Title Page
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Date and time
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Location
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Client
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Add location
PPE INSPECTION
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Climbing helmet with 2 point chin strap
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Eye protection
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Hearing protection
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Dust masks FFP3 only
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Safety boots
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Gloves
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Client branded Hi -vis
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In date first aid kit Inc. eyewash
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Correct clothing
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Services locator
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Storage bag
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Overall condition
SAFETY EQUIPMENT
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Ladder standoff
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Anti slip ladder mat
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Cones/barriers
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Adequate CFL signage
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Health and safety document folder
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Overall condition
PERSONAL FALL PROTECTION EQUIPMENT (PFPE)
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2 POINT FULL BODY HARNESS
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Date of first use
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date of manufcuture
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Unique serial number
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Inspection
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COWSTAIL LANYARD
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Date of first use
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date of manufacture
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Unique serial number
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Inspection
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SKR GUIDED ROPE GRAB
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Date of manufacture
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Unique serial number
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Inspection
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10M KERMANTLE ROPE
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Date of first use
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Date of manufacture
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Unique serial number
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Inspection
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10 MM EYEBOLTS
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Inspection
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2 x 10 M RATCHET STRAPS
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Inspection
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YELLOW STORAGE BAG
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Overall condition
EXTENSION LADDERS
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Ladder Class (en131 or class 1) ONLY
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Inspection tag displayed (all sections)
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Date of next inspection
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feet
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rungs
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styles
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Hinges
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Section hooks
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screws/rivets/fixings
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Overall condition
STEP LADDERS 1
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Ladder Class En131 or Class 1 ONLY
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Inspection tags displayed
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feet
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rungs
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hinges
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styles
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screws/rivets/fixings
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Platforms
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Overall condition
STEP LADDERS 2
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Ladder class EN131 or class 1 ONLY
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Inspection tags displayed
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Feet
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Rungs
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Styles
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Screws/rivets/ fixings
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Platforms
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Overall condition
HOP UPS
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Platform Condition
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Legs
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Feet
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Leg locking mechanism
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Inspection tags in date
DOCUMENTATION
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Risk assessment available onsite
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Fallstop safety documentation available onsite
CORRECTIVE ACTIONS CONTRACTOR
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actions required
- Yes
- No
- N/A
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time frame
CORRECTIVE ACTIONS FALLSTOP
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Follow up required
SIGN OFF
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Contractor
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Fallstop Ltd
