Title Page
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Conducted on
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Contractors
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Subcontractors
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Projects
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Prepared by
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Location
Attended By: Name / Company / Function
- Name/ Company/ Function
Questions
General Site Safety
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Are all EHS requirements posted?
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Are EHS performance results displayed and updated regularly on a status board/panel?
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Is the panel secured and placed in a conspicuous and strategic area?
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Are all hoardings/separations/fencing securely in place and site secured from unauthorized access?
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Are personnel using designated routes to the work areas?
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Is there sufficient directional and warning signage in place (fire, escape routes, pedestrian routes, traffic etc.)?
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Are appropriate areas segregated to protect pedestrians from vehicles?
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Do site vehicles have flashing beacons and reversing sirens that are operational?
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Is the general housekeeping to an acceptable standard?
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Have all site operatives/workers completed safety induction? - Sample one or two of the workforce with each safety inspection and check records
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Are waste materials removed from the work area on a regular basis and not allowed to accumulate?
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Is the site free of trip or slip hazards?
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Other
Permit To Work
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Is a valid General Permit present?
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Is (Are) valid specific high risk activity permit(s) present?
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Did all site operatives/workers sign the permit(s)?
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Do all site operatives/workers know the safety rules and respect them?
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Did the Area Responsible Person check the area at start of work?
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Have permits correctly been distributed (org. in the field)?
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Have permits correctly been extended?
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Has daily sign-in been completed?
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Were all permit documents removed after the work was completed?
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Is the work considered to be routine job performed by embedded contractor
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Other
Working at height (Scaffolding, Ladders, Working at Height, Working Platforms,...)
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Working at height is done in a safe way?
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Is the scaffold erected correctly with guard rails and toe boards at the correct height, footed correctly and bracing in place?
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Is the scaffold inspection tag in date?
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Have the wheels of tower scaffolds been locked when in use and are the platforms empty when they are moved?
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Are persons working/underneath work at height/supervisors/exclusion zones in place?
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Are ladders set at the correct angle (65°-75°) secure and extend at least 1 meter above the platform?
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Are ladders used for short duration/low risk activity only?
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Are edges which people could fall from provided with double guard rails or other suitable edge protection?
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Are railings installed consistently at standard heights (min. 1000 mm with a mid-rail set a 500 mm of the floor)?
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Are holes protected with clearly marked and fixed covers to prevent falls?
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Are harnesses attached to a life line (preferably above the working area)?
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Are harnesses used by all working personnel in a mobile elevated platform (MEWP ) / aerial platform
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Are materials stored at height, stored correctly and secured?
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Are working platforms in accordance and in conformance with the approved proposal / design?
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Are no obvious changes made to the platform after it was approved?
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Other
Lifting and hoisting activities
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Is a permit for critical lift being issued and are all requirements stated in the permit strictly applied?
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Is there an exclusion zone around the loading/unloading area to keep people who are not involved away from the work?
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Are pre-use inspections completed by operators?
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Is a banksman/spotter required and provided for the lifting operations in progress?
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Are all certificates of the lifting devices and equipment checked and valid?
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Are all certificates of the operator checked and valid?
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Other
Excavation
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Is the excavation segregated and protected?
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Is shoring/batter required, if so is it in place?
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Is safe access provided into deep excavations? Is more than one access (and exit) installed?
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Have all existing live services been identified & isolated?
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Is an approved Permit to Dig in use and available for inspection? Are all requirements strictly applied?
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Has the permit been signed off by all relevant parties?
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Are the operatives aware of the permit requirements?
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Other
Fire and Emergency Management
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Are fire extinguishers properly placed, in accordance with the local legislation and readily accessible?
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Are fire extinguishers fully charged and sealed?
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Are all combustibles removed or protected ?
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Are fire exit routes properly identified and posted on strategic locations?
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Are exit routes and emergency exits free from obstruction?
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Are workers aware of the emergency procedures? - Sample at least 2 persons
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Does the contractor know what to do in case of an accident?
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Does the contractor know the emergency procedure? Are evacuation exits free? Is the assembly location known?
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Are specific department instructions known?
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Other
Electrical/ Lightning
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Access to Distribution Boards/Cupboards/Enclosures is prevented, the access door is labelled ' Authorized only' and only authorized operatives allowed to enter under Permit?
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Mains power/services is isolated (LOTO) wherever possible prior to works starting, services that need to remain live are appropriately highlighted and labelled?
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Is the temporary electrical installation on the construction site installed in accordance with local legislation and inspected by a notified body?
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Are appropriate lighting levels maintained to all access/escape routes with provision for task lighting as required?
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Do temporary electrical panels, electrical cables, cords and power plugs have a minimum protection of IP44?
