{"id":8851,"date":"2021-11-30T10:59:50","date_gmt":"2021-11-30T10:59:50","guid":{"rendered":"https:\/\/ims.wpaportal.co.uk\/forms\/?page_id=8851"},"modified":"2022-01-19T17:15:32","modified_gmt":"2022-01-19T17:15:32","slug":"shell-wcf","status":"publish","type":"page","link":"https:\/\/ims.wpaportal.co.uk\/forms\/shell-wcf\/","title":{"rendered":"Shell WCF"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-title-center fusion-title-text fusion-title-size-one\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">Shell WCF<\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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action='\/forms\/wp-json\/wp\/v2\/pages\/8851#gf_44' data-formid='44' novalidate>\n        <div id='gf_progressbar_wrapper_44' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>6<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_44_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_44' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_44_76\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_76'>Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_44_76' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_72\" class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_72'>Send This Report To:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_44_72' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Search Staff Member or Group<\/option><option value='adele.lovett@weatherproofing.co.uk' >Adele Lovett<\/option><option value='adminlondon@weatherproofing.co.uk' >Admin London<\/option><option value='alanh@weatherproofing.co.uk' >Alan Harvey<\/option><option value='alan.oake@weatherproofing.co.uk' >Alan Oake<\/option><option value='agraham@weatherproofing.co.uk' >Amy Graham<\/option><option value='agrieve@weatherproofing.co.uk' >Andrew Grieve<\/option><option value='anthony.irvine@weatherproofing.co.uk' >Anthony Irvine<\/option><option value='ashleyp@weatherproofing.co.uk' >Ashley Penkethman<\/option><option value='borton@weatherproofing.co.uk' >Ben Orton<\/option><option value='ben.tough@weatherproofing.co.uk' >Ben Tough<\/option><option value='bristoladmin@weatherproofing.co.uk' >Bristol Admin<\/option><option value='callum@weatherproofing.co.uk' >Callum Smith<\/option><option value='ClareW@weatherproofing.co.uk' >Clare Wood<\/option><option value='celvin@weatherproofing.co.uk' >Craig Elvin<\/option><option value='damian.yeomans@weatherproofing.co.uk' >Damian Yeomans<\/option><option value='dhackman@weatherproofing.co.uk' >Dan Hackman<\/option><option value='daniel.lock@weatherproofing.co.uk' >Daniel Lock<\/option><option value='dhardman@weatherproofing.co.uk' >Darren Hardman<\/option><option value='darren.kelly@weatherproofing.co.uk' >Darren Kelly<\/option><option value='dave.barrow@weatherproofing.co.uk' >Dave Barrow<\/option><option value='dconnor@weatherproofing.co.uk' >David Connor<\/option><option value='david.james-ash@weatherproofing.co.uk' >David James-Ash<\/option><option value='dmitchell@weatherproofing.co.uk' >Dayle Mitchell<\/option><option value='dodonnell@weatherproofing.co.uk' >Derek O&#039;Donnell<\/option><option value='gareth@weatherproofing.co.uk' >Gareth Hourihane Carr<\/option><option value='glen.story@weatherproofing.co.uk' >Glen Story<\/option><option value='heather@weatherproofing.co.uk' >Heather Hunter<\/option><option value='hr@weatherproofing.co.uk' >HR Dept<\/option><option value='iharvey@weatherproofing.co.uk' >Ian Harvey<\/option><option value='iweir@weatherproofing.co.uk' >Ian Weir<\/option><option value='jskerry@weatherproofing.co.uk' >Jade Skerry<\/option><option value='jhannah@weatherproofing.co.uk' >James Hannah<\/option><option value='james.oake@weatherproofing.co.uk' >James Oake<\/option><option value='jturner@weatherproofing.co.uk' >James Turner<\/option><option value='jemma.baird@weatherproofing.co.uk' >Jemma Baird<\/option><option value='joe.hunt@weatherproofing.co.uk' >Joe Hunt<\/option><option value='joe.orourke@weatherproofing.co.uk' >Joe O&#039;Rourke<\/option><option value='jcollins@weatherproofing.co.uk' >John Collins<\/option><option value='john.hughes@weatherproofing.co.uk' >John Hughes<\/option><option value='john.kilpatrick@weatherproofing.co.uk' >John Kilpatrick<\/option><option value='jon.beever@weatherproofing.co.uk' >Jon Beever<\/option><option value='jordan.gibson@weatherproofing.co.uk' >Jordan Gibson<\/option><option value='julie.smith@weatherproofing.co.uk' >Julie Smith<\/option><option value='kevan.mcculloch@weatherproofing.co.uk' >Kevan McCulloch<\/option><option value='kevin@weatherproofing.co.uk' >Kevin Lewis<\/option><option value='kirstyr@weatherproofing.co.uk' >Kirsty Richardson<\/option><option value='kris@weatherproofing.co.uk' >Kris Totten<\/option><option value='laura.terrey@weatherproofing.co.uk' >Laura Terrey<\/option><option value='lee.griffiths@weatherproofing.co.uk' >Lee Griffiths<\/option><option value='lee.scott@weatherproofing.co.uk' >Lee Scott<\/option><option value='lbonner@weatherproofing.co.uk' >Liam Bonner<\/option><option value='margaretl@weatherproofing.co.uk' >Margaret Lappin<\/option><option value='mark.dowdeswell@weatherproofing.co.uk' >Mark Dowdeswell<\/option><option value='mgreen@weatherproofing.co.uk' >Martyn Green<\/option><option value='matt.darbon@weatherproofing.co.uk' >Matt Darbon<\/option><option value='mhill@weatherproofing.co.uk' >Matthew Hill<\/option><option value='pstjohn@weatherproofing.co.uk' >Patrick St John<\/option><option value='peter.kerr@weatherproofing.co.uk' >Peter Kerr<\/option><option value='rachel@weatherproofing.co.uk' >Rachel Davies<\/option><option value='rainfordcontracts@weatherproofing.co.uk' >Rainford Contracts<\/option><option value='rcunningham@weatherproofing.co.uk' >Richard Cunningham<\/option><option value='rmcintosh@weatherproofing.co.uk' >Richard McIntosh<\/option><option value='rparr@weatherproofing.co.uk' >Richard Parr<\/option><option value='robsmith@weatherproofing.co.uk' >Rob Smith<\/option><option value='rclarkson@weatherproofing.co.uk' >Robert Clarkson<\/option><option value='roger@weatherproofing.co.uk' >Roger Wilson<\/option><option value='rmcfarlane@weatherproofing.co.uk' >Roselyn McFarlane<\/option><option value='sarah.cook@weatherproofing.co.uk' >Sarah Cook<\/option><option value='scaffolding@weatherproofing.co.uk' >Scaffolding<\/option><option value='scain@weatherproofing.co.uk' >Scott Cain<\/option><option value='scott.cramb@weatherproofing.co.uk' >Scott Cramb<\/option><option value='swhittle@weatherproofing.co.uk' >Ste Whittle<\/option><option value='stephen@weatherproofing.co.uk' >Stephen McDonald<\/option><option value='sturnbull@weatherproofing.co.uk' >Stuart Turnbull<\/option><option value='taylor.rouse@weatherproofing.co.uk' >Taylor Rouse<\/option><option value='tom.scottgreen@weatherproofing.co.uk' >Tom Scott-Green<\/option><option value='trish@weatherproofing.co.uk' >Trish Faulkner<\/option><option value='tedwards@weatherproofing.co.uk' >Tryfan Edwards<\/option><\/select><\/div><\/div><div id=\"field_44_75\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_75'>Report Will Be Emailed to:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input readonly='readonly' name='input_75' id='input_44_75' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_44_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you want a copy of the WCF emailed to you?