Title Page
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Site conducted
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Job Number
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Site Name
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Site Address:
Pre Work Checks
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Do you have a separate RAMS Document to work to?
On Site Risk Assesment
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Are falls from height a possibility?
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What Hazard is present?
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What control measures are in place?
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Are Collapse of excavations a possibility?
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What Hazard is present?
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What control measures are in place?
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Is there going to be an exposure to dust?
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What Hazard is present?
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What control measures are in place?
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Is there going to any exposure to asbestos?
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What Hazard is present?
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What control measures are in place?
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Are there any risk of Slips/Trips and Falls?
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What Hazard is present?
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What control measures are in place?
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Are there any risks to members of the public, the customer or any other persons?
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What Hazard is present?
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What control measures are in place?
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Please note an other dangers on site and relevant measures to reduce risk.
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Are there wash/rest facilities available?
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Names of Engineers on site.
Installation details
Please provide details of works carried out
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What works have been completed?
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Please provide photos of all works carried out.
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Has all installed trunking had end caps and lid fitted?
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Please provide details as to why?
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Have all data outlets been tested in accordance with scope of works and results recorded accordingly ?
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Please provide details as to why?
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Have any ceiling tiles removed been replaced intact ?
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Please provide details as to why?
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Have any holes created been filled and made good with customer aware of any firebreaks disturbed?
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Please provide details as to why?
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Have all areas been cleaned and left in a tidy state?
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Please provide details as to why?
Sign Off and Acceptance
Sign Off to be completed with a site representative
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I agree that all works have been completed to a satisfactory standard
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Customer representative name and signature
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Customer representative title
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Engineer name
All reports to be sent to sales@vietec.co.uk
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Vietec Ltd
7 Windsor Court
Clive Road, Redditch
Worcestershire, B97 4BT
T: 01527 591 073
F: 01527 585 217
E: sales@vietec.co.uk
www.vietec.co.uk
Company Registration 553 7445
VAT Number 868 2985 57