Title Page
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CCS Group
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Cleshar Contract Services Limited.
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Prepared by
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Site (Station/Location)
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Shift (Day/Night)
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Select date
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General notes.
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Noteworthy events.
Site personnel (Cleshar and Subcontractors staff) & Plant on site.
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Company Name.
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Trade.
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Number of men.
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Company Name.
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Trade.
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Number of men.
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Company Name.
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Trade.
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Number of men.
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Company Name.
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Trade.
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Number of men.
Plant Description on site.
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Type of plant.
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Company.
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Number.
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Type of plant.
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Company.
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Number.
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Type of plant.
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Company.
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Number.
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Type of plant.
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Company.
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Number.
Briefings given.
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SPC/PM Briefing
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Given by.
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Given to.
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Site Induction.
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Given by.
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Given to.
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RAMS Briefing.
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Given by.
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Given to.
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Specific RAWI Briefing.
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Given by.
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Given to.
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Tool Box Talk.
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Given by.
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Given to.
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Safety Alert.
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Given by.
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Given to.
Permits issued.
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Permit to dig.
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Given by.
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Given to.
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Hot work Permit.
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Given by.
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Given to.
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Confined space Permit
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Given by.
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Given to.
Visitors.
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Name/company.
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Name/company.
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Name/company.
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Weather conditions AM
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Weather conditions PM
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Accidents / Incidents.
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Audits / Inspections
Engineering / Traffic / Possession Hours.
Published times.
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Shift start time.
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On track.
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Off Track.
Actual times.
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On track.
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Off Track.
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Call back time.
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Shift end time.
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Lost time.
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Frustrated access
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Photo section.
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SPC NAME.
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HANDBACK NAME.
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Completed for Cleshar by.
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Client approval (as applicable) by.