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Job Details
Location of work
Proposed start date
Proposed completion date
Description of work
Reason for working at height
Personnel
Person in charge
Competent person name
Risk Assessment
Have all hazards been identified?
Have control measures been put in place?
Equipment
Harnesses in good condition
Harnesses inspected
Anchor points checked
Edge protection in place
Ladders/platforms in good condition
Emergency Arrangements
Means of raising alarm
Rescue equipment available
Rescue plan in place
Authorisation
Permit approved by
Date