Rainbow International Swindon and Thames Valley CRA002 worksheet

• Client / Site

• Photograph front of structure

  Media

• Conducted on

  Date
• Location
  Address

• Personnel

Pre-clean general condition?

• Please enter arrival time

  Date

• Internal conditions?

  Good

  Fair

  Poor

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  Media

• External conditions?

  Good

  Fair

  Poor

• Add media

  Media

• Are the specified works able to be completed without obstructions?

  Safe

  At Risk

  N/A

2.0 - Health and Safety in the working Enviroment.

• Are adequate precautions taken to prevent injury through manual handling?

  Yes

  No

  N/A

• Are adequate precautions taken to prevent injury through slips trips and falls?

  Yes

  No

  N/A

• 2.1 - Evacuation plan displayed and understood?

  Yes

  No

  N/A

• 2.8 - Adequate direction notices for fire exits?

  Yes

  No

  N/A

• 2.10 - Are Fire Exits clear of obstructions?

  Yes

  No

  N/A

• Have all reasonable precautions been taken to protect staff/contractors?

  Yes

  No

  N/A

3.0 - General Lighting

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 3.3 - is lighting adequate to complete works?

  Yes

  No

  N/A

4.0 - Building Condition

• Are all areas to be worked on free from pre- existing damage?

  Yes

  No

  N/A

• Stair and storage areas kept clear?

  Yes

  No

  N/A

Scope of works

• Are works to site as specified?

  Yes

  No

  N/A

• Additional works requested by site staff?

  Yes

  No

  N/A

• Specify works requested

  specify additional works

• Can we continue with additional works within time constraints?

  Yes

  No

  N/A

• Additional works completed to site

  list additional works requested

• Add media

  Media

Post clean results

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  Media

Sign Off

• On site representative

  Sign

• Technicians Signature

  Sign

• Please enter departure time

  Date