Title Page
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Site conducted
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Permitted on
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Permitted by
Work Permit
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To be completed by the duty manager
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Company
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Reason for visit
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Was this visit pre-arranged?
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Please contact operations manager and/or facilities manager for approval
Declaration
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To be completed by each contractor
Contractor
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I confirm that these details are correct and will ensure that all work is undertaken and managed in a safe manner with all hazards and risks suitably controlled at all times
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Name
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ID verified?