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_44_73'>\n\t\t\t<div class='gchoice gchoice_44_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='No' checked='checked' id='choice_44_73_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_44_73_0' id='label_44_73_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_44_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='Yes'  id='choice_44_73_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_44_73_1' id='label_44_73_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_74\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_44_74_container'>\n                                <span id='input_44_74_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_74' id='input_44_74' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_44_74' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_44_74_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_74_2' id='input_44_74_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_44_74_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_44_8' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_44_2' class='gform_page' data-js='page-field-id-8' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_44_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_44_2\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_2'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_2' id='input_44_2' type='text' value='01\/05\/2026' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_44_2_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_44_2_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_2' class='gform_hidden' value='https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_44_3\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_3'>Person undertaking work:<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_44_3' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_4\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_4'>Job \/ Work Order No.:<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_44_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_5\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_5'>Company:<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_44_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_6\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfac_autocomplete_addr \"  data-field-class=\"gfac_autocomplete_addr\" ><label class='gfield_label gform-field-label' for='input_44_6'>Site Address:<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_44_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_7\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Minimum level of PPE to be worn \/ used at all times. Tick to confirm<\/h3><\/div><div id=\"field_44_81\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2023\/03\/WCF_PPE1.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_83\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2023\/03\/WCF_PPE2.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_82\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2023\/03\/WCF_PPE3.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><fieldset id=\"field_44_86\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Required PPE 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_86'><div class='gchoice gchoice_44_86_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.1' type='checkbox'  value='I confirm my PPE meets the above requirements'  id='choice_44_86_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_86_1' id='label_44_86_1' class='gform-field-label gform-field-label--type-inline'>I confirm my PPE meets the above requirements<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_85\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Required PPE 2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_85'><div class='gchoice gchoice_44_85_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.1' type='checkbox'  value='I confirm my PPE meets the above requirements'  id='choice_44_85_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_85_1' id='label_44_85_1' class='gform-field-label gform-field-label--type-inline'>I confirm my PPE meets the above requirements<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_84\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Required PPE 3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_84'><div class='gchoice gchoice_44_84_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.1' type='checkbox'  value='I confirm my PPE meets the above requirements'  id='choice_44_84_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_84_1' id='label_44_84_1' class='gform-field-label gform-field-label--type-inline'>I confirm my PPE meets the above requirements<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_44_80\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Tick the applicable Life Saving Rules for this activity<\/h3><\/div><div id=\"field_44_9\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-1.jpg\" alt=\"\" width=\"222\" height=\"222\" srcset=\"https:\/\/cdn.wpaportal.co.uk\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-1-66x66.jpg 66w, https:\/\/cdn.wpaportal.co.uk\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-1-150x150.jpg 150w, https:\/\/cdn.wpaportal.co.uk\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-1-200x200.jpg 200w, https:\/\/cdn.wpaportal.co.uk\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-1.jpg 222w\" sizes=\"(max-width: 222px) 100vw, 222px\" \/><\/div><div id=\"field_44_10\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-2.