Title Page
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Conducted on
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Prepared by
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Location
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1 Steps and ladders, inspected, tagged, used appropriately?
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2 Tower scaffold, PASMA, used appropriately?
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3 MEWP, IPAF, 6 month check, harness?
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4 Working At Height - safe, edge protection in place?
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5 Epix work sheet completed, RAMS book present & referred to?
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6 All work equipment listed on the work equipment register?
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7 Tools PAT tested and / or calibrated within the last 12months?
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8 Vibration and noise controls held, understood and adhered to?
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9 Is the operative clean shaven with tested/suitable RPE in place?
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10 Are suitable controls in place for asbestos?
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11 Has the engineer read the asbestos survey report and can they accurately identify where it is located?
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12 Has the engineer suitably controlled all risks from the task / workplace?
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13 Is the engineer working safely?
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14 Does the operative have current company ID card with training in date?
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15 Is the engineer suitably competent for the works being undertaken?
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16 Is the first aid kit present and in date?
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17 Is the engineer well presented and courteous? Is the correct PPE being worn incl. task specific PPE, such as hard hat, gloves, RPE etc.
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18 Any reports of Near Miss submitted by engineer?
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Signature