Title Page
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Work Order
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Location
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Company
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Day
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Select date
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Description of works (OR if possession is refused & works are interrupted or aborted state full details here)
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Is this the first job attended at this location today?
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Safe System of work
- High Street
- Local Agreement
- TCOD
- Detonator
- Lookout Protection
- T3
- T4
- Disconnect
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Possession Start
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Possession Finish
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Name
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Trade
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On-Site
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Off-Site
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Name
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Trade
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On-Site
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Off-Site
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Name
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Trade
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On-Site
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Off-Site
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Lost - time Hours*
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Non - Productive Hours**
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Protection Staff Company
- Coleman
- Exxcell
- Morson Wynnwyth
- RTG
- Osborne
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Protection Staff Name
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COSS/HSM/LKT
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On-Site
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Off-Site
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Lost - Time Hours*
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Non - Productive Hours**
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* Lost -Time Hours = Shift less Actual Hours Worked on Site (Lost Time is the disruptive time caused by train movements or by other third party during possession)
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** Non - Productive Time is lunchtime and or any other hours not worked but not caused by delay due to the above
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Materials/Plant used (quantity/supplier/order number)
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Quantity
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Supplier
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Order No.
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Order complete?
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Photos taken?
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Before
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After
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Notes
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Submitted by:
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Date
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Client:
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Date
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Signed In/Out at Location
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Reason for not signing in
