Aerial - CityFibre and PIA - Quality Assurance Check

• Site conducted

  Select

• 

• OHSF-PR-08-06 Version 1 Revision 1 Dated 21/01/2021
  

• Conducted on

  Date

• (Format:- City - Job Pack / PN Number) E.g Aberdeen S12345 Always insert City name and Job Pack / PN number if known

• Team Leader/ Team name

• CityFibre Holdings Ltd, 15 Bedford St, London, WC2E 9HE

• Location
  Address

• Prepared by

• Who is the principle contractor?

  Select

• What is the name of the principle contractor?

• Please send an email to iAuditor.support@cityfibre.com detailing the contractor name and city.

• If unknown/other have you sent an email to iAuditor.support@cityfibre.com?

  Yes

  No

  NA

• Existing team or new team?

  Existing Team

  New Team

• Please answer the following 3 questions based on your dynamic risk assessment on arrival at the site. If you answer 'No' to any of the following questions please explain this in the free text field which appears with a 'No' answer, end the audit and take the appropriate action.

• Is it safe for you to conduct this audit?

  Yes

  No

• Please explain why and what action you have taken as a result.

• Is it safe for the construction workers to continue work?

  Yes

  No

• Please explain why and what action you have taken as a result.

• Is it safe for members of the public in the areas, surrounding the site, that they are able to access?

  Yes

  No

• Please explain why and what action you have taken as a result.

Health & Safety Questions

• The following Health & Safety questions are unweighted and do not impact the overall score of the audit. The purpose of the section is to ensure that Health & Safety remains a priority for the entirety of the CityFibre build process. Please utilise the notes and media features to raise any H&S concern whether they are related to these questions or not. Please engage your local SHEQ advisor should you have any concerns.

Welfare

• Welfare Standard : https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Forms/AllItems.aspx?id=%2FIMS%2FOHSMS%2FShared%20Documents%2F10%2E%20%20Construction%20Standards%2FConstruction%20Standard%20Welfare%20Facilities%20OHSM%2DCST%2D06%2Epdf&parent=%2FIMS%2FOHSMS%2FShared%20Documents%2F10%2E%20%20Construction%20Standards

• Are Welfare facilities available in conjunction with the Build Partner CPP (Construction Phase Plan)?

  Yes

  No

SLG (is it immediately obvious to pedestrians what is happening, and what is expected of them)

• Chapter 8 : https://cityfibreholdings.sharepoint.com/:b:/r/SalesAndOperations/Shared%20Documents/Procurement/City%20Folders%20-%20Contract%20Management/Newcastle/8.0%20Working%20Folder/Useful%20Documents/Methods%20Of%20Measurement/Chapter%208/Traffic%20Signs-Manual-Chapter-08.pdf?csf=1&web=1&e=7RMmno

• Is the SLG set up compliant with Chapter 8?

  Yes

  No

  N/A

• Please raise an action for site to be made safe within 2 hours and ensure rectification is evidenced (by staying on site or providing photo evidence on closure of action).

PPE

• Is adequate PPE being used for the task being undertaken?

  Yes

  No

  N/A

Traffic Management (is it immediately obvious to traffic what is happening, and what is expected of them)

• Is sufficient traffic management in place for the works being undertaken?

  Yes

  No

  N/A

Strike Avoidance

• Is there a fully operational, calibrated, CAT & Genny on site, being used appropriately?

  Yes

  No

  N/A

• Please raise an action for site to be made safe within 2 hours and ensure rectification is evidenced (by staying on site or providing photo evidence on closure of action).

Documentation

• Is there a valid permit, site specific risk assessment and in-date drawings on site?

  Yes

  No

  N/A

• Please raise an action for site to be made safe within 2 hours and ensure rectification is evidenced (by staying on site or providing photo evidence on closure of action).

• Is there a copy of the Green Book available on site

  Yes

  No

• Are the operatives on site in possession of a valid NOPS card?

  Yes

  No

• Are the operatives on site accredited to carry out the task being undertaken?

  Yes

  No

  N/A

• Which Audit/Inspection are you completing today?

  CityFibre Aerial

  PIA Aerial

• Existing Pre-climb label removed from pole

  Yes

  No

  Not Witnessed

• Please Comment

• New Pre-climb label secured to pole

  Yes

  No

• Please Comment

• ASN fitted within correct envelope of space

  Yes

  No

  N/A

• Please Comment

• Please provide a photograph of this.

  Media

• ASN securely fixed to pole

  Yes

  No

  N/A

• Please Comment

• Label attached to feeder cable on the left / right-hand side of ASN

  Yes

  No

  N/A

• Please provide a photograph of this.

