Title Page
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Inspected on behalf of
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Location
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Project Title
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Contract Number
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Date and Time
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Inspected by
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Position
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Location and description of scaffold inspected
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Time of inspection
Observation
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Matters observed that give rise to any health and safety risks?
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State H&S risk/s
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Can works be carried out safely whilst minor observations are rectified?
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If not, name of person informed?
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Details of action taken at time of inspection?
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Details of any further action considered necessary?
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Action category?
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Action by?
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Action by?
Further comment/observations
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Comment/observation