Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Worksite Details
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Access Point
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Protection Method
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trains in use
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Site Supervisor
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Time worksite Granted
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Time Worksite Handed Back
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RRAP used
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Late worksite- reason for delay
Planned Works v Actual
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Planned Work For Shift
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Actual work Carried Out During Shift
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If Shortfall, reason why
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Reason for delay to task
Staff and Plant on Site
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Members of Staff on site
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RRV's / Plant / Attachments
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Small Plant in Use
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Staff Competence checked
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Breakdowns
Detail of Breakdown
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Lost time
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Reason for Breakdown
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Photographs
Any Issues
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Staff
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S&T
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Technical/Design
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Welding/Flame Cutting
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PPE
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Handback
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All paperwork in place
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Equipment suitable for works
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lighting sufficient for works
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House Keeping
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Welfare
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First Aider and Kits
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Are Staff Fully PPE Compliant
Close Calls / Good Working Practices
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Close call / Good Working Practices
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Comments