Title Page
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Document No.
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Conducted on
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Site Name
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Engineer
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Audit carried out by
1 Site Procedures
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1.1 Completion of Visitors Book
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1.2 Clearance Certificate
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1.3 Safe Work Area
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1.4 Electrical Isolation and Lock Off (LOTO)
2 Work Carried Out Correct
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2.1 Electrical Repairs
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2.2 Mechanical Repairs
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2.3 Plumbing Repairs
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2.4 Chemical Top-up
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2.5 Installation
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2.6 Machine and Work Area Left Tidy
3 Engineer
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3.1 Tidy Appearance
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3.2 Correct PPE Worn
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3.3 PPE Missing/Out of Date
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3.4 SMS & RA Read and Understood
4 Vehicle
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4.1 Exterior Clean & Tidy Without Damage
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4.2 Interior Clean &Tidy Without Damage
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4.2a Evidence of Smoking
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4.3 Tyre's in Road Worthy Condition
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4.4 Fire Extinguisher Charged & In Date
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4.5 First Aid Kit Complete & In Date
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4.6 Ladder and Platform Serviceable Condition & In Date
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4.7 Electrical Tools PAT Test in Date
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4.8 Vehicle Service Book up to Date
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4.9 Blue Book Up to Date