Information
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Document No.
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Sudent Name
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Client / Site
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Conducted on
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Prepared by
PPE
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Does the student check for the correct equipment in the LV Rescue Kit
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Can the student test the PPE correctly
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Can the student put the PPE on correctly
Tools and Equipment
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Identifies isolation procedures
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checks all equipment for defects
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Shows correct use of equipment
Rescue
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Work area is made safe of any electricity
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Removal of worker using crook
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worker is dragged to safe area using "one man drag"
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Correct use of fire blanket
Emergency Procedure
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Correct First aid and Cpr is demonstrated
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Emergency Procedure is followed
Declaration
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I declare that the information included in this report is true and I have witnessed the student participate in activities set out to simulate low voltage rescue