Title Page
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Site conducted
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Conducted on
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Assessor Name & Job Title
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Operative Name & Job Title
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Location
- Select Equipment
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Type and model of equipment
- Makita Cordless Circular Saw
- Makita Cordless Jigsaw
- Makita Cordless Combi Drill
- Makita Cordless Multi-Tool
- Makita Paddle Mixer
- Makita SDS Drill
- Makita Cordless Planer
- Makita Cordless Impact Driver
- Makita Plunge Saw
- Makita Rotary Hammer
- Makita Core Drill 240v
- Dewalt Core Drill 240v
- Other
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Equipment ID mark or number
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Is the equipment fit for purpose and free from obvious defects?
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Provide Image
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Provide details
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Create and assign corrective action
- Action Assigned
- Action not Necessary - See Notes
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Where available, are dust ejection and collection methods in place and fit for purpose?
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Provide details
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Create and assign corrective action
- Action Assigned
- Action not Necessary - See Notes
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Where necessary, are safety guards in place, in good condition, and difficult to override without authorisation?
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Provide details
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Create and assign corrective action
- Action Assigned
- Action not Necessary - See Notes
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Provide type and model
Signed
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Operative Name
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Assessor Name