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Surveys
2014
April
A
Astound Customer H&S - TEST
Astound Customer H&S - TEST
Customer Health & Safety REQUIRED Information:
0%
Exit Survey
Health & Safety Information – IMPORTANT PLEASE PROVIDE INFORMATION:
To help us manage risk and prevent accidents and ill health at work, please provide us with any information about your site that could affect the health & safety of our operatives.
We understand that each project is different and therefore site specific risks will be considered at site survey / risk assessment stage; however, any information that can be provided in advance will help us to ensure that suitable arrangements are in place for proper planning and risk management throughout the entire project.
Please answer YES, NO or NA to the following questions and provide further information in the comments field, as applicable:
*
Please enter the AFG project reference number we sent you for this project here:
*
1. Is there a possibility that our operatives may disturb asbestos on your site? If applicable?
YES
NO
N/A
Comments/Suggestions:
Copy of your asbestos register (if available)
*
2. Will any part of the project involve our operatives working from a roof?
YES
NO
N/A
*
2a. If yes to (2); can you confirm that the roof is structurally sound?
YES
NO
N/A
Comments/Suggestions:
*
2b. Is yes to (2); does the roof have a guard rail to prevent falls from the edge?
YES
NO
N/A
Comments/Suggestions:
*
2c. Is yes to (2); does the roof have any fragile parts / skylights?
YES
NO
N/A
Comments/Suggestions:
*
3. If the project involves excavation, is there a possibility that our operatives may come into contact with buried services in the working area? If yes, please provide further information.
YES
NO
N/A
Comments/Suggestions:
*
4. Please let us know if there is a possibility of the presence of hazardous substances in the working area, either biological (such as human or animal excrement, or raw sewage) or chemical.
YES
NO
N/A
Comments/Suggestions:
*
5. Please let us know is there are vulnerable persons on site (for example: patients, children or elderly people etc.)
YES
NO
N/A
Comments/Suggestions:
*
6. Please let us know if there is a possibility of the presence of volatile persons or animals on site which could pose a potential threat to our operatives.
YES
NO
N/A
Comments/Suggestions:
*
7. Please let us know about any other potential hazards that you are aware of that have not been noted above:
YES
NO
N/A
Comments/Suggestions:
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