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Are cables and cords in good condition - Are cables protected from damage?
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Are all extension cords, wires, cables elevated overhead and located in safe areas?
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Are all equipment's turned off / shut off after usage and /or during coffee breaks?
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Other
Hot Work
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Are permits secured and all requirements stated therein strictly applied?
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Only competent/ authorized personnel operates and performs welding works and other hot work?
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Are all cables, wires, hoses and other accessories in good working conditions?
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Are heat resistant gloves, welding helmets, leather aprons or non flammable work clothes provided and worn correct and consistently?
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Is a fire extinguisher available/present at the work zone?
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Are gas cylinders stored in a trolley / rack and secured in the upright position?
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Are flame arrestors installed (between cylinder and regulator), (between regulator and hose), (between hose and torch)?
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Are all hoses in good condition and regularly inspected for cracks, leaks, etc. ?
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Are all gauges operational and in good working conditions?
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Other
PPE - Personnel Protective Equipment
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Is the correct level of PPE worn by all operatives?
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Safety shoes (or boots)
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Safety Helmet
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Eye Protection
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Gloves
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Hearing protection
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Others
Warehousing/ Material Storage/ Fabrication Area
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Warehousing
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Are chemical products stored in designated areas?
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Is proper labelling of hazardous materials observed?
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Are Safety Data Sheets (SDS) available for all stored and used products?
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Is containment available for the storage of chemical products?
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Is segregation of hazardous from non-hazardous materials observed
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Are oxidizers and combustible and flammable materials clearly separated?
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Are acids & bases clearly separated?
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Are fuels stored in an approved double-walled storage tank?
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Are measures in place to avoid spills and/or soil contamination when tanking fuel?
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Are regular housekeeping and reorganisation of storage observed?
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Are warnings signs displayed where appropriate?
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Compressed cylinders
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Are compressed cylinders stored in a trolley/rack and secured in the upright position?
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Are flame arrestors installed (between cylinder and regulator) (between hose and torch)?
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Are all hoses in good condition and regularly inspected for cracks, leaks, etc.?
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Are all gauges operational and in good working conditions?
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Are fire extinguishers readily available at the cylinder storage area?
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Fabrication area
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Are all equipment's properly guarded with their standard machine guards or protection?
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Is the working area barricaded / enclosed with railings?
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Are warning signs provided for information and guidance?
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Have operational and standard fire extinguishers been provided?
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Have proper illumination and ventilation been provided?
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Is regular housekeeping observed?
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Other
Social Facilities
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Barracks / Welfare / Workers Quarters
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Is regular housekeeping observed?
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Is the electrical installation inspected and approved by a notified body?
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Is proper illumination available?
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Are garbage cans and rubbish bins provided and disposed off site regularly?
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Are fire extinguishers provided and properly maintained?
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Is regular housekeeping observed?
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Toilets / Temporary urinals
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Are sanitary installations available according the proposal approved by J&J (prior to start)?
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Have warning signs been provided for identification purposes?
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Is regular housekeeping observed?
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Canteen
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Are operational and standard fire extinguishers been provided?
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Are warning signs for potable and non-potable water placed?
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Is regular collection of garbage observed?
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Are garbage cans and rubbish bins provided and disposed off site regularly?
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Is regular housekeeping observed?
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Other
First Aid / First Aider
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Is a First Aider always present at the site?
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Has a first aid kit been provided?
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Is an emergency service on stand by / provided?
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Is a stretcher / spine board provided?
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Other
Equipment/ Tools
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All equipment and tools are correctly used (hand tools, machines,…)
Accident / Tools
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Are all incidents/accidents reported?
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What is the number of reported accidents (first aid, recordable, LWDC, SIIC) ?
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What is the number of reported incidents (Property Damage)?
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Are all reported accidents / incidents investigated? Root cause analysis mandatory for LWDC, SIIC, Property Damage
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Other
OneCSS Full Additional Checks - Toolbox (Talks)
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Have Toolbox talks been planned and are they being executed as planned?
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Was the participation rate of the toolboxes OK?
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Was the quality of the toolboxes OK?
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Other
OneCSS Full Additional Checks - Self Inspections
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Were the Self Inspections scheduled?
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Were the Self Inspections executed according to schedule and were the Reports compiled?
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Is a corrective action plan in place?
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Other
OneCSS Full additional checks - Management Expectation
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Are safety tours planned and executed to plan by management?
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Are safety tours planned by J&J Construction Supervisor and General contractor?
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Are safety tours planned by Safety DRI / Safety Coordinator?
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Are safety tours planned by Independents?
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Are safety tours planned by Project Owner, Construction Safety Peer Reviews
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Are all reports of safety tours submitted?
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Other
Comments
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Additional Comments