photo Evidence
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Is there a suitable fire extinguisher (with a hose) in the vehicle and has it been properly maintained?
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Explanation
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Date to rectify
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Provide photo evidence
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Is there a fully stocked and suitable First Aid Kit? ( equivalent to the one for use on a construction site)?
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Explanation
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Date to rectify
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Provide photo evidence
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Is a register maintained of items updated in the First Aid Kit?
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Are there traffic management devices in the vehicle - witches hats and bollards?
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Explanation
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Date to rectify
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Are there flashing lights in the vehicle (only as per site specific requirements)?
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Explanation
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Does the Franchisee have suitable and sufficient tools to perform required tasks?
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Explanation
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Date to rectify
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Is there a stock of equipment for repairs?
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Explanation
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Date to rectify
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Is there a suitable work area in the vehicle ?
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Explanation
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Date to rectify
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Explanation
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Does the Franchisee have a clean uniform where required (appropriate for client) ?
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Explanation
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Does the Franchisee have a current drivers licence?
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Explanation
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Date to rectify
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provide photo evidence
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Are the Franchisee's manuals current? (Electronic format ok if accessible on the day via laptop or tablet)
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Explanation
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Date to rectify
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Are the service requirements for the vehicle up to date?
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Explanation
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COMMENTS
UNIFORM
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Is the Franchisee in complete uniform ? (Current design and cotton drill style shorts or pants)
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Explanation
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Date to rectify
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Is the uniform in good condition?
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Date to rectify
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Are the boots clean?
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COMMENTS
PERSONAL PROTECTIVE EQUIPMENT (PPE)
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Helmet?<br>
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Date to rectify
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Steel capped boots for construction sites?
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Date to rectify
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Hi-Visibility Safety Vest or shirt?
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Date to rectify
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Safety Glasses Available ?
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Date to rectify
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Hearing Protection Available ?
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Date to rectify
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Does the Franchisee use electrical grade gloves or a 10 milliamp RCD when leakage testing?
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Date to rectify
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COMMENTS
PRINTED STATIONERY AND REFERENCE MATERIAL
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Copy of relevant standards (based on services provided)
FIRE
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Australia Only. Is the Franchisee's Jim's Test & Tag/Jim's Fire Safety FPAA. membership valid?
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Explanation
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Date to Rectify
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Provide Photo Evidence
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Australia Only. Does the Franchisee and FPAS accreditation?
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Explanation
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Date to Rectify
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Provide Photo Evidence
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AS 1851:2012 (Australia only)
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Date to rectify
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AS 2444:2001 (Australia only)
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Date to rectify
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AS/NZ 1841.1:2007
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Date to rectify
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AS 2441:2005 (Australia only)
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Date to rectify
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NZS 4503:2005 (NZS only)
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Date to rectify
TEST & TAG
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AS/NZS 3760:2010
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Date to rectify
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AS/NZS 3012:2010
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Date to rectify
EMERGENCY & EXIT LIGHTS
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AS/NZS 2293.2:1995
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Date to rectify
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AS/2293.3:2005 (Australia only)
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Date to rectify
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Business Cards ?
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Are the invoices in an approved format and do they include term of trade ?
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Date to rectify
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Best Practices in Test & Tagging of Electrical Equipment to AS/NZS 3760
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Date to rectify
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Has the Franchisee tailored their brag book or Formitize to contain relevant certificates eg: fire competency
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Date to rectify
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Provide photo evidence
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Carry a stock of stubby holders and other promotional material ?
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COMMENTS
TECHNICAL
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IS THE FRANCHISEE'S EQUIPMENT CALIBRATED ?
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PAT
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Date to rectify
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Provide photo evidence
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RCD Tester (if separate - not included in new tester)
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Date to rectify
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Provide photo evidence
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EFLI Tester
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Date to rectify
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Provide photo evidence
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HIOKI Clamp meter
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Date to rectify
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Provide photo evidence
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Spare PAT and Equipment
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Date to rectify
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Provide photo evidence
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Does the Franchisee have a current logbook of their equipment ?
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Date to rectify
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Has the Franchisee provided you with a current certificate of the results of the online technical quiz ? <br>(Results required to be greater than 80%)
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Date to rectify
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Provide photo evidence
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Franchisor to review Franchisee technical knowledge - (Refer to TRA180).<br>
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Date to rectify
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Can the Franchisee talk through the process of testing emergency and exit light? (Including filling out the log book)?
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Can the Franchisee talk through testing of portable fire units for all levels of services according to the applicable standards?
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COMMENTS
TESTING
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Review sample of PATGuard reports to determine that the Franchisee:
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Does the FSE perform an Earth Resistance or EFLI on all GPOs the tester is plugged into and record the results in the Asset Data Log ?
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The Franchisee selects the correct tests?
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Leakage test are conducted where required ?
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Reports are accurate ?
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Correct reports are being generated ?
