Airwave - Site Survey and RAMS

• Customer:

• Site Name:

• Site Address:

• Site Postcode:

• Surveyed by (Engineer Name):

• Date of Survey:

  Date

• Tesseract Number:

• Survey Version No.

• Date of Survey Revision (if amended from original)

  Date

• Description of revisions (if amended from original)

• Building Management or Agent contact information (name, address, phone number etc):

• Company interest in premises:

  Owned

  Leased

  Freehold

  Tenant

• Has consent been obtained?

  Yes

  No

• Detail further information available in respect of planning or Landlords consent or action required:

• Are accurate plans or elevations available?

  Yes

  No

• If known, from where can the plans be obtained (name, address, phone number etc)?

• Is the building listed?

  Yes

  No

• Is the building in a conservation area?

  Yes

  No

• Note: It is the responsibility of the customer to obtain Landlord's permission for the dishes/aerials

• Insert photograph of building elevation 1

  Media

• Insert photograph of building elevation 2

  Media

• Insert photographs of property in relation to surrounding area

  Media

• Select type of survey being undertaken

  Select Dish and/or Aerial Installation WiFi Internal Works Only

  • Dish and/or Aerial Installation
  • WiFi
  • Internal Works Only

INTERNAL WORKS

Internal Works - Scope of Works

• Please fully describe what internal works are required together with any material/equipment requirements

• Insert and mark-up photographs of the internal works required

  Media

Internal Works - Risk Assessment

a) Working at Heights

• A. IS THERE ANY WORKING AT HEIGHT?

• A1. RISK OF FALLS FROM HEIGHTS USING LADDERS AND ACCESS EQUIPMENT?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - All operatives must have a valid working at heights certificate. Ladders must be in good condition and set on level ground at the correct angle (1 in 4). Where this cannot be achieved, additional stabilising devices must be employed. All ladders to be secured by eye bolts and straps.
  Safety harnesses must be worn and attached using rope and grab when three points of contact cannot be maintained.
  Safety boots must be worn for ankle support and protection.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A2. RISK OF FALLS FROM HEIGHT WHEN USING SCAFFOLDING?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must under no circumstance access a incomplete scaffold unless it has been inspected by a competent person and tagged I to say it is "safe to use"(This must be done every 7 days). Scaffold must only be altered/erected by a company approved/competent person. If in any doubt, contact a member of the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A3. UNSAFE GROUND CONDITIONS (ie UNEVEN OR SOFT)?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Levelling device to be used on ladder where ground is uneven. Use designated pathways. If unable to do this please contact your Project Manager.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A4. LOFT WORK?

• Harm - Falls from height, Serious injuries or Death from falling through ceiling
  Persons at risk - Operatives / Residents in block
  Risk rating - High
  -
  Control measures to be implemented - Lofts should be checked for integrity before entering. Where walkways are available, these must be kept to. If no walkways or boarded areas then crawl boards may be required to undertake activities in the loft. Lighting will be needed to reduce risk of injury. Face masks, Hard hats , Hi Viz, gloves , goggles & dust masks to be worn at all times. Possible breathing apparatus may be required.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A5. ACCESSING A LOFT WITHOUT AN INTERNAL LOFT LADDER?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If we need to access the loft then at survey stage a request is to be made to the client that he supplies one that is fit for purpose. If this is not possible then a extendable ladder should be used provided it can be secured to the wall via a eyebolt & ratchet strap or held at the base by a second person. Signage, cones and warning tape must be used at the base of the entry point. Ensure that prior to entry that there is adequate lighting and the loft can sustain your weight. If unsure seek advice from the Project Manager responsible.
  -
  Residual risk - Medium

• Additional Control Measures Required:

b) Access equipment (works with MEWP)

• IS A CHERRY PICKER OR SCISSOR LIFT (MEWP) REQUIRED?

• B1. OPERATING MEWP?

• Harm - Falls from heights, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Only competent and trained personnel holding valid certification to operate equipment. It must be fully tested and hold current certification to operate equipment. It must be fully tested and hold current certification. Equipment risk assessment to be read, understood and signed by operatives. It must be read, understood, signed by operatives. It must be made available on equipment at all times. All equipment shall be maintained to LOLER Regulations. Operator must carry out pre-start checks as per training. No materials to hang over the platform handrail. Operator must not hang over handrail and equipment must not be over loaded. Operations must cease in adverse weather including high winds, driving rain, thunder and lightning.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B2. SITING AND SETTING UP OF MEWP?

