Information
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FSE Name
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Division -Region-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
1.0 ELECTRICAL
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1.1 Is a Residual Current Device (RCD) Available ?
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Date To Rectify
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1.2 Are there any Broken Plugs, Sockets or Damaged Leads ?
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Date to rectify
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1.3 Have all Electrical Items Been Test and Tagged in the Last 6 Months ?
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Date to Rectify
2.0 CHEMICALS
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2.1 MSDS Register is Available and Up to Date for Every Chemical ?
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2.2 Are all Containers Clearly and Accurately Labelled ?
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2.3 Are there any Unsuitable Storage Containers ?
3.0 FIRST AID KIT
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3.1 First Aid Kit Adequately Stocked ?<br>
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Date to Rectify
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3.2 Easy Access to First Aid Kit ?
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3.3 Any Contents Past Their Expiry Date ?
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Date To Rectify
4.0 PERSONAL PROTECTIVE EQUIPMENT (PPE)
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4.1 Safety Cones Available ?
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4.2 Safety Gloves Available ?
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4.3 Dust mask / Respirator Available ?
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4.4 Safety Goggles Available ?
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4.5 Hearing Protection Available ?
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4.6 Safety Shoes Available (Required for Construction Sites) ?
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4.7 Sunscreen ?
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4.8 Body Harness ?
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4.9 Safety Barriers/Signage ?
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4.10 Hi-Visibility Vest ?
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4.11 Hat/Cap ?
5.0 LADDERS
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5.1 Are All Ladders Industrial Rated to 150Kg ?
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5.2 Are All Ladders In Good Condition ?
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5.3 If Working Near Power Lines, Are They Non Conductive (Wood/Fibreglass ) ?
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5.4 Has The FSE Completed Heights Training ?
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Photo of certificate
6.0 EQUIPMENT & GENERAL SAFETY
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6.1 Is all Equipment Well Maintained (i.e. Neat/Clean/Tidy) ?
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6.2 Is There a Full Compliment of Equipment as Required to Perform Work ?
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6.3 Are There any Obvious Safety Concerns with the Work Site that may Impact FSE or Clients/Safety ?
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List Concerns
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6.4 Is the Workplace Maintained in a Tidy Condition ?
7.0 PRESENTATION
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7.1 Is The FSE Using Correct Voicemail Message
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Date To Rectify
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7.2 Is uniform clean and tidy?
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7.3 Is the Vehicle Clean and Tidy ?
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7.4 Is the Signage in Good Condition ?
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Date To Rectify
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7.5 Is the FSE using Feedback Cards/Book ?
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7.6 Is the FSE using a Current Price List ?
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7.7 Is the FSE using the Business Stamp on Invoices ?
8.0 COMPLIANCE
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8.1 Is FSE in Full Uniform ?
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Date to Rectify
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8.2 Is FSE Using Correct Jimscleaning Email ?
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Date to Rectify
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8.3 Is FSE using Jimscleaning Business Cards ?
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Date to Rectify
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8.4 Is FSE using Jimscleaning Invoice Books ?
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Date to Rectify
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8.5 Does vehicle have Correct Division signage ?
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Date to Rectify
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8.6 Does vehicle have *Franchises Available* and *www.jims.net* signage ?
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Date to Rectify
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9.0 CUSTOMER SERVICE
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9.1 Did you Observe the FSE Communicating with the Client whilst Conducting a Field Visit ?
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9.1.1 Where you Satisfied that Communication was Both Appropriate and Effective ?
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9.2 Did you Inspect the Quality of Work whilst you were Conducting the Field Visit ?
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9.2.1Were you Satisfied that the Quality of Work was of an Appropriate Standard ?
10.0 ADDITIONAL COMMENTS OR ACTIONS
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Additional comments or concerns
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FSE Name & Code
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Franchisee Photo
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FSO Name
