Title Page

  • Document no

  • Description

  • Site conducted

  • Conducted on

  • Manager

  • Location
  • Podium Step & Delta Deck Code Number Description and Evidence ie: BTS 1,2,3,4,5,6,7,8

  • BTS_1

  • BTS_2

  • BTS_3

  • BTS_4

  • BTS_5

  • BTS_6

  • BTS_7

  • BTS_8

  • BTS_9

  • BTS_10

  • BTS_11

  • BTS_12

  • BTS_13

  • BTS_14

  • BTS_15

  • The floor area must be clear of any obstructions, including materials and debris

  • Personnel using this type of equipment must be competent and and qualify to do so

  • CASTORS LOCKED AND SECURE

  • PLATFORM AND STEPS CORRECTLY FITTED AND<br>LOCKED

  • TELESCOPIC GUARDRAILS CORRECTLY<br>LOCATED AND SECURE

  • FRONT AND REAR GATES PROPERLY CLOSED ,GATE CATCH<br>

  • SIDE GUARDRAIL & BRACKETS LOCKING DEVICES,

  • LEG ADJUSTMENT LEVERS,ADJUSTABLE LEGS,LOCKING CASTORS,SIDE GUARDRAILS LEG ,ASSEMBLIES LEG,RETAINING CLIPS

  • Off Hire

  • Commnets

  • Signature Supervisor & Operatives

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