Information
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Document No.
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Audit Title
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Conducted on
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Location
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Name of Oncoming Officer:
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Name of Offgoing Officer:
Checklist
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Equipment Received - MOCO (Cosy) Phone?
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Handover Received?
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Signed Confirmation:
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Deployment Box Received?
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Signed Confirmation:
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Patrol of Site Carried Out?
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Signed Confirmation:
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Equipment Received - Torch?
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Equipment Received - Logbook?
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Equipment Received - Moco (Cosy) Phone?
Checklist
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Moco Phone Working?
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Time of Patrols Carried Out:
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Signature:
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Incidents?
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Reported?
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Comments?
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I confirm that all information has been passed on and all patrols have been carried out in accordance with procedures. Please note: by completing the above information you are taking full responsibility for the site and will be subjected to disciplinary action should you fail to comply and follow all Northumbrian Water procedures.
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Name:
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Signature:
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Manager or Supervisor on a site visit, please check and sign below:
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Name of Manager/Supervisor:
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Manager/Supervisor Signature:
