Title Page
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Conducted on
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Prepared by
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Operative Name
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Location
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ID card Present
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Wearing NRT uniform
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Test kit and leads in good condition - please record test kit number in notes
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Calibration in date?
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Lock-off Kit present and in good condition
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Flash over kit present and in good condition
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First Aid Kit
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Hand Tools General Condition
PPE
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Hard Hat
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Ear Protection
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Eye Protection
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Safety Footwear
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Acceptable condition (No steel showing; laces)
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Overshoes being used as required
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NRT Hi-Viz Vest
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All Types of Gloves
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FFP3 Mask
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JSP Mask
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Cleaning wipes
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Hand sanitizer
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Covid-19 Face masks
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Other
Plant/Access Eqpt
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Ladder inspection
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Next Inspection within 3 months
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Other access equipment (Hop-ups etc.)
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110V Plant
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PAT in date?
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Other Comments
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Auditor signature