Information
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Document No.
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Conducted on
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Prepared by
General Set Up
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De-arm the premises
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Secure ambulance entrance near industrial bin
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Open the external grated gate to the external toilet void
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Secure/lock glass door to home change rooms
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Turn on light to toilets
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Are the male toilets relatively clean and functional?
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Are the female toilets relatively clean and functional?
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Are the disabled toilets relatively clean and functional?
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If no, what action was taken?
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Secure internal toilet lock
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Open the away change rooms
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Are the away change rooms relatively clean and functional?
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If no, what action was taken?
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General Notes
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Evidence of issues requiring attention
Field 1
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Post Pads
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14 zone markers
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Esky, ice and freezer bags
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Is the field safe for play?
Field 2
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Post Pads
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8 in goal zone markers
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3m Sports Med Tent If games on both field place between Fields 2 & 3
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Esky, ice and freezer bags
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Ropes in place?
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Is the field safe for play?
Field 3
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Post Pads
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8 in goal zone markers and 3 far side zone markers
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Ropes in place?
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Is the field safe for play?
Venue Control
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PA turned on and microphone based at canteen?
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Game draw and field allocations displayed?
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Mobile charged and in possession with number displayed with draw and field allocation
General Operation
8:15am
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Notes
9:15am
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Notes
10:15am
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Toilet Inspection
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Notes
11:15am
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Notes
12:15pm
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Toilet Inspection
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Notes
1:15pm
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Notes
2:25pm
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Toilet Inspection
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Notes
2:25pm
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Notes
Close Down
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Eskies
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Tents
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Ropes
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Zone Markers
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Ambulance barricade
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Away change rooms
Litter
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Use the blower to move all litter onto Field 1
Rake the litter with plastic rake
Scoop with plastic shovel into wheelie bin -
Litter
Summary
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General Notes
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Photos of incidents, damage etc.
Secure facility
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External toilet grated gate
Sign off
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Select date
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Add signature