Title Page
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Site conducted
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Developer/Builder
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Site conducted
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Conducted on
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Last HSEQ assessment
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Number of Operatives on site this period.
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Please provide signing sheet
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Number of new starters
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Supervisor/Contracts Manager
Tool Box Talks Records
Tool Box Talk Record
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Has a TBT been carried out this period?
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Please carry out TBT and re submit
COSHH Register
COSHH Register
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Has the COSHH register been updated for this period?
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Please complete inspection
PPE Register and Inspections
PPE Register
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Do all employees on site have full PPE?
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Boots
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Laser M&E Hard Hats
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Laser M&E Hi-Vis
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Task specific PPE
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Eye protection
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Respitratory protection
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Harness
PAT Report Certificate
PAT Report Certificate
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Has a portable applinace test been carried out
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When was the last PAT testing carried out?
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Please carry out PAT report and resubmit
Plant Register and Inspection Records
Plant Register and Inspection Records
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Has a plant register been completed for this period?
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Please complete a plant register and resubmit
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Please provide evidence
Safe Working at Height/Ladder Assessment Checklist
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Is a ladder being used on site
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Is the access equipment regularly inspected by a competent person and is it safe to use?
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Is the access equipment in good condition? Undamaged and not painted?
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Is the access equipment class marked and suitable for what you intend to do?
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Can the access equipment be located near enough to the task to avoid over reaching?
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Can the access equipment be located near enough to the task to avoid over reaching?
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Is the access equipment tall enough to ensure 3 points of contact to avoid over-reaching?
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Can the access equipment be placed on a dry, hard, flat, level surface to do the work?
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Can the access equipment be used at the correct angel? (1 to 4)
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Can the access equipment be fixed to avoid slipping?
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Are there any overhead obstructions?
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Can the access equipment be rested on a firm flat surface for stability?
Any further information?
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Any comments or further information?