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_11\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-3.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_12\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-4.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><fieldset id=\"field_44_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 1<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_18'><div class='gchoice gchoice_44_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_18_1' id='label_44_18_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 2<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_17'><div class='gchoice gchoice_44_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_17_1' id='label_44_17_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 3<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_19'><div class='gchoice gchoice_44_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_19_1' id='label_44_19_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 4<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_20'><div class='gchoice gchoice_44_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_20_1' id='label_44_20_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_44_13\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-5.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_14\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-6.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_15\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-7.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_16\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-8.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><fieldset id=\"field_44_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 5<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_21'><div class='gchoice gchoice_44_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_21_1' id='label_44_21_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 6<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_24'><div class='gchoice gchoice_44_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_24_1' id='label_44_24_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 7<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_23'><div class='gchoice gchoice_44_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_23_1' id='label_44_23_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 8<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_22'><div class='gchoice gchoice_44_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_22_1' id='label_44_22_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_44_25\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" class=\"size-full wp-image-15468 aligncenter\" src=\"https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/uploads\/sites\/3\/2022\/01\/WCF-Icon-9.jpg\" alt=\"\" width=\"222\" height=\"222\" \/><\/div><div id=\"field_44_77\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><\/div><div id=\"field_44_78\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><\/div><div id=\"field_44_79\" class=\"gfield gfield--type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><\/div><fieldset id=\"field_44_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Life Saving Rule 9<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_26'><div class='gchoice gchoice_44_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Select if the above is applicable'  id='choice_44_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_26_1' id='label_44_26_1' class='gform-field-label gform-field-label--type-inline'>Select if the above is applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_44_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_44_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_44_3' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_44_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_44_28\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_28'>Work to be done:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_44_28' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_44_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >HIGH RISK ACTIVITY (PERMIT+ Job Hazard Analysis)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_29'><div class='gchoice gchoice_44_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Select if applicable'  id='choice_44_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_29_1' id='label_44_29_1' class='gform-field-label gform-field-label--type-inline'>Select if applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >MEDIUM RISK ACTIVITY (Job Hazard Analysis)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_30'><div class='gchoice gchoice_44_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Select if applicable'  id='choice_44_30_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_30_1' id='label_44_30_1' class='gform-field-label gform-field-label--type-inline'>Select if applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >OTHER<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_44_31'><div class='gchoice gchoice_44_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Select if applicable'  id='choice_44_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_44_31_1' id='label_44_31_1' class='gform-field-label gform-field-label--type-inline'>Select if applicable<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_44_32\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_32'>Permit No.:<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_44_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_34\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_34'>JHA Reference No.:<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_44_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_33\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_33'>JHA Review No.:<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_44_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_44_35' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_44_35' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_44_4' class='gform_page' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_44_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_44_36\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hazards