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Survey to carry out a quick assessment of the site to identify key risks
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Questions marked with an * are required Exit Survey
 
 
* Site Details:
   
 
 
 
* Site Reference No:
   
 
 
Can the following works / actions be carried out in a safe manner
Yes No N/A
* Access and egress to work area
* Working at height
* Working on roof
* Handling of materials or plant
 
 
 
Comments/Suggestions regarding the points above:
   
 
 
Are there any specific issues related to the site
Yes No N/A
* Are there any special PPE requirements
* Do we require additional task lighting to carry out the works
* Do we need any additional safety requirements to isolate mains power
* Is there any assistance needed to carry out the works
* Are there any restrictions for safe pressure testing of equipment
* Any other items identified
 
 
 
Comments/Suggestions regarding the points above:
   
 
 
Engineers Details
* First Name : 
* Last Name : 
 
 
 
* Time and date of survey:
MonthDayYear
  
 
If there are any questions please contact Paul Barlow 07970 579 915
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