• Harm - Falls from Height, serious injuries or death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Machine set up and levelled in accordance with manufacturer’s instructions. Suitable firm level ground conditions with no slopes, underground services, man holes or obstructions. Outriggers/stabilisers used properly and set up with spreader pads utilised as necessary to spread load and prevent sinking. Ground conditions should be monitored at all times. During set up and once established, the work area must be maintained and unauthorised access prevented using cones, barriers and barrier tape. Use on pavements should be avoided where possible to minimise damage to underground services If working in public highway compliance with New Roads and Street Works Act 1991 must be followed. When parked, MEWP must be left in a safe place, all electrics isolated and keys held by operator.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B3. OVERHEAD LINES (STRIKING OF ELECTRICITY LINES)?

• Harm - Striking electrical cables / electrocution
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Area to be assessed at survey stage if possible. Under no circumstance must equipment be used in the vicinity of overhead lines unless otherwise stated. Ensure work area is clear of any temporary power lines that may be being run and that MEWP cannot come into contact with any power lines. If unsure, do not start work and seek advice from Project Manager.
  -
  RESIDUAL RISK - Low

• Additional Control Measures Required:

c) Environment and Exposure

• C1. Asbestos exposure

• Harm - Ill health from exposure to asbestos
  Persons at risk - Operatives / Members of public
  Risk rating - High
  -
  Control measures to be implemented - If asbestos is suspected in the area you are working, work must be stopped immediately and reported to project management. Works will only continue when an asbestos survey of the affected work area has been carried out by a competent person/company and is either declared safe to work in or an alternative method of working has been found. The clients asbestos register must be scanned in the specific areas before any further works are undertaken
  -
  Residual risk - Low

• Additional Control Measures Required:

• C2. Dust exposure

• Harm - Ill health from exposure to dust inhalation
  Persons at risk - Operatives / Members of public
  Risk rating - Medium
  -
  Control measures to be implemented - Face masks must be worn at all times whilst drilling or working in dusty environments. Work area must be cordoned off by means of cones, barrier tape and warning signage to warn people of works taking place. Where dust masks are provided operatives will undergo face fit testing.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C3. Presence of needle injuries inside properties and buildings

• Harm - Needle injuries, possibility of contracting serious diseases
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operators to be extra vigilant and cautious when working in properties and buildings. If needles are found, work must stop immediately. You must inform Project Management and leave the area. If injuries are sustained, you must attend the nearest hospital immediately.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C4. Environmental hazards/Bees/Wasps/Vermin and hazardous waste

• Harm - Potential of contracting various diseases
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If any environmental hazards such as wasps/bees nests/vermin/ hazardous waste etc are discovered, then work is to stop immediately and contact client/office to instigate a competent contractor to remove hazard.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C5. Un-cooperative residents or members of the public

• Harm - Possibility of being attacked by abusive resident or member of public
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operative to avoid confrontation with residents/members of the public and walk away from situation. This must be reported to management and the Health & Safety Department Immediately
  -
  Residual risk - Low

• Additional Control Measures Required:

• C6. Working in access roads, car parks or public places

• Harm - Injuries to members of the public, slips &trips or head injuries fro falling objects
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives are to ensure that work areas are cordoned off with cones, barrier tape and suitable signage to prevent un-authorised entry. If possible try to minimise works within these areas. If working in a public highway, works must comply with the New Road Street Works Act 1991.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C7. Working in a confined space

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure adequate lighting is available prior to entry. Bump cap to be worn at all times whilst working in confined space to avoid head injuries. All items must be removed from the confined space before entry and a safe working area must be established.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C8. Exposure to noise from drilling or loud machinery

• Harm - Loss of hearing or partial deafness
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Hearing protection must be worn when undertaking noisy activities such as drilling. Noise levels must not exceed 85 dba. If unsure, contact project manager or Health & Safety Department for further advise.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C9. Chemical Hazards (Hazardous substances)

• Harm - Risk of burns, inhalation and ingestion
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - In order to reduce the risk of exposure to hazardous substances, the following measures will be implemented:
  • An inventory of all substances hazardous to health in use by the company will be compiled and maintained together with appropriate hazard information. This can be obtained from the Health & Safety Department.
  • All operatives involving, or which may involve, exposure to substances hazardous to health will be medically assessed.
  • Appropriate control measures will be implemented if it is not possible to eliminate, or substitute for a hazardous substance (See separate risk assessment).
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C10. Inadequate First Aid provisions

• Harm - Sustaining Injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives must ensure they have a first aid box which is a minimum of a 1-10 man kit. It must be adequately stocked and meets legal compliance. Operatives must have a minimum standard of first aid training to comply with the First Aid at work regulations 1981.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C11. Fire prevention and escape routes

