Information
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Month
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Work Place Inspections
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Site Name
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Site Number
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Conducted on
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Safety Team
Bakery
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Checkers Name & Position.
Bakery - Lights
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
Bakery - Power Points
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
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Caution sticker in place (Green 397 709)
Bakery - Scales
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
Bakery - Bread Slicer
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Interlocked guard working. Guards in place and in good condition.
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Emergency Stop Operational.
Bakery - Bun Rounder
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
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Interlocked guard working. Guards in place and in good condition.
Bakery - Dough Divider
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
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Interlocked guard working. Guards in place and in good condition.
Bakery - 80kg Spiral Mixer
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
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Interlocked guard working. Guards in place and in good condition.
Bakery - 60qrt Planetary Mixer
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
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Interlocked guard working. Guards in place and in good condition.
Bakery - 20qrt Planetary Mixer
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
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Interlocked guard working. Guards in place and in good condition.
Bakery - Moulder
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
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Interlocked guard working. Guards in place and in good condition.
Bakery - Ovens
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Switches in good condition. Free from obvious damage.
Bakery - Donut Robot
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
Bakery - Hot plate
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
Bakery - Microwave
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
Bakery - Refrigerated Display Case
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition.
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Light tubes fitted to all fittings.
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Caution sticker in place (Yellow 397 609)
Bakery - Coolroom
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Switches in good condition. Free from obvious damage.
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Bell Operational.
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Light tubes fitted to all fittings.
Bakery - Insectocutor
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Light tubes fitted to all fittings.
Bakery - Dishwasher (if installed)
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
Bakery - General
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First Aid cabinet checked.
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First Aid cabinet checked.
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First Aid attendants list displayed & current.
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Team Leader Name & Signature
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Select date
Deli / Seafood
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Checkers Name & Position.
Deli / Seafood - Lights
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
Deli / Seafood - Power Points
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Switches in good condition. Free from obvious damage.
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Caution sticker in place (Green 397 709)
Deli / Seafood - Scales
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Switches in good condition. Free from obvious damage.
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Tag & Test current.
Deli / Seafood - Manual Wrappers
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Switches in good condition. Free from obvious damage.
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Plug and cables in good condition. Tag & Test current.<br>
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Caution sticker in place (Green 397 709)
Deli / Seafood - Auto Slicers
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Switches in good condition. Free from obvious damage.
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Plug and cables in good condition. Tag & Test current.<br>
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Caution sticker in place (Green 397 709)
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Guards in place and in good condition.
Deli / Seafood - Semi Auto Slicers
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Switches in good condition. Free from obvious damage.
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Plug and cables in good condition. Tag & Test current.<br>
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Caution sticker in place (Green 397 709)
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Guards in place and in good condition.
Deli / Seafood - Chicken Ovens EG Multiessire
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Switches in good condition. Free from obvious damage.
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Plug and cables in good condition. Tag & Test current.<br>
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Caution sticker in place (Green 397 709)
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Emergency Stop Operational.
Deli / Seafood - Hex Warmer
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
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Plug and cables in good condition. Tag & Test current.<br>
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Hot Surface sticker in place 397 708.<br>
Deli / Seafood - Deli Case / Chicken Warmer
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
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Caution sticker in place (Yellow 397 609)
Deli / Seafood - Coolrooms
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Switches in good condition. Free from obvious damage.
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Bell Operational.
Deli / Seafood - General
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Deli Slicer Authorised list displayed near slicers?
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First Aid cabinet contents checked?
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First Aid Attendants List displayed and current?
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Team Leader Name & Signature
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Select date
Produce
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Checkers Name & Position.
Produce - Lights
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Switches in good condition. Free from obvious damage.
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Caution sticker in place (Yellow 397 609)
Produce - Power Points
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Switches in good condition. Free from obvious damage.
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Caution sticker in place (Green 397 709)
Produce - Scales
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Switches in good condition. Free from obvious damage.
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Caution sticker in place (Green 397 709)
Produce - Manual Wrappers
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Switches in good condition. Free from obvious damage.
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Pug & Cables in good condition. Tag & Test current.
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Caution sticker in place (Green 397 709)
Produce - Produce Cases
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
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Caution sticker in place (Yellow 397 609)
Produce - Coolrooms
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
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Bell Operational.
Produce - Insectocutor
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Switches in good condition. Free from obvious damage.
Produce - General
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First Aid cabinet checked.
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First Aid attendants list displayed & current.
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Team Leader Name & Signature
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Select date
Meat
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Checkers Name & Position.
Meat - Lights
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Switches in good condition, free from obvious damage and light tubes fitted to all fittings.
Meat - Power Points
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Switches in good condition. Free from obvious damage.
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Green Caution sticker in place (397 709)
Meat - Mincer
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Green Caution sticker in place (397 709)
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Emergency Stop Operational.
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Interlocking Guard working. Guards in place and in good condition.
Meat - Bandsaw
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Green Caution sticker in place (397 709)
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Emergency Stop Operational.
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Interlocking Guard working. Guards in place and in good condition.
Meat - Tenderisor
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Green Caution sticker in place (397 709)
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Interlocking Guard working. Guards in place and in good condition.
Meat - Auto Wrappers
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Green Caution sticker in place (397 709)
Meat - Manual Wrappers
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.
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Green Caution sticker in place (397 709)
Meat - Meat Case
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
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Yellow Caution sticker in place (397 609)
Meat - Coolrooms
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Switches in good condition. Free from obvious damage.
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Bell Operational.
Meat - Insectocutor
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Switches in good condition. Free from obvious damage.
Meat - General
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Sliding table in place.<br>
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Authorised users list displayed and up to date. (Ask Team and Inspect).
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Table insert in good condition.
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First Aid cabinet checked.
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First Aid Attendants list displayed and current.
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Team Leader Name & Signature
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Select date
Longlife
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Checkers Name & Position.
Longlife - Pelmet Lights
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Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.
Longlife - Back End Lights
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Light tubes fitted to all fittings and free from obvious damage.
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Switches in good condition, Plug & Cables in good condition.
Perishables - Refrigeration Cases
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Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.
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Caution sticker in place (Yellow 397 609)
Perishables - Freezer Cases
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Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.
Perishables - Coolroom & Freezer Room
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Switches in good condition, Light tubes fitted to all fittings and free from obvious damage.
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Bell Operational.
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Team Leader Name & Signature
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Select date
Store Entrance / Service / Liquor
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Checkers Name & Position.
Entrance - Amusement & Vendor Machines
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Switches in good condition and free form obvious damage.
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Plugs & cables in good condition. Tag & Test current.<br>
Entrance - Ice Freezer
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Switches in good condition and free form obvious damage.
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Plugs & cables in good condition. Tag & Test current.<br>
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Light tubes fitted in all fittings.<br>
Service Area - Lights
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Switches in good condition and free form obvious damage.
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Light tubes fitted in all fittings.<br>
Service Area - Power Points
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Switches in good condition and free form obvious damage.
Service Area - Registers
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Switches in good condition and free form obvious damage.
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Plugs & cables in good condition.<br>
Service Area - Fridges
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Switches in good condition and free form obvious damage.
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Plugs & cables in good condition. Tag & Test current.<br>
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Light tubes fitted in all fittings.<br>
Liquor- Lights
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Switches in good condition and free form obvious damage.
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Light tubes fitted in all fittings.<br>
Liquor - Power Points
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Switches in good condition and free form obvious damage.
Liquor - Registers
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Switches in good condition and free form obvious damage.
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Plugs & cables in good condition.<br>
Liquor - Fridges
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Switches in good condition and free form obvious damage.
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Plugs & cables in good condition. Tag & Test current.<br>
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Light tubes fitted in all fittings.<br>
Service / Liquor - General
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Duress & Hold Up Alarms Operating Correctly (Call CMS prior to testing)
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First Aid attendants list displayed & current.
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Team Leader Name & Signature
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Select date
Storeroom
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Checkers Name & Position
Storeroom - Dock Leveller
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Switches in good condition. Free from obvious damage.
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Emergency stop button operating (where fitted)
Storeroom - Roller Doors
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Switches in good condition. Free from obvious damage.
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Emergency stop button operating (where fitted)
Storeroom - Lights
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Switches in good condition. Free from obvious damage.
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Light tubes fitted to all fittings.
Storeroom - Bale Press
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Switches in good condition. Free from obvious damage.
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Plug & Cables in good condition. Tag & Test Current.
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Emergency stop button operating (where fitted)
Storeroom - General
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Pallett racking (Upright condition, impact protection, locking pins, SWL) Stock stored securely.<br>
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Main Switchroom Locked<br>
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Plantroom Locked<br>
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Signage displayed for Unauthorised Access on Plantroom / Main Switchroom door.
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Dock ladders / stairs (Secure and in safe use).<br><br>
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Egress paths minimum of 600mm wide and lines clearly marked.<br><br><br>
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First Aid cabinet contents checked.<br>
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First Aid attendants list displayed & current.
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Team Leader Name & Signature.
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Select date
Amenities / Office & Tea Room
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Checkers Name & Position.
Office - Lighting
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Switches in good condition and free from obvious damage.
Office - Fax Machine
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Switches in good condition and free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.<br>
Office - Laminator
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Switches in good condition and free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.<br>
Office - Fridge
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Switches in good condition and free from obvious damage.
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Plug & Cables in good condition. Tag & Test current.<br>
Office - General
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Stairs - Treads, handrails, free of storage.
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Electrical Cabinet ( Clear & Unobstructed)
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No double adaptors or power boards in use.
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Duress & Hold Up Alarms operating correctly.
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First Aid cabinet contents checked.
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First Aid attendants list displayed & current.
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Team Leader Name & Signature.
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Select date