Information
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Site Name/Number
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Observer name:
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Observed on:
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Workgroup:
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Location
Hazards
Hazard or Near miss details and actions
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Fault:
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Please add any photos/media files as appropriate
Action
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Any site hazards to consider prior to remediating the reported fault?<br>i.e. Traffic, overhead cables etc.etc.
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Suggested repair?
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Details, please