Title Page
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Site conducted
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OHSF-PR-08-06 Version 1 Revision 1 Dated 21/01/2021
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Conducted on
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(Format:- City - Job Pack / PN Number) E.g Aberdeen S12345 Always insert City name and Job Pack / PN number if known
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Team Leader/ Team name
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CityFibre Holdings Ltd, 15 Bedford St, London, WC2E 9HE
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Location
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Prepared by
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Who is the principle contractor?
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What is the name of the principle contractor?
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Please send an email to iAuditor.support@cityfibre.com detailing the contractor name and city.
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If unknown/other have you sent an email to iAuditor.support@cityfibre.com?
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Existing team or new team?
Safety Check - If you answer 'No' to any of the following 3 questions, end the audit and take appropriate action.
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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.
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Is it safe for you to conduct this audit?
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Please explain why and what action you have taken as a result.
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Is it safe for the construction workers to continue work?
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Please explain why and what action you have taken as a result.
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Is it safe for members of the public in the areas, surrounding the site, that they are able to access?
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Please explain why and what action you have taken as a result.
Aerial Audit
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Is there a copy of the Green Book available on site
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Which Audit/Inspection are you completing today?
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Existing Pre-climb label removed from pole
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Please Comment
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New Pre-climb label secured to pole
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Please Comment
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ASN fitted within correct envelope of space
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Please Comment
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Please provide a photograph of this.
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ASN securely fixed to pole
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Please Comment
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Label attached to feeder cable on the left / right-hand side of ASN
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Please provide a photograph of this.
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Type of label used (Black font on yellow background)
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Please provide a photograph
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Please provide a photo
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Helical clamp used for overhead cable type and correctly attached to pole ring head
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Please Comment
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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?
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Please Comment
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Has ladder loop been installed correctly in accordance with PEA_FG_001?
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Overhead cable loadings not exceeded (DILOR)
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Please Comment
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Is Pole capping installed/replaced in a safe manner that does not obstruct pole markings or labels?
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Please Comment
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Overhead cables routed with correct separation maintained to power cables?
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Please Comment
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Cable ties (Strap Cable Fixing) Cut flush with no sharp edges
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Please Comment
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Cables routed on pole in a manner which will not obstruct access to existing line plant
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Please Comment
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Hazardous fibre waste (sharps/shards) cleared from site
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Please Comment
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Work site left tidy, all rubbish removed.
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Please Comment
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Existing Pre-climb label removed from pole
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Please Comment
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New Pre-climb label secured to pole
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Please Comment
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ASN fitted within correct envelope of space
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Please Comment
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Please provide a photograph of this.
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ASN securely fixed to pole
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Please Comment
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Label attached to feeder cable on the left / right-hand side of ASN
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Please provide a photograph of this.
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Type of label used (Black font on yellow background)
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Please provide a photograph
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Please provide a photo
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Helical clamp used for overhead cable type and correctly attached to pole ring head
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Please Comment
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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?
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Please Comment
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Has ladder loop been installed correctly in accordance with PEA_FG_001?
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Overhead cable loadings not exceeded (DILOR)
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Please Comment
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Is pole capping replaced/ installed in a safe manner that does not obstruct pole markings or labels?
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Please Comment
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Transition cable from UG to OH correctly labelled (CFNPIA123456) and secured a maximum 300mm above caping/ first cleat
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Type of label used (Black font on yellow background)
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Please provide a photograph
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Please provide a photo
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Please provide a Photo
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Please provide a photo
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Please provide a photo
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CF PIA OH cables correct power separation distances maintained
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Please Comment
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Cable ties (Strap Cable Fixing) Cut flush with no sharp edges
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Please Comment
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PIA cables routed on pole in a manner which will not obstruct access to existing line plant
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Please Comment
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Hazardous fibre waste (sharps/shards) cleared from site
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Please Comment
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Work site left tidy, all rubbish removed.
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Please Comment
Sign Off
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Would you like to highlight any good practice?
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Who would you like to highlight?
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If answer is other, please specify.
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Please name the group / individual you would like to highlight
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Which category best describes the good practice? Categories TBC
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Please describe the category of the work being recognised.
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Please give a description of the practice you have observed and would like recognised.
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Please provide the name of the Supervisor or Sub-Contractor.
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Please provide the name of the Gang Leader.
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Auditor Signature
