Title Page
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Name of customer
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Address of customer
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Location
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Prepared by
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Conducted on
Untitled Page
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Have you walked around the job and explained the work you are carrying out?
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Have all surfaces and walk ways been made clear and protective coverings been used to cover what is needed such as carpets?
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Have fire extinguishers been put out in correct areas?
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Is all correct PPE equipment out and being used when needed?
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Are all ladders and working at height equipment been checked for safety before using?
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Are all tools pat tested and checked for images before use?
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If samsung controller is not attached to cylinder - the agreed location is agreed with customer?
customer walk round
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Customer is aware of the work to be carried out?
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Customer is happy about location of cable runs and where isolator switch is going?
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Customer is satisfied with the level of practice to reduce mess such as dust sheets?
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Customer is aware of the time frame of the work being carried out?
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Customer has agreed to the placing of the samsung controller?
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Customer is happy for the electricians to commence the work?
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Signed by customer
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Print name
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Date
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signed by electrician
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Print Name
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Date