Title Page
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Document No.
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MKE job No.
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Client / Site
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client contact
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client contact number
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Conducted on
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Location
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Prepared by
- Ashleigh Brown
- Scott Vidgeon
- Brett Colbourne
- Dave Mills
- Luke Mills
- Drayer
- Joe Tummon
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Personnel
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Enquiry for
- Drives
- Electrical
- Mechanical
Health, Safety & Environment checklist
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Confined space
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Permit required
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Picture of confined space
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Working at height
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Permit required
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Picture of area of height
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Welding/ Fabrication
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Permit required
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Picture of area set out for welding bay
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Overhead power cables
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Permit required
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Picture of overhead areas to avoid
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Mobile crane
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Permit required
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Picture of area where mobile crane is to be situated
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Working near water
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Permit required
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Picture of water around work space
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Use of ladders
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Size of ladder required
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Toxic gasses/ substances
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Specialist equipment required
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Picture of area where machinery can be placed for safe work purposes
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Welfare facilities
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Scaffolding
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Permit required
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Picture of area for scaffolding to be erected
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Uneven ground
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Specialist machinery required
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Picture of ground surface
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Easy access/ egress
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Are keys required
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Picture of access for crane or lorry
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Unmanned site
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Sign in with
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General public
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Sub contractors required
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Confined space
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Permit required
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Picture of confined space
Site Survey
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Name plate/ Equipment data
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Pictures of plates or equipment
Procurement
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Are parts required
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Product information
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Quantity
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Part Number
Time Management
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Man power
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Onsite Removal
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How many hours per person
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Workshop Fabrication
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How many hours per person
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Commisioning
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How many hours per person
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Additional information
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Add media
