Title Page
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What is the weather conditions with wind direction and temperature
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Prepared by
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Date of insection
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Location
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Is this a call in situation
Inspection Specifics
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What Building is being inspected
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VPR
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Table Rock
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Is there Ice on the roof
- Yes
- No
- N/A
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VPR fire escape
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Along back of VPR
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Back entrance of VPR
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Commissioner entrance
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Table Rock Receiving area
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Table Rock South Entrance Doors
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Table Rock Quick serve entrance
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Table Rock East Entrance
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Table Rock Fire Escape area
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Table Rock North Receiving area
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Other
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Where
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Does it appear to be stable
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Will the ice be knocked off
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Who is doing the work
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Brody Bowslaugh
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Dan Crompton
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Matt DeLazzer
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Craig Hartwick
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Blair Delazzer
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Zac VanVeen
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Taylor P-Low
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Duane Haining
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Other
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Are all the required barriers in place to keep the public out of the fall area
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Are there vehicles parked in a fall zone
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Name of Inspector