Title Page
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Visit Reference
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Site Site ID / UPRN
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Conducted on
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Prepared by
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Location
General Information
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cOLT / Hz
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Lead Investigator
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Build Agent DL or BP
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Site Lead
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Site Go Live Date
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Reason for Site Visit
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Defects Observed
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Images captured during visit
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Recommended Remedial Action
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Report sent to
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Date sent
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Assessor Name and Signature