and Controls<\/h3><\/div><div id=\"field_44_37\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_37'>Tools \/ equipment to be used (e.g. hand tools, mechanical tools, plant etc):<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_44_37' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_44_38\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"font-size: 14pt;\">Hazards (e.g moving vehicles, electrocution etc.) and Controls (e.g guardrails, barricading, lockout\/tagout, etc). Note: For Medium or High Risk<\/span>\n<span style=\"font-size: 14pt;\">activity refer to the JHA for further details. The Predetermined JHA must be reviewed for the work that will occur EACH DAY that the permit is open. The Permit Holder<\/span>\n<span style=\"font-size: 14pt;\">must ensure that any changes have been Risk Assessed and the Permit and\/or associated JHA is updated to reflect changing conditions<\/span><\/div><fieldset id=\"field_44_39\" class=\"gfield gfield--type-list gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Hazards<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_39_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Hazards, Row 1' data-aria-label-template='Hazards, Row {0}' type='text' name='input_39[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_40\" class=\"gfield gfield--type-list gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Controls<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_40_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Controls, Row 1' data-aria-label-template='Controls, Row {0}' type='text' name='input_40[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_44_41\" class=\"gfield gfield--type-list gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Comments<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_41_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Comments, Row 1' data-aria-label-template='Comments, Row {0}' type='text' name='input_41[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_44_42\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_42'>Personal Protective Equipment (PPE) appropriate to the task:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_42' id='input_44_42' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_44_43\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_43'>Fire extinguisher(s) located at:<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_44_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_44\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"font-size: 18pt;\">Remember to carry out the <span style=\"color: #ff0000;\">Last Minute Risk Assessment<\/span> before and during any task<\/span><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_44_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_44_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_44_5' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_44_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_44_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">ACKNOWLEDGEMENT OF WORK \u2013 CONTRACTOR<\/h3><\/div><div id=\"field_44_47\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-size: 14pt;\">Contractor Site supervisor certify that the work crew have a valid Safety Passport and can perform work at a Shell Retail location<\/span><\/div><div id=\"field_44_48\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >The contractor acknowledges that the job will be performed in line with the precautions listed above, that all proposed work has been discussed with the Site Representative,\nand that the Site Representative will be informed of any incidents<\/div><div id=\"field_44_49\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_49'>Name<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_44_49' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_44_52\" class=\"gfield gfield--type-time gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_44_52'>\n                            <input type='number' maxlength='2' name='input_52[]' id='input_44_52_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_44_52_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_52[]' id='input_44_52_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_44_52_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_52[]' id='input_44_52_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_44_52_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_44_51\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_51'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_51' id='input_44_51' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_44_51_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_44_51_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_51' class='gform_hidden' value='https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_44_50\" class=\"gfield gfield--type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_50'>Signature<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_44_50_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_44_50_valid' id='input_44_50_valid' \/><canvas id='input_44_50' width='600' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_44_50_toolbar' style='margin:5px 0;position:relative;height:20px;width:600px;max-width:100%;'><img id = 'input_44_50_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_44_50_data' name='input_44_50_data' value=''><\/div><\/div><div id=\"field_44_53\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>ACKNOWLEDGEMENT OF WORK CREW<\/strong> - The work crew acknowledges that they understand and will comply with the precautions listed above (not required for medium and high risk activities)<\/div><div id=\"field_44_54\" class=\"gfield gfield--type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_54'>Signatures<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_44_54_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_44_54_valid' id='input_44_54_valid' \/><canvas id='input_44_54' width='600' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_44_54_toolbar' style='margin:5px 0;position:relative;height:20px;width:600px;max-width:100%;'><img id = 'input_44_54_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_44_54_data' name='input_44_54_data' value=''><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_44_45' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_44_45' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_44_6' class='gform_page' data-js='page-field-id-45' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_44_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_44_55\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">ACKNOWLEDGEMENT