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must ensure before works commence that they know where the escape routes and assembly points are located. Operatives are only allowed to use fire extinguishers if they have had the necessary training. Operatives to follow site emergency procedures at all times.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C12. Potential non-ionising Radiation exposure from transmitters on roof

• Harm - General sickness, limb weakness. nausea, headaches. flu like symptoms
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - At survey stage, details shall be taken of contact number and site code to request power down of transmitter. Work shall be avoided directly in front of the mast, with signal strength generally reducing significantly from 2-5 metres. If any sickness is identified, the operative concerned must inform the client, and leave site immediately to seek further medical advice – e.g. go to local hospital.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C13. Slips and Trips

• Harm - Strains, broken legs, arms, head injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives to ensure that: • All work areas will be regularly inspected to ensure that good standards of “housekeeping” are maintained at all times.
  • Appropriate protective clothing must be worn, especially safety footwear.
  • Operatives are required to take reasonable care of their own safety when working and moving about a site. This means keeping their work area clean and tidy at all times.
  -
  Residual risk - Low

• Additional Control Measures Required:

d) Work Activities

• D1. Manual Handling

• Harm - Serious back damage, sprains or torn ligaments
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to assess for the following: Load (What is it that you are going to lift), Individual (Are you up to the lift), Task (Does the task need to be done manually or can it done by other means i.e. mechanical devices?) and Environment (What are the conditions and do you have a clear route?). Where available mechanical means must be implemented. Manual handling principles must be adopted in line with manual handling training provided. Team lifts used for bulky or awkward items must use a lead person who will relay to the team the actions and routes to be taken. Ensure all routes are free from obstruction and drop location is clear.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D2. Raising materials to height using pulley system

• Harm - Serious injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Materials to be raised to height using a rope pulley system. A failsafe rope is to pass through an automatic anti reverse belay pulley attached to the top of the ladder and through an automatic rope grab attached to bottom of ladder.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D3. Cutting metal materials with hand saw

• Harm - Eye injuries due to metal fragment, cuts to hand when handling metal.
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection and gloves to be worn at all times when cutting metal using a hand saw. Hand saw must be checked by operatives before and after use. Any defects must be reported to project management immediately.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D4. Removal of waste

• Harm - Serious back damage, sprains, torn ligaments
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - All waste that is created on site such as cardboard, cable, wood, metal brackets, bricks and electrical equipment must be taken back to Head office/depot at the end of each working day where it is must be segregated into the correct skips/bins. This will then be taken away by a licensed waste contractor
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D5. Drilling activities

• Harm - Eye Injuries due to dust particles
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection must be worn at all times when drilling to avoid eye injuries occurring
  -
  Residual risk - Low

• Additional Control Measures Required:

• D6. Drilling in properties on high level (falling debris)

• Harm - Injuries to passing pedestrians, falling debris
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Before drilling through walls in properties 1 storey and above where there is a risk to the public from falling debris in places such as shops, public foot paths/pavements, roads, communal areas of properties such as gardens and patio areas), an area wide enough directly below on the outside must be cordoned off with cones, barrier tape and clear warning signage to prevent unauthorised access. A second man must be used to hold the net basket inside the property to catch any brick dust or falling debris. Always use a scanner before drilling into any wall.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D7. Work Equipment

• Harm - Serious Injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When working with any work equipment, operatives must ensure the following:
  • Work equipment will be maintained in efficient working order, good repair and inspected before and after use. Any defects must be reported to the Health & Safety Department immediately.
  • Operatives must ensure that they are trained before using any work equipment in their correct operation.
  • Operatives to ensure that they wear necessary protective clothing (such as hi viz, safety boots, gloves and where applicable, eye protection and dust masks.
  • Operatives to use work equipment in the manner and for the purpose, which they were intended for use.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D8. High risk maintenance works or complex installations

• Harm - Serious injury or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - A Permit To Work must be used in any situation where the work is of high risk to operatives. Operatives must be fully briefed of conditions set out in permit and must be signed for by an authorised person. All work areas must be segregated from members of the public by using cones, barrier tape and warning signage. At the end of works, engineers must check area to ensure that it is safe and poses no risk to members of the public. Authorised person will then check area fully and sign off permit to say works are completed.
  -
  Residual risk - Medium

• Additional Control Measures Required:

e) Electrical

• Are electrical works involved or connection to electrical systems?

