Title Page
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Date
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Site Name
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Complied by
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Location
Assessment
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Confidentiality clause: Any copying, disclosure, or publication of this report in whole or in part or in any form whatsoever without the authors consent is prohibited. This report contains information intended for a specific addressee and purpose within the business operation of (Site name)
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If you are not the addressee or a copy recipient of this report and you happen to come into possession of it, you are to inform the sender immediately and ensure that it is returned.
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Copyright Reserved: In terms of the Copyright Act 98 of 1978, no part of this material may be reproduced, stored in a retrieval system, transmitted in any form or by any means (electronic, mechanical, photocopying, recording or otherwise), published, redistributed, screened, or used in any form without the prior written permission of the (Site name)
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security account manager. Offenders will be prosecuted. Where materials from other sources in this document need to be used, permission must be obtained from the original sources. Should this document be misdirected into your possession, please notify its originator.
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Tap on '+' below to list down subject as many as needed.
Subject
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Subject Name
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Photos
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Risk Status
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Area Located
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Crime Risk Posed
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Photo description
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Concern Description
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Remedial/corrective actions to be taken or suggested
Sign Off
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Completed by (Name, Signature & Sign Date)