  Media

• Type of label used (Black font on yellow background)

  Critchley K type

  Printed

  Hand written

  Other

• Please provide a photograph

  Media

• Please provide a photo

  Media

• Helical clamp used for overhead cable type and correctly attached to pole ring head

  Yes

  No

  N/A

• Please Comment

• Is the BFT fixed to the pole every 300mm-450mm using 16mm aluminium strips and fixing with 2 x 38mm long galvanised bonding nails, along with steel flat washers?

  Yes

  No

  N/A

• Please Comment

• Has a ladder loop been installed correctly in accordance with PEA_FG_001? ( Use N/A for carrier poles and where the orientation of the pole steps and positioning of the BFT dictate it is not required)

  Yes

  No

  N/A

• Overhead cable loadings not exceeded (DILOR)

  Yes

  No

  N/A

• Please Comment

• Is Pole capping installed/replaced in a safe manner that does not obstruct pole markings or labels?

  Yes

  No

  N/A

• Please Comment

• Overhead cables routed with correct separation maintained to power cables?

  Yes

  No

  N/A

• Please Comment

• Cable ties (Strap Cable Fixing) Cut flush with no sharp edges

  Yes

  No

  N/A

• Please Comment

• Cables routed on pole in a manner which will not obstruct access to existing line plant

  Yes

  No

  N/A

• Please Comment

• Hazardous fibre waste (sharps/shards) cleared from site

  Yes

  No

  N/A

• Please Comment

• Work site left tidy, all rubbish removed.

  Yes

  No

• Please Comment

• Existing Pre-climb label removed from pole

  Yes

  No

  Not Witnessed

• Please Comment

• New Pre-climb label secured to pole

  Yes

  No

• Please Comment

• ASN fitted within correct envelope of space

  Yes

  No

  N/A

• Please Comment

• Please provide a photograph of this.

  Media

• ASN securely fixed to pole

  Yes

  No

  N/A

• Please Comment

• Label attached to feeder cable on the left / right-hand side of ASN

  Yes

  No

  N/A

• Please provide a photograph of this.

  Media

• Type of label used (Black font on yellow background)

  Critchley K type

  Printed

  Hand written

  Other

• Please provide a photograph

  Media

• Please provide a photo

  Media

• Helical clamp used for overhead cable type and correctly attached to pole ring head

  Yes

  No

  N/A

• Please Comment

• Is the PIA-BFT fixed to the pole every 300-450mm using 16mm aluminium strips and fixing with 2 x 38mm long galvanised bonding nails along with steel washers?

  Yes

  No

  N/A

• Please Comment

• Has a ladder loop been installed correctly in accordance with PEA_FG_001? ( Use N/A for carrier poles and where the orientation of the pole steps and positioning of the BFT dictate it is not required)

  Yes

  No

  N/A

• Overhead cable loadings not exceeded (DILOR)

  Yes

  No

  N/A

• Please Comment

• Is pole capping replaced/ installed in a safe manner that does not obstruct pole markings or labels?

  Yes

  No

  N/A

• Please Comment

• Transition cable from UG to OH correctly labelled (CFNPIA123456) and secured a maximum 300mm above caping/ first cleat

  Yes

  No

  N/A

• Type of label used (Black font on yellow background)

  Critchley K type

  Printed

  Hand written

  Other

• Please provide a photograph

  Media

• Please provide a photo

  Media

• Please provide a Photo

  Media

• Please provide a photo

  Media

• Please provide a photo

  Media

• CF PIA OH cables correct power separation distances maintained

  Yes

  No

  N/A

• Please Comment

• Cable ties (Strap Cable Fixing) Cut flush with no sharp edges

  Yes

  No

  N/A

• Please Comment

• PIA cables routed on pole in a manner which will not obstruct access to existing line plant

  Yes

  No

  N/A

• Please Comment

• Hazardous fibre waste (sharps/shards) cleared from site

  Yes

  No

  N/A

• Please Comment

• Work site left tidy, all rubbish removed.

  Yes

  No

• Please Comment

• Would you like to highlight any good practice?

  Yes

  No

  NA

• Who would you like to highlight?

  Contractor / Gang

  Individual

  Other

• If answer is other, please specify.

• Please name the group / individual you would like to highlight

• Which category best describes the good practice? Categories TBC

  Select

• Please describe the category of the work being recognised.

• Please give a description of the practice you have observed and would like recognised.

• Please provide the name of the Supervisor or Sub-Contractor.

• Please provide the name of the Gang Leader.

• Auditor Signature

  Sign