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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Inspector
Personnel On Site
Personnel On Site
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Schneider Personnel:-
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Schneider Sub-Contractor:-
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Sub-Contractor Personnel :-
Documentation Ref;-1.1-4
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Ref:- 1.1 Limitation of Access, Permits etc
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 1.1 Notes
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Ref 1.1 Photos
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Ref:- 1.2 Safety Passports, JIB, CSCS, CCNSG
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 1.2 Notes
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Ref:- 1.2 Photo's
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Ref:- 1.3 First Aid Training/Certificate
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 1.3 Notes
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Ref:- 1.3 Photo's
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Ref:- 1.4 First Aid Equipment
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 1.4 Notes
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Ref:- 1.4 Photo's
Site Safety Ref:- 2.1-6
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Ref 2.1 Safe system of work established RA, MS etc ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 2.1 Notes
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Ref:- 2.1 Photo's
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Ref:- 2.2 Staff briefed by supervisor and evidence available?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 2.2 Notes
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Ref:- 2.2 Photo's
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Ref:- 2.3 Is there safe access/egress to the site and is the boundary secure and acceptable ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 2.3 Notes
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Ref:- 2.3 Photo's
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Ref:- 2.4 COSHH are adquate control and documents in place ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 2.4 Notes
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Ref:- 2.4 Photo's
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Ref:- 2.5 is COSHH storage available ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 2.5 Notes
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Ref:- 2.5 Photo's
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Ref:- 2.6 Unathorised access secure/access secured from public ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 2.6 Notes
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Ref:- 2.6 Photo's
Environment Ref:- 3.1-5
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Ref:-3.1 Waste disposed of correctly from site (Environment Protection Act)
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:--3.1Notes
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Ref:-3.1 Photos
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Ref:- 3.2 Is bunding appropriate for the storage of chemicals ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 3.2 Notes
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Ref:- 3.2 Photos
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Ref:- 3.3 Do all waste skips only contain appropriate waste ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 3.3 Notes
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Ref:- 3.3 Photo's
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Ref:- 3.4 Is any site or equipment noise likely to cause offence to the public ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 3.4 Notes
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Ref:- 3.4 Photo's
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Ref:- 3.5 Is there any evidence of contamination of land or water ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 3.5 Notes
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Ref:- 3.5 Photo's
Personal Safety Ref:- 4.1-4
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Ref:- 4.1 Adequate training and or supervision ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 4.1 Notes
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Ref:- 4.1 Photo's
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Ref:- 4.2 Knowledge of safety data for hazardous substances in use ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 4.2 Notes
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Ref:- 4.2 Photo's
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Ref:- 4.3 Manual handling trained ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 4.3 Notes
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Ref:- 4.3 Photo's
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Ref:- 4.4 Knowledge of accident/incident reporting ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 4.4 Notes
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Ref:- 4.4 Photo's.
Physical. Ref:- 5.1-4
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Ref:- 5.1 Site accommodation suitable, toilets, canteen etc ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 5.1 Notes
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Ref:- 5.1 Photo's
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Ref:- 5.2. Work area free from trip hazards ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 5.2 Notes
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Ref:- 5.2 Photo's
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Ref:- 5.3 Electrical Supplies "Locked Off" where required ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 5.3 Notes
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Ref:- 5.3 Photo's
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Ref:- 5.4 Live Electrical Terminals shielded ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 5.4 Notes
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Ref:- 5.4 Photo's
Other Ref :-6.1 -2
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Ref:- 6.1 Is the overall condition of the site acceptable ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 6.1 Notes
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Ref:- 6.1 Photo's
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Ref:- 6.2 Is the site log/diary/visitors book up to date ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 6.2 Notes
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Ref:- 6.2 Photo's
PPE Ref:- 7.1-4
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Ref:- 7.1 Is adequate PPE supplied ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 7.1 Notes
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Ref :- 7.1 Photos
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Ref:- 7.2 Is PPE being worn ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 7.2 Notes
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Ref:- 7.2 Photo's
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Ref:- 7.3 Is PPE storage available ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 7.3 Notes
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Ref:- 7.3 Photos
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Ref:- 7.4 Are staff trained in the use of RPE/PPE ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 7.4 Notes
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Ref:- 7.4 Photo's
Hand Tools. Ref :- 8.1-4
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Ref:- 8.1 Are they PA Tested
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 8.1 Notes
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Ref:- 8.1 Photo's
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Ref:- 8.2 Is the equipment correct for the intended task ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 8.2 Notes
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Ref:- 8.2 Photo's
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Ref:- 8.3 Are there any visual defects ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 8.3 Notes
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Ref:- 8.4 Photo's
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Ref:- 8.4 Company issue ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 8.4 Notes
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Ref:- 8.4 Photo's
Test Equipment. Ref :- 9.1-3
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Ref:- 9.1 Is the equipment calibrated ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 9.1 Notes
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Ref:- 9.1. photo's
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Ref:- 9.2 Are there any visual defects (e.g insulation)?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 9.2 Notes
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Ref:- 9.2 Photo's
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Ref:- 9.3 Is the equipment correct for the intended task ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 9.3 Notes
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Ref:- 9.3 Photo's
General Ref :- 10.1 - 4
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Ref:- 10.1 Is lifting equipment registered/tested
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 10.1 Notes
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Ref:- 10.1 Photo's
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Ref:- 10.2 Are required safety signs & statutory notice displayed ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 10.2 Notes
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Ref:- 10.2 Photo's
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Ref:- 10.3 Are all Subcontractors working safely ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 10.3 Notes
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Ref:- 10.3 Photo's
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Ref:- 10.4 Have all subcontractors been briefed on site rules ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 10.4 Notes
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Ref:- 10.4 Photo's
Working at Height (WAH) Ref :- 11.1 - 3
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Ref:- 11.1 Are there any tasks which necessitate WAH .
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 11.1 Notes
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Ref:- 11.1 Photo's
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Ref:- 11.2 If the answer is yes to ref 11.1 is WAH RA in place ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 11.2 Notes
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Ref:- 11.2 Photo's
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Ref:- 11.3 If WAH have you included specific comments Below ?
- Yes
- No
- N/A
- PR Imediate Action Required
- PR Action Required Within One Week
- PR Action Required Within One Month
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Ref:- 11.3 Notes
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Ref:- 11.3 Photo's
Details of Activities
Include below brief details of activities taking place on site particularly for any Working at Height activities ( minimum 25 words)
Include below brief details of all Schneider subcontractors on site (minimum 25 words)
Actions for elements are listed at front of this report Ref (eg 9,3) Person responsible Corrective Action Date for completion
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