Information
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Prepared by
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Conducted on
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CLIMBING AND LOWERING EQUIPMENT SAFETY CHECKS
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Climbing Kit 1 lD
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Date of last LoLer test
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Date inspection due
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Lowering kit 1lD
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Date of last LoLer test
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Date inspection due
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Climbing Kit 2 lD
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Date of last LoLer test
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Date inspection due
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Lowering kit 2 lD
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Date of last LoLer test
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Date inspection due
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HAVE ALL DAILY CHECKS BEEN CARRIED OUT IN ACCORDANCE WITH THE MANUFACTURERS GUIDELINES?
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WEEK ONE
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Add signature
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WEEK TWO
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Add signature
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WEEK 3
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Add signature
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WEEK 4
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Add signature
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Week 5
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Add signature
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Faults/ Damage Report:
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Has all faulty / damaged equipment been quarantined in a safe location?
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Select date
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Have all defects / faults and damaged equipment been reported to your line manager?
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Select date
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Have all previous faulty/ damaged equipment been replaced / repaired?
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Select date
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UPDATED LoLER RECORDS
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New equipment added to LoLer record: Unique ID number and description:
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Withdrawn Equipment: Unique ID number and description:
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REPORT ALL FAULTS/ DAMAGE TO YOUR LINE MANAGER - DO NOT USE FAULTY OR DAMAGED EQUIPMENT / MACHINERY
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I CONFIRM THAT ALL CLIMBING AND LIFTING EQUIPMENT OUTLINED ON THE ISSUED LoLER CERTIFICATE HAS BEEN INSPECTED AND IS FIT FOR USE- ALL DEFECTS HAVE BEEN RECORDED AND APPROPRIATE ACTIONS TAKEN FOR EQUIPMENT WITH DEFECTS. ALL WITHDRAWN AND NEW EQUIPMENT HAS BEEN AMENDED ON THE LoLER RECORD AND DETAILED ABOVE.
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Team Leader Signature:
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Select date