OF WORK - SITE REPRESENTATIVE<\/h3><div class='gsection_description' id='gfield_description_44_55'>The Site Representative witnesses the Contractor's signature and agrees to inform the Contractor of any change in site conditions such as tanker delivery or delivery of\nfood goods<\/div><\/div><div id=\"field_44_56\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_56'>Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_44_56' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_44_58\" class=\"gfield gfield--type-time gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_44_58'>\n                            <input type='number' maxlength='2' name='input_58[]' id='input_44_58_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_44_58_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_58[]' id='input_44_58_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_44_58_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_58[]' id='input_44_58_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_44_58_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_44_59\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_59'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_59' id='input_44_59' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_44_59_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_44_59_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_59' class='gform_hidden' value='https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_44_57\" class=\"gfield gfield--type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_57'>Signature<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_44_57_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_44_57_valid' id='input_44_57_valid' \/><canvas id='input_44_57' width='600' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_44_57_toolbar' style='margin:5px 0;position:relative;height:20px;width:600px;max-width:100%;'><img id = 'input_44_57_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_44_57_data' name='input_44_57_data' value=''><\/div><\/div><div id=\"field_44_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">WORK CLEARANCE CLOSE OUT - CONTRACTOR<\/h3><div class='gsection_description' id='gfield_description_44_68'>The contractor acknowledges that the job has been completed \/ suspended and the site has been left in a safe and satisfactory condition.<\/div><\/div><div id=\"field_44_60\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_60'>Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_44_60' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_44_62\" class=\"gfield gfield--type-time gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_44_62'>\n                            <input type='number' maxlength='2' name='input_62[]' id='input_44_62_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_44_62_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_62[]' id='input_44_62_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_44_62_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_62[]' id='input_44_62_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_44_62_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_44_63\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_63'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_44_63' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_44_63_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_44_63_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_63' class='gform_hidden' value='https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_44_61\" class=\"gfield gfield--type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_61'>Signature<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_44_61_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_44_61_valid' id='input_44_61_valid' \/><canvas id='input_44_61' width='600' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_44_61_toolbar' style='margin:5px 0;position:relative;height:20px;width:600px;max-width:100%;'><img id = 'input_44_61_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_44_61_data' name='input_44_61_data' value=''><\/div><\/div><div id=\"field_44_69\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">WORK CLEARANCE CLOSE OUT - SITE REPRESENTATIVE<\/h3><div class='gsection_description' id='gfield_description_44_69'>The Site Representative acknowledges that the job has been completed \/ suspended<\/div><\/div><div id=\"field_44_64\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_64'>Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_44_64' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_44_66\" class=\"gfield gfield--type-time gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_44_66'>\n                            <input type='number' maxlength='2' name='input_66[]' id='input_44_66_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_44_66_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_66[]' id='input_44_66_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_44_66_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_66[]' id='input_44_66_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_44_66_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_44_67\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_67'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_67' id='input_44_67' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_44_67_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_44_67_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_67' class='gform_hidden' value='https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_44_65\" class=\"gfield gfield--type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_65'>Signature<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_44_65_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_44_65_valid' id='input_44_65_valid' \/><canvas id='input_44_65' width='600' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/ims.wpaportal.co.uk\/forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_44_65_toolbar' style='margin:5px 0;position:relative;height:20px;width:600px;max-width:100%;'><img id = 'input_44_65_resetbutton' 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