Title Page
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Customer
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Company - Site Name
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Site Address
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Site Contact
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NSS Representative
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Date/Time of Survey
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Weather Conditions
Client Requests/Comments - Background Information
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Client Requests – Comments
Findings - list all findings and provide evidence
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Findings - list all findings and provide evidence
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Fault Area 1
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Fault Area 2
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Fault Area 3
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Fault Area 4
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Fault Area 5
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Fault Area 6
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Fault Area 7
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Fault Area 8
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Fault Area 9
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Fault Area 10
Recommendations
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Recommendations – RAG Status - RED - Immediate Action Required - AMBER - Requires Monitoring - GREEN - No Action Required - Please list recommendations indicating the relevant RAG Status
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Fault Area 1 Recommendation
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What is the faults RAG Status?
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Fault Area 2 Recommendation
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What is the faults RAG Status?
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Fault Area 3 Recommendation
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What is the faults RAG Status?
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Fault Area 4 Recommendation
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What is the faults RAG Status?
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Fault Area 5 Recommendation
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What is the faults RAG Status?
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Fault Area 6 Recommendation
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What is the faults RAG Status?
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Fault Area 7 Recommendation
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What is the faults RAG Status?
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Fault Area 8 Recommendation
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What is the faults RAG Status?
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Fault Area 9 Recommendation
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What is the faults RAG Status?
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Fault Area 10 Recommendation
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What is the faults RAG Status?
Media
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Please add all photos taken on site
Summary
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Summary of Report