Information
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Site
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Client / Builder
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Location
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Conducted on
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Prepared by
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Plumbing Job Number
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Electrical Job Number
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Mechanical Job Number
Default Section
Site Documentation
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Is the HSEQ file on site, in good condition, avalable to all operatives and a copy with the builder?
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Induction
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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MS/RA Present / Reviewed for all works
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Correct MS/RA signed for works being conducted
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Toolbox talk records present
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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PAT Testing / Certificate
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Previous Inspection Records Present and Actioned
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Permits i.e. Hot Works / Roof Work
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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CSCS Cards Onsite
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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COSHH Assessments Present and in date
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Site Conditions
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Housekeeping
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Electrical Safety
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Holes / voids protected
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Welfare Facilities
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Cable management
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Access / Egress / Footpaths / Means of Escape
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Segregation of vehicles / pedestrians
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Environmental
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Waste management
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Pollution control
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Delivery/Traffic
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Management of storage / materials
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Delivery management / procedures
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Traffic management / parking
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Equipment
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Working Platforms / Fall Protection
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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P.P.E
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Ladders/Hop ups/Podiums
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Plant & Equipment (PUWER)
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Fire
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Fire Protection / Prevention
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Fire Plan in place
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Escape routes suitable clear
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Fire prevention equipment
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Occupational Health
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Noise
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Vibration
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Respiratory / Biological Hazards
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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Manual Handling
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
Any further issues
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Issue
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Priority
- ASAP
- 24 Hr
- 72 Hr
- Other
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Completed Action
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I confirm that all matters requiring attention have been brought to the notice of, and discussed with the Site Supervisor/Foreman:-
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Plumbing Supervisor - I confirm that all matters identified in this report have been discussed, understood and will be actioned accordingly:-
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Mechanical Supervisor - I confirm that all matters identified in this report have been discussed, understood and will be actioned accordingly:-
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Electrical Supervisor - I confirm that all matters identified in this report have been discussed, understood and will be actioned accordingly:-