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Does the Franchisee take due time to complete the test process (for example, you should notice different leakage results on monitors)
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Are the emergency and exit log books being filled out correctly? (If held in vehicle and service provided)
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Explanation
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Date to rectify
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Does the Franchisee set up in a practical way ?
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Explanation
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Are visual inspections carried out with due diligence ?
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Explanation
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Are repairs performed in a timely manner ?
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Explanation
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Is the Franchisee capable of explaining the Tests we perform ? <br>Refer review of knowledge above.
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Explanation
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Date to rectify
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Does the Franchisee invoice within our guidelines ?
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Explanation
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Does the Franchisee offer a leakage test on 3 phase equipment ? If so do they have the required equipment ?
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Explanation
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Date to rectify
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Does the Franchisee have all the required testing equipment ?
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Explanation
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Date to rectify
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Does the Franchisee use only authorised testing equipment ?
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Explanation
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Date to rectify
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Is the Franchisee's data being backed up?
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COMMENTS
WORK PRACTICES
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Does the Franchisee accept credit card payments ?
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Does the Franchisee support preferred suppliers ? ( Refer to the intranet for a complete list of preferred suppliers)
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Explanation
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Does the Franchisee update Jim's On-line for pickups ?
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Does the Franchisee use our standard documents as a basis for their advertising and marketing information ?
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Does the Franchisee ensure they ( or preferably another party) proof read all marketing material and correspondence ?
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Is the Franchisee's phone message appropriate ? Are there two separate messages - one for unavailable and one if on another call ?
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Explanation
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Date to rectify
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Does the Franchisee answer their phone appropriately ?
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Explanation
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Date to rectify
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Is the Franchisee providing any Fire or Exit light services to any customers?
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Please provide evidence of qualifications
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COMMENTS
PARTICIPATION - DOES THE FRANCHISEE
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Accept proactive calls?
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Explanation
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Accept site visits?
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Explanation
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Attend regular breakfast and/or regional meetings?
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Explanation
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Provide constructive feedback in accordance with our culture ?
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Explanation
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COMMENTS
EMPLOYEES-IF THE FRANCHISEE HAS EMPLOYEES
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Does the Franchisee have Employees please Tick
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Does the Franchisee ensure the employee logs onto the intranet on at least a weekly basis?
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Does the Franchisee's employee(s) have a current first aid certificate ?
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Does the Franchisee require the employee to attend meetings?
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Does the Franchisee consult with their employee on WHS/OHS/OSH issues?
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Does the Franchisee adequately ensure the employee operates in accordance with our policies and procedures?
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Does the Franchisee employ staff in accordance with Fare Work Australia (Australian) or Department of Labour (NZ)
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FSE to sign confirming statement
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Explanation
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Date to rectify
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COMMENTS
SAFETY
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Does the Franchisee consider safety issues when setting up?
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Explanation
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Does the Franchisee have a site specific assessment for all clients they have tested and do they address hazards not covered in the standard SWMS?
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Provide photo evidence of sample
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Explanation
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Has the Franchisee prepared a site specific assessment that is appropriate to their current work location?
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Provide photo evidence
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Explanation
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Date to rectify
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Did the Franchisee work in accordance with the SWMS?
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Explanation
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Date to rectify
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Is the Franchisee's First Aid certificate current?
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Explanation
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Date to rectify
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Provide photo evidence
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Does the Franchisee review the Safety Authority website in their area on a regular basis?
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Does the Franchisee have a relevant general construction induction training card (or equivalent)?
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Provide photo evidence
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Explanation
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Date to rectify
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Does the Franchisee wear appropriate PPE when required?
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Explanation
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Date to rectify
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Has the Franchisee provided you with a current certificate (completed within the last 12 months) of the results of the required safety quizzes? (results required to be greater than 80%)
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Provide photo evidence
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Explanation
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Date to rectify
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COMMENTS
OTHER
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Does the Franchisee have a working with children check?
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Provide photo evidence
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Does the Franchisee have a current ID card?
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Date to rectify
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Provide photo evidence
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Does the Franchisee review the intranet for updated items weekly?
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Date to rectify
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Is the Email signature correct?
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Date to rectify
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Is the Franchisee's insurance cover current and do they have a current certificate of currency?
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Date to rectify
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Provide photo evidence
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Did the Franchisee attend the last divisional conference or have they recorded their CPD hours? (Use BUS020 to record CPD hours and submit to FSO).
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Date to rectify
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Is the Franchisee providing services outside operations manual?
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Explanation
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Date to rectify
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Does the Franchisee advertise their mobile number outside or their territory (is their mobile number on the internet)?
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Date to rectify
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Is the Franchise using an approved format for fire reports (PG3 or FPA log book are the only accepted formats)
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take picture of random client
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COMMENTS
ACTION PLAN
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AREAS OF CONCERN
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Date to rectify
ADDITIONAL COMMENTS OR ACTIONS
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Additional comments or concerns
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FSE Name & Code
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FSO Name
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