Title Page
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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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Site information
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State work required? Externals, Intenals, Partitions, Lightwells
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Will work require: MEWP, Rope Access, Reach & Wash, Eyebolts from Internal, Latchways to Balconies or Cradles
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Parking Required: How Long?
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Is there 24hr Security?
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Will work need to be completed out of hours?
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Any access issues?
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How many hours to complete the task?
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Safety Checks: Under eyebolts: Are they in date Abseiling: Is there suitable anchor points Latchways: Are they in date
- Yes
- No
- N/A
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Special Request: Bronze Work Cladding Stonework
- Yes
- No
- N/A
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Date & Time
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Signatur
