Title Page
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Conducted on
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Prepared by
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Store Name
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Enter the client you are representing
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Enter the Store number if known
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Select date
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Enter travel time to site
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Enter the work order number
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Have you taken out the relevant permits and / or carried out a dynamic risk assessment?
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Have you discussed the works planned with the store representative?
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Before Photos
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Are you able to start works?
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If no please state reasons why
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Please describe what works you have done today in as much detail as possible
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Post Photos
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Is the job complete
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If the job is incomplete please state what works are required. In detail
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What materials are required to complete the task?
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What access equipment is required
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List any working restrictions, for example out of hours, harness & lanyard required, Landlord permission must be gained, street license needed, etc
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Please add any supporting photos
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Store representative comments
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Store representative
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Engineer signiture
