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["INSPECTOR / TEAM:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"INSPECTION DATE(S):",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"-"]
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["SITE IDENTIFICATION"]
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["FAC ID:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DEP SITE MANAGER/ TEAM:"]
["SITE NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CURRENT BUSINESS NAME:"]
["ADDRESS:"]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FACILITY STATUS:"]
["COUNTY:"]
["SCORE:"]
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["WORK ORDER"]
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["WO or TA #:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"EVENT #:"]
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["CONSULTANT"]
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["COMPANY NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PROJ. MANAGER:"]
["NUMBER of REPRESENTATIVES:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FIELD LEAD:"]
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["SUBCONTRACTOR(S)"]
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["COMPANY NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NUMBER of REPRESENTATIVES:"]
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["SCOPE OF WORK OBSERVED (details on following pages)"]
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["GENERAL ISSUES (If \"No\" or \"N/A\" is selected, describe issues in Comments section.)"]
[]
["Are digital photos attached to this report?"]
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["Were BPSS guidance and Preapproval SOP procedures followed? "]
[]
["Did the contractor request that the inspector sign the Health & Safety Plan?"]
[]
["Did the inspector make contact with the site owner or facility representative?"]
[]
["Does the site map appear accurate?  "]
[]
["Does the area map appear current (adjacent properties)?  "]
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["INSTRUMENTS & EQUIPMENT"]
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["CONSULTANT INSTRUMENTS/EQUIPMENT USED:"]
[]
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["Instrument calibration onsite observed?"]
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["SUBCONTRACTOR INSTRUMENTS/EQUIPMENT USED:"]
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["Instrument calibration onsite observed?"]
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["ACTIVITIES OBSERVED / COMMENTS:"]
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["DATE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"WEATHER:"]
["INSPECTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
["CONTRACTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,"SUBCONTRACTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
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["ACTIVITIES OBSERVED / COMMENTS:"]
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["CONTRACTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,"SUBCONTRACTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
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["ACTIVITIES OBSERVED/ COMMENTS:"]
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["DATE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"WEATHER:"]
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["CONTRACTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,"SUBCONTRACTOR ON/OFF SITE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]