Title Page
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Conducted on
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Prepared by
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Location
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FSE Name
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FSE Code
Vehicle Details
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Make
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Model
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Colour
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Registration
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Vehicle Rego expires
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Trailer Registration
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Trailer Rego expires
Services listed on FMS
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Mow Reg
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Mow Once
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Mow Ride On
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Garden Reg
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Garden Once
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Pruning
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Rubbish Green
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Rubbish Other
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Gutters (single)
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Spray
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Winz
General
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First Aid Kit
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Fire Extinguisher
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Safety Cones
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OHS Manual
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Completed SWMS for listed services
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Blank SWMS
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Blank Accident / Injury forms
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Awareness Signs
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Sun Screen
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Insect Repellant
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Hand Sanitiser
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Face Masks
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Disposable Gloves
Uniform
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Green Long Pants
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Green / Hi-Vis Long Sleeved Shirt or Polo
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Jumper or Windcheater
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Hat
Safety Equipment
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Sturdy Gloves (eg leather rigger type or gardening gloves)
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Hearing Protection
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Safety Glasses
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Steel Capped Boots
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Hard Hat with Visor
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Chaps
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Chemical Resistant Gloves
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Respirator
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Industrial Rated Ladder
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Ladder lock device
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Harness (Qualification & check exp date)
Equipment Used (condition, check for holes etc, check guards in place)
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Mower (Hand)
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Mower (Ride On)
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Line Trimmer
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Edger
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Blower
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Hedge Trimmer
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Chainsaw (check for training certs)
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PoleSaw
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Sprayer (check for training certs)
Signatures
I hereby declare the above audit, based on the evidence provided by the auditee and my personal observations, to be true and correct.
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Franchisee Signature
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Franchisor Signature
