Title Page
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Document No.
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Site address
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Conducted on
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Prepared by
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Location
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Personnel
JOB SITE: Before leaving for the site, Do you have?
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All PPE, cleaning items & bio bags
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Fully stocked truck
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ID Tag
ON ARRIVAL AT THE SITE
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Add location
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Meet with external parties
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Assess any immediate risks, document below
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Set up walk off and clean zones
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Apply full PPE
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Photograph site internal and external
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Draw a floor plan of site
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Add drawing
I hereby declare the above to be true
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Add signature
First visit technician job sheet
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Job site address
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Date
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Start Time
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Finish Time
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Job Description
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Hazard Level
PPE Required
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Bio rated coveralls
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P2 Mask
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P3 Mask
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Boot Covers
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Shintoes
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PVC Gloves
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Risks/concerns/comments:
Job Site Description
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Type of job
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Location of hazard and size
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Location
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Type of residence
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TYPE OF FLOORING
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Bedroom 1
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Bedroom 2
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Bedroom 3
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Bedroom 4
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Bedroom 5
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Lounge
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Dining
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Kitchen
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Bathroom
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Ensuite
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Hallway
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Laundry
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Description of fixtures
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Important features
Initial Assessment
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Contaminated areas
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Weight of Bio Waste
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Form completed by
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I the client am satisfied the job has been completed to my requirements:
Technicians log
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Select date
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Time in
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Time out
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Time in
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Time out
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Time in
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Time out
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Total time
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Add signature
Technicians log
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Select date
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Time in
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Time out
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Time in
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Time out
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Time in
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Time out
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Total time
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Add signature
