Information
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Site/Project
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Site location
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Conducted on
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Prepared by
Progress
Health & Safety
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Please provide photos of the Health & Safety actions that have been put in place on site.
Progress images
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Progress image 1
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Location/description
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Progress image 2
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Location/description
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Progress image 3
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Location/description
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Progress image 4
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Location/description
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Progress image 5
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Location/description
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Progress image 6
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Location/description
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Progress image 7
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Location/description
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Progress image 8
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Location/description
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Progress image 9
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Location/description
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Progress image 10
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Location/description
Waste ready for collection
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Collection required?
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Image 1
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Image 2
Issues identified
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Issue 1
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Issue 2
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Issue 3
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Issue 4
Materials/Plant Requisition
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Materials Required?
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Plant Required?
Work Completion
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Fixtures (furniture) put back correctly
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Replacement fittings working correctly (including Dextra issues)
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Cardboard/rubbish disposed of correctly
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Materials stored away in designated areas
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All access equipment stored in the designated areas and charging
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Work area left clean and tidy
Store manager sign off (please ensure store representative signs to say they are happy with works completed)
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Work area to be walked in it's entirety with the store manger/supervisor. All items to be checked and agreed satisfactory before sign off. Any unsatisfactory issues to be rectified before sign off. If areas cant be deemed as satisfactory this must be reported to the contracts manger and photos taken in this sign off sheet. Signature denotes the confirmation of a satisfactory or unsatisfactory condition for handover to the store for trading. Any issues must be identified in this report at the time of sign off and issues cannot be raised once given a satisfactory result.
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Works complete is satisfactory/ Store area is tidy and clean
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Store facilities are clean and tidy ( i.e. toilets, canteen etc)
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Store loading bays are clean and tidy
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Works areas checked and all CFE (Primark fixtures/fittings) returned to correct place
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Any notes/issues identified by the store manager?
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Store manager/supervisor name
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Store manager/supervisor signature
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Contractor Name
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Contractor signature
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Date