• E1. Electric shock

• Harm - Serious Injuries, Burns or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - It is essential to carry out all necessary precautions to ensure all cables, junction boxes, sockets and fittings are not damaged in any way and are safe to use. Provide an accessible and clearly identified switch near each fixed machine to cut off power in event of an emergency. Be aware of first aid procedures in the event of an electrical shock. The use of RCD (Residual Current Device) if using equipment operating at 230 volts or higher can provide additional safety. Either, build it into main switchboard or the socket outlet as this means the supply cables are permanently protected. If this is not possible, a plug incorporating and RCD or a plug in RCD adaptor can also provide additional safety.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E2. Alternating current electrocution

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Isolation procedures must be followed and electrical supplies must be locked off as necessary. An electrical permit to work must be used and any electrical circuits must be verified as "Dead".
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E3. Use of portable/transportable electrical equipment

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Portable Appliance Testing should be carried out by a competent person every 6 months in line with HSG INDG236 ‘Maintaining portable electric equipment in offices and other low-risk environments’. Pre use examinations should be carried out by operatives to ensure that any cables have no damage to insulation, severing to outer casing, lose connections and that fuse/pins are all in good condition.
  All faults should be reported to the Health & Safety Department immediately and the equipment should not be used until it has been re tested and declared safe by a competent person.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E4. Using electrical equipment in wet areas or conditions

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that equipment is suitably insulated and only tested equipment is used which has been checked by a competent person. In severe environmental conditions the use of electrical equipment must not be used and must be reported to the Health & Safety Department immediately. If working in the vicinity of the pool area, the use of a R.C.D. should be used and the use of a transformer to reduce the electrical voltage to 110V.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E5. Overloading of power points

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to ensure that enough points are available to carry out their works. One appliance should only be used at each power point to avoid the use of multipoint adaptors and the possibility of overloading. If in any doubt, contact the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E6. Trailing cables from static or portable electrical equipment

• Harm - Serious injury, trips or burns
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Cable clips must be used to tie cables together. Use hazard tape to secure cables to floor/wall etc, or the use of a cable run to prevent any slips, trips & falls. Consider installing new sockets to prevent any trailing cables and use appropriate signage to show trailing cables if you are using a portable electrical item such as a vacuum cleaner. Portable electrical equipment should be used out of hours wherever reasonably practicable.
  -
  Residual risk - Low

• Additional Control Measures Required:

• E7. Faulty Cables on electrical equipment

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Visual checks of cables should be carried out by a competent person at specified times (i.e. Before use, weekly, monthly or annually depending on the type of equipment). Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E8. Fire caused by an electrical fault

• Harm - Smoke inhalation, Burns, Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Ensure that visual checks are carried out on a regular basis (i.e. Before use, weekly, monthly and annually). Ensure that wires are not fraying as this can cause arcing. Further advice can be obtained from the Health & Safety Department
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E9. Switch rooms and Fuse boards

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that distribution board circuits are correctly labelled. Keep area locked/secured at all times and ensure good housekeeping is adhered to. Must ensure that fixed installation testing is carried out by a competent person every 5 years. Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• Are there existing satellite dishes or aerials on the site?

  Yes

  No

• Please give details

• Are they connecting to any existing LPS?

  Yes

  No

• Please note that some projects will require two options for dish/aerial location and also that dishes may be in a different location to aerials so both locations will require surveying.

• Are there one or two options on locations for the dishes/aerials (for additional feeds or replacement of cables only, state the number of dish/aerial locations the feeds are running to/from)?

  1

  2

EXTERNAL WORKS

Location 1 - Description

• Note: Wherever possible avoid front of building, do not obstruct windows or doors and do not detract from logo's, signage etc

• Describe fully the proposed location for dish/aerial location option 1

• Insert and mark-up photograph showing location option 1

  Media

• Describe access to this dish/aerial location for both installation and service calls

• Describe accurately the means of safely anchoring yourself and others during the installation any specific PPE equipment required

• Can the dish/aerial location be viewed by higher buildings?

  Yes

  No

• Describe buildings overlooking proposed location

• Insert photograph showing overlooking buildings

  Media

• Are there existing dishes/aerials in this location?

  Yes

  No

• Insert photograph showing existing dishes/aerials

  Media

• Is the proposed location considered secure?

  Yes

  No

• Describe the reasons why this location is not considered secure

• Is there possibility of future blockage to dishes/aerials caused by trees or building works?

  Yes

  No

• Give details

• Insert photograph showing potential future blockage

  Media

• Describe cable route from this proposed location to headend/receiver position

• Insert and mark-up photographs showing cable route from this proposed location to headend/receiver position (external and internal routes)

  Media

• Will wall penetration be required for the cable?

  Yes

  No

• If Yes, give details of hole size, wall thickness and sealant required

• Insert and mark-up photograph showing cable entry point

  Media

• Trunking or conduit required?

  Yes

  No

• Give details

• Details of building structure at dish position

  Select Brick Stone Concrete Asphalt Cladding Other

  • Brick
  • Stone
  • Concrete
  • Asