Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Accompanied By
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Incidents in period or since previous inspection?
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Number of Operatives
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Work Overview
Areas of Improvement/ Advice or Positive Observations
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Signage including F10 where applicable
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Housekeeping
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Segregation/ Demarcation
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Working at Height
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Access/ Egress
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Falling Debris
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Plant & Vehicles
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Work Equipment
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Manual Handling
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Lifting Operations
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Hazardous Substances
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Occupational Health
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Environmental/ Waste
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Electricity
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Asbestos
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Public Interface
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Lighting
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Adverse Weather
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Subcontactors
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Welfare
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First-aid
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Fire/ Emergency
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Storage Arrangements
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PPE/ RPE
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Induction/ Training
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Utilities
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Confined Space
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Safe Systems of Work (RAMS)
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Permits (other)
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Site Security
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Miscellaneous
Additional
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Other Comments
Report Agreement
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Completed by
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Briefed and agreed by
