Information
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Division
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Site Job Number
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Location
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Report Number
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Safety Advisor
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Safety Firm
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Conducted on
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Person Seen
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Work Activities
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No. Operatives on Site
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Weather Conditions
General Information
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F10 Displayed
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Site Registers
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First Aid Box & First Aider
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Accident Book
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Welfare Facility
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Fire Extinguishers
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Safety Policy Displayed
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Employers Certificate
1. Working at Height
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
2. Other work Activities and PUWER
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
3. Traffic Management, Mobile Plant and LOLER
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
4. Protection to/from Others and Site Security
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
-
Photos
5. Health, Manual Handling and PPE
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
6. Housekeeping
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
7. Environmental issues and Waste
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
8. Emergency Arrangements
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
9. Welfare Arrangements
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
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Photos
10. Administration and Training Requirements
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Recommendations
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Score
- A
- NC
- NA
- 0
- 1
- 2
- 3
- 4
-
Photos
Sign Off
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Site Manager / Representative
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Safety Representative
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Select date