Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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THE WORK AT HEIGHT REGULATIONS 2005
Working Platforms (Scaffolding) and Personal Suspension Equipment
Report of results of every inspection made in pursuance of Regulation 12 -
1. Name and address of person for whom the inspection was carried out.
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2. Site address.
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3. Date and Time
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4. Location and description of workplace inspected (include any plant, equipment or materials inspected).
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5. Results of inspection/matters which give rise to any health and safety risks.
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6. Can work be carried out safely?
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7. If not, what action taken/name of person informed.
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8. Details of any other action taken as a result of matters identified in 5 above.
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9. Details of any further action considered necessary.
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Signature of person making report.
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Position.
