Title Page
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Report No:
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Sample No:
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Conducted on
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Prepared by
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Location
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Personnel
General:
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Has a Health and Safety assessment been carried out prior to conducting the test?
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Have any hazards identified been addressed prior to testing being carried?
Training:
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Does the technician have a training record for the testing being performed?
Equipment - Initial Check:
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Do you have all the required PPE where necessary?
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Is all the equipment being used in good working order and calibrated?
Equipment I.D - Calibration:
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Stack No / Serial No and Calibration Dates:
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Balance Serial No / Calibration Date:
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Riffle Box Serial No / Calibration Date:
Preparation of Sample:
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Has the sample been prepared in accordance with lab testing procedure - LTP S1
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Do you have the correct Minimum mass of sample for testing?
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Will the sample require the use of Soduim Hexametaphosphate?