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Fenix Green Light No.
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Client
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Site Name/Reference
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Site Location
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Operating Organisations
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Prepared by
Changes in the working context or stakeholder expectations
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Have there been any changes in working context or stakeholder expectations?
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Describe changes and which assessments, plans, processes and procedures have been affected.
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Check that all affected assessments, plans, processes and procedures have been updated.
Checks to be carried out before giving Permission to work
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Site Safety Assessment complete and OK?
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Environmental aspects OK?
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Munition Risk Assessment OK?
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All essential personnel are present and fit?
- Yes
- No
- N/A
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All personnel qualified and authorised for their roles?
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All personnel blood types, allergies, special requirements held by site medic?
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Valid Medical Emergency Response Plan in place?
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All CASEVAC vehicles serviceable and ready?
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Emergency communications tested and correct?
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All required equipment available and in working order?
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Lifting equipment available and in satisfactory condition
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Site organisation OK?
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Mobile phone, electronic items and flammable materials policy in force?
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Safety and quality brief provided to all staff?
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Are there any additional site-specific checks required?
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Describe additional site-specific checks that must be confirmed prior to agreement to Green Light
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All site-specific checks OK?
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Name and signature of Site Manager
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Date and Time at which Green Light in force
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Have there been any significant changes in circumstances, conditions or context during the day and/or have any decisions been taken that are significant for quality, environmental or safety reasons?
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Provide detail of changes and/or decisions
Withdrawal of Green Light on completion of operations
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All operations complete?
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All explosive items removed/secure?
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All personnel accounted for?
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Name and signature of Site Manager
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Date and time at which Green Light was withdrawn
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Once this record is completed ensure it is exported to PDF and saved
Suspension of Green Light
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When was PTW suspended?
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Why was PTW suspended?
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Nonconformity Reference if any
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Name and signature of site manager
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Issue Level 1.00 Dated 21 November 2019