Title Page
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Facility or Area Inspected:
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Conducted on
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Prepared by
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Location
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Asset No:
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Region:
Inspection Items
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Safe Access for the public through the area?
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Street Lighting present and working correctly?
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Are there any Slip, Trip, Fall hazards present?
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Emergency Response equipment available? (Life rings, throw ropes etc)
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Appropriate warning or advisory signage present and legible?
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Any other issues with the potential to affect Public Safety?
Sign off
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Area Inspected by:
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Signature:
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Received by:
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Signature: