Title Page
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Site conducted
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Conducted on
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Prepared by
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Locations worked this week
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Date:
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Names of Staff on Site
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Hours on site
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Vehicle Registration
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Vehicle Checked prior to Start
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Checked by
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Faults noted
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Pre-Start Site Safety Inspection – Have there been any changes that has impacted on your health & Safety this week?
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Give brief description of what could have an impact and how you will avoided it.
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Record of works carried out (Brief description)
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Notes /or Other Works
Site weather conditions
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- Wind
- Rain
- Dry
- Snow
- Frost
- Fog
- Snow
- Sun
Control of Vibration Regulations 2005
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Machine manufacturers make
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Model Number
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Safety Check
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Who checked it
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Who were the users
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Individual Time on Trigger for each user
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Record of any Damage or Disruption to tools
PPE
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Do all operatives have the correct PPE for site and the task in hand
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PPE: Do all operatives have the correct PPE for the hazards onsite today?
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F.F.W - Are all operatives fit for work? Please comment below
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Please give full details
Lifting Operations and Lifting Equipment (LOLER)
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Description of equipment
Working at Height regulations (WAH) 2005
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Ladder, Podium or Scaffold Tower Check
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Type
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Ref Number
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Scaff / Ladder tag in date
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Checked and signed off by