Title Page
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Site name
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Conducted on
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Prepared by
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Location
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Site arrival time
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Task
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Risk
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Hazard
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Containment Method
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I confirm that I have read and understand the details above and I authorise the work to proceed
Router possition and cables connected
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Location of router
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Cables connected
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Start time
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End time
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Close time
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Open time
Cables and switches used
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Have any switches been installed?
- Yes
- No
- N/A
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Make
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Model
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S/N
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Location
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0.5m
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1.0m
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1.5m
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2.0m
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3.0m
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5.0m
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10.0m
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Bespoke cables
Testing
Pos 1
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Visa / Mastercard
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Routex
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Nectar
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Amex
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Allstar
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Keyfuels
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UK Fules
Pos 1 night pay
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Visa / Mastercard
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Routex
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Nectar
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Amex
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Allstar
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Keyfuels
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UK Fules
Pos 2
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Visa / Mastercard
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Routex
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Nectar
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Amex
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Allstar
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Keyfuels
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UK Fuels
Pos 3
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Visa / Mastercard
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Routex
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Nectar
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Amex
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Allstar
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Keyfuels
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UK Fuels
Sign off
Sign off
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Engineer name
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Managers name