Title Page
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Job reference number :
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Prepared by :
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Are you lone working ?
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Please select the names of all persons present.
- Daniel Hudson
- Luke Hudson
- Adam Stott
- L Singh
- Ben Atkinson
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What measures are place for lone worker safety ?
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What are you working on ?
- Working on Chambers
- Working on Poles
- Working on Chambers & Poles
- Other
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Please write a short description of the works
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Conducted on
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Location
Site Equipment
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Do you have relevant Openreach accreditations ?
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If the answer is no you must contact your manager immediately and the task must NOT commence.
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Are you wearing relevant PPE & is it all in good condition, Hi-vis clothing, Safety footwear, Gloves ?
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If the answer is no you must contact your manager immediately and the task must NOT commence.
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Do you have Gate guards, Calibrated gas detector, Pit lifter & Roll bar and are all tools in good condition ?
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If the answer is no you must contact your manager immediately and the task must NOT commence.
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Do you have any other comments regarding this work, before starting the task ?
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Is your vehicle parked in a considerate manner ?
Job Completion
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Has all PIA worked on been left in a secure/safe condition ?
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If the answer is no you must contact your manager immediately.
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Select date
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Add location
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Add signature