Information
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Document No.
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Address of hazard
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Conducted on Month/ Date/Year
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Prepared by
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Location
Defect
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Is there a defect
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Type of defect, trip, drop off, damage, broken,slippery,cleaning
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Add media
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Action required
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Type of action required ( grind, top up, replace,repair,steam clean,clearing)
Rating score of defect
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Rating of defect 0 - Brand New, Pathway is in Perfect Condition 1- Very Good Condition- No Visible Defects 2- Good Condition- Only very Minor Defects Found 3- Average Condition- A number of defects are visible,but is still quite serviceable 4- Below Average Condition- Quite a few obvious defects are visible 5- Poor Condition- significant percentage of footpath exhibiting severe cracking and other defects 6- Very poor condition- totally unsuitable for pedestrian use.
Completion details
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Action taken
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Works completed by
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Date of Works Completed.