Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
Access & Manning
Shift Start Time
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Select date
Shift Finish Time
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Select date
Noise Restrictions
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Please Select
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Notes
Site Induction
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Please Select
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Site Induction Notes
Vehicle Parking
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Please Select
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Parking Notes
RAMS
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Please Select
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Rams Notes
Secondary Contact Details (out of hours)
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Please state name, contact number and position held
Site Specific Work Notes
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Brief notes for expansion at the office
Man Power confirmation
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Manpower Notes
DuctWork Audit
Confirmation of Ducting Layout
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Ducting as per schematic
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Ductwork Schematic adjustment notes
Inaccessible Ductwork?
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Is any areas inaccessible
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Inaccessible Ductwork Notes
Access Portes
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Have we asked the client to fit access Portes?
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Has the client to installed the access Portes?
Access Panel Requirements
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Are we required to fit access doors?
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Door Type
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Please state the door sizes
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Door Type
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Please state the door sizes
Specialist Access Equipment
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Please Select
- Rope Access
- Scissor Lift
- Boom Reach
- Scaffold Tower
- Not Applicable
- Crawling Boards
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Specialist Access Equipment Notes
Specialist Cleaning Equipment
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Please Select
- Portable Air Compressor
- Road Air Compressor
- Air Movement Vac
- Rotary Brush System - Air
- Rotary Brush System - GR
- not applicable
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Please Select
- Portable Air Compressor
- Road Air Compressor
- Air Movement Vac
- Rotary Brush System - Air
- Rotary Brush System - GR
- not applicable
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Please Select
- Portable Air Compressor
- Road Air Compressor
- Air Movement Vac
- Rotary Brush System - Air
- Rotary Brush System - GR
- not applicable
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Specialist Equipment Notes
Specialist Equipment Safe Storage Location
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Please state the location for access equipment to stored / used safely
Plant Room Location
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Please State the location of the plant room if applicable
Fan Isolator Switch Location
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Please state clearly the location
Fan Isolator Operation
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Please Select
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Please Select
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Please Select
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Notes
Notes
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Additional Notes