Title Page
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Site Conducted
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Permit No.
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Subcontractor
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Equipment ID No.
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Description of Work
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Equipment Location
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Date Valid From
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Date Valid To
The Work at Height Regulations state that all working platforms (or personal suspension equipment used instead of a working platform) must be inspected by a competent person: - Before being taken into first time use (installation/assembly) - After any substantial addition, dismantling or alteration - After any event likely to have affected its strength or stability - At regular intervals not exceeding 7 days since the last inspection
Initial Actions
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Risk Assessment carried out; all operatives have signed as having read and understood the contents
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Site-specific induction training carried out
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Only BS Class 1 Industrial or EN131 Ladders or Steps will be used
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Are operatives competent to work at height? i.e. CSCS card held?
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Work equipment certificates/manufacturer's literature etc. on site
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Inspection Tag issued
Permit Issue - Ventry Manager
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I confirm that the above Subcontractor is authorised to use the equipment identified above, provided that all the controls in this form are adhered to
Permit Receipt - Subcontractor Supervisor
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I confirm that work by myself or any person under my control will be done in accordance with this permit, all statutory requirements & Ventry Policies and Procedures. All persons involved will receive information and instruction in the requirements of this permit and safety measurements prior to work commencing. I confirm that all checks will be completed daily prior to works commencing.
Daily Checks - Subcontractor Supervisor to inspect and sign daily
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
Final Closure - Subcontractor Supervisor
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Work in the above location has been completed (or stopped), the equipment has been removed and all persons in my charge withdrawn
Final Closure - Ventry Manager
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Inspection Tag removed and returned
