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WIDE LANE SPORTS GROUND
DUTY START FORM
START
1
Members of Staff on site for duty
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2
Duty Manager of the day?
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3
Are ALL STAFF familiar with site and procedures?
If No, please conduct a familiarisation session with staff member
Yes, all familiar
No, Site familiarisation carried out
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4
Has the Organiser notified you of any suspected issues / changes for the day?
YES
NO
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5
If YES to previous question, please detail the issues/changes here
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6
Was the Medical Room found in a clean, usable state on arrival?
YES
NO
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7
If NO to previous question, please detail the issues here and your actions to rectify them
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8
Outdoor Equipment Present?
First Aid Flag
First Aid Water Base Sign (Large)
COVID Symptoms Sign
COVID PPE Sign
4x3 Green Gazebo
Automatic Hand Gel Dispenser
2 x Green Traffic Cone Weights
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9
If any of the previous items are missing, please list below
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10
Clinical Equipment Present?
Check Equipment And Consumables
AED
Drugs Box
Suction Unit
Propaq Monitor
Red Grab Bag
Entonox Bag
Oxygen Bag
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11
If any of the previous items are missing, please list below
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12
Any Other Details
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13
Signature
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