Information
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Document No. (Leave blank for automatic number generation)
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Audit Title
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Client / Site
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Conducted on
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Location
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Person conducting the site clearance report
Proof of Clearance
Site walkaround & final clearance proof.
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Select each item that has NOT been removed from site
- BARRIERS & SIGNAGE
- BOARDS
- BASE PADS
- FITTINGS
- TUBES
- PPE
- BRICK GUARDS
- DEBRIS NETTING
- MONOFLEX
- TIES & FIXINGS
- READYLOK
- VANTEILS
- LOADING BAY GATES
- LADDER GATES
- TRAP DOORS
- LADDERS
- SYSTEM STAIRCASE & COMPONENTS
- HOP UP BRACKETS
- DOUBLE HORN GUARDRAIL BRACKETS
- ROPE & WHEEL
- UNIT BEAMS - ALL SIZES
- LADDER BEAMS - ALL SIZES
- SCAFFOLD STEPS
- FITTINGS BINS
- HAND TOOLS
- STILLAGES
- POWER TOOLS
- POWER LEADS
- OTHER
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Name of lead hand scaffolder in charge of clearing site
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Please provide photographic proof of any items of stock that have not been removed from site - (Include locations as and where necessary)
Final Sign Off
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Confirmation that all items of stock have been removed from site
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Name & Signature of the person accepting full responsibility that the site in question has been cleared
