Ben Matthews

RML 31684 & 31685 Live Work Permit Acknowledgement

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Use this Template

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Title Page

Conducted on
Are you the supervisor or Team Leader of this machine?
Is it safe for the machine to be worked on today with the guards not in place?
Name
I am aware of all the risks and guards removed on this machine

Ben Matthews

RML 31684 & 31685 Live Work Permit Acknowledgement

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.