Job Details
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Job Address
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Client / Site
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Conducted on
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Prepared by
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Location
Inspection Details
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Building Type
- Commercial New
- Commercial Existing
- Residential Existing
- Residential New
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If multi-level what level is the other level
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Roof Access Detail
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Has Fascia been installed and is it solid?
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Height of building
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Pitch
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Vegetation
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Roof Top Plant Details
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Roof Hazards
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Work Activity Details
- Estate New Roof
- Maintain Air Conditioning Plant
- Other Routine Maintenance
- Regular Gutter Cleaning
- Re-Roof
- Hangon Platform
- Edge Protection
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Frequency
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Roof Sketch
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Mud Map
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General Comments
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Material
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Parapet detail
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Parapet height
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Gutter details / location
Risk Assesment
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Known Facts
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Assumptions
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Risk Assessment
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Probability
- Almost Certain
- Quite Possible
- Unusual But Possible
- Remotely Possible
- Highly Unlikely
- Practically Impossible
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Frequency Of Risk Occuring
- Very Rare
- Rare
- Infrequent
- Occasional
- Frequent
- Continuous
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Possible Consequences
- Numerous Fatalities - Catastrophic
- Multiple Facilities - Disaster
- Fatality - Very Serious
- Serious Injury
- Casualty Treatment - Important
- First Aid Treatment - Noticeable
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Photos Of Site
Pre Site Questions
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Are there power lines within the No-Go Zone
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Customer to organise a power permit
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Is there clear access to the site and install area
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Is fascia installed and is it solid
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Has parking at the front of the site been organised for the install with the client
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Toilet Facilities
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If install to encroach on neighbouring property, has permission been given
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Is Make U Safe paperwork/SWMS required by the client
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If new client is MUS pre payment organized
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Meters Required
Site Hazards
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Descriptions of Site Hazards
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Photos Of Hazards
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Signature of MUS employee
