Title Page
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Card Number
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Client
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Call Number
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Prepared by
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Location
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Start Time
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End Time
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Make
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Model
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Serial Number
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Faults
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Work Carried out
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Parts used
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Parts need ordered
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Parts
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Is there a return visit needed
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Customer sign
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Technician
Dynamic Risk Assessments
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On-site traffic - Area condoned off
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Slips trips and falls - House keeping & PPE
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Hand tools - Tools to be suitable & PPE worn
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Noise - PPE
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Electric shock - Lock out tag out to be used
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Confined space - Top man and no lone working
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Working at height - Approved lifting equipment to be used
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Environmental pollution - Disposal of waste, Good house keeping
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Others
PEE
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Safety boots
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High-vis
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Hard hat
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safety glasses
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Ear protection
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Gloves
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Hair net