Title Page
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Sub-contractor Name:
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Conducted on
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Prepared by
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Add PASMA Certificate:
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Location
Podium Reference Numbers
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Delta Deck S/N:
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Delta Deck S/N:
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Delta Deck S/N:
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Delta Deck S/N:
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Delta Deck S/N:
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Do you need to add more podiums?
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Delta Deck S/N:
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Delta Deck S/N:
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Delta Deck S/N:
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Delta Deck S/N:
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Delta Deck S/N:
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A PHOTO MUST BE TAKEN FOR EACH OF THE BELOW QUESTIONS AS PROOF OF INSPECTION
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Are castors firmly fixed and locking mechanisms functioning correctly? If not, adjust to suit.
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Are step hook mechanisms locking correctly?
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Platform and steps checked for damage? Is it free of any material likely to cause slipping i.e. Oil/ paints?
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Are pivot bolts secure and do they allow free movement?
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Are self closing gates working correctly?
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Were the centre locking mechanisms tested and are they functioning correctly?
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Was the gate tested for movement and locking on vertical above pin?
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Check all welds for cracks and tube damage
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Check all instruction labels are fixed and legible
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Is platform level?
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Has scaff tag been signed of with last 7 days by a PASMA trained person?
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Confirm Delta Deck has not been modified
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Comments:
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Add signature
