ONSITE BOOKING FORMONSITE BOOKING FORM:ONSITE BOOKING FORM Completion of this form is a HSE Requirement Under the PUWER Regulations 1998, Regulation 22Company Name:*Your Full Name:*Full Company Address:*Company Postcode*Telephone:*Email Address:*Date Required:*Site Contact (if different from above):Site Contact Email (if different from above):Has the equipment / product been exposed to a hazardous substance / environment?*Please selectyesNoHas the equipment / product been exposed to a hazardous substance / environment?Exposure LIst*Please selectLowMediumHighIs the product safe to handle (if No please give details below):*Please selectYesNoIf the product is NOT safe to handle, please provide details:Problem Report & Customer Contamination Risk Assessment:Product TypeModelSerial NumberAny Known Fault This form must be completed and returned to Rockall Safety before an Onsite Visit.Additional Notes/ Requirements: