Title Page
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Site conducted
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Quality Control Check Name
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Conducted on
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Account used
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Scaffold Level
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Elevation
Substrate (Panel Areas)
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Is concrete cleaned and free of foreign objects?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Is the concrete surface fully suitable for proceeding and free from any areas requiring repairs?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Waterproofing / Sealing / EPDM / Wraptight (Panel Areas)
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Has the EPDM been installed correctly around window perimeters as per Illbrook recommendations?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Is the wraptight breather membrane sealed at all joints and damage free? reference TS0421-021-01?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the wraptight laps at minimum 75mm overlap. Note; less than 75mm then Wraptight tape needs applying?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has the wraptight at bottom of window/ EPDM been sealed with liquid wraptight?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has the liquid Wraptight been applied to all penetrations and any holes?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Brackets
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Are the Nvelope helping hand brackets installed correct with isolation packer? reference TS0421-021-04
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the Nvelope helping hand brackets fitted plum?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the correct anchor fixings being used for fixing helping hand brackets? reference TS0421-021-11
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the Nvelope helping hand brackets fixed at correct centres? reference TS0421-021-57
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Rails
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Have the rail to helping hand brackets been fixed with the correct fixed points and sliding points? reference TS0421-021-57
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the vertical rails fitted correctly and plum?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Have the correct fixing been used to fix the rails to the helping hand brackets?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Cavity Barriers / Siderise
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Have the vertical barrier brackets been fixed with correct spacings? 2 per unit fixed at 600mm centres 300mm from each end. reference RRL dwg 0421-021-96
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Have the horizontal barrier brackets been fixed with correct spacings? 3no per cut length at 400mm spacings?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the barriers tightly abutted?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has fire rated sealant been applied to any gaps at rear of barriers?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has foil tape been applied at joints between vertical and horizontal barriers? reference RRL dwg 0421-021-96
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Horizontal barrier - is the required air gap of 25mm correct?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Do all vertical barriers take precedence over horizontal barriers? reference RRL dwg 0421-021-96
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Is the vertical barrier depth correct to allow for 10mm compression?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has the osci been installed in the correct locations?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has the osci been installed with foil tape applied to all perimeter edges?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Insulation / Duoslab
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Has the correct size/type of insulation been used? reference TS0421-021-07
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Has the insulation been fixed correctly with 1 metal fixing & two polypropylene plates per board? reference RRL DWG 0421-021-72
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Is the insulation installed tightly / are any gaps filled?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Aluminium Panels and Flashings
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Have the flashings been installed with fixed drill hole to centre & enlarged holes to remaining fixing points? reference RRL dwg 0421-021- 61
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Have the panels been installed with fixed drill hole to centre & enlarged holes to remaining fixing points? reference RRL dwg 0421-021- 61
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the panels / Flashing defect damage free?
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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Are the panel colours correct as per elevation drawings
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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On Completion of fixing the panel, Is the panel is clean and ready for sign-off
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Please describe the nature of the issue
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Please confirm the Section in which the issue is located (Refer to elevation plan on title page)
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Has this now been rectified and reinspected?
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Please describe what actions were carried out to rectify the issue
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HOLD POINT - AFTER all of this element's works are fully complete and acceptable for this entire scaffold level / Elevation, take photos showing the element as a whole. Do not continue with works or this form until done.
Completion
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Are there any other notes relevant to this particular Elevation/Scaffold Level not covered by the previous questions?
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Are there any other photos relevant to this particular Elevation/Scaffold Level not covered by the previous questions?
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Sign below to confirm that questions above have been answered truthfully and with all relevant due diligence having been carried out. Please include the person's name.
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Russell Roofing Signature
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EQUANS Signature