Title Page
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Activity
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Personnel present
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Department
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Conducted on
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Prepared by
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Location
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Weather Conditons
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Is the correct PPE in use?
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Is the equipment serviceable?
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Has the staff member/s read the relevant risk assessment/s?
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H&S Compliance Officer Name & Signature
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Date of signature
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Name & Signature of Manager responsible for Department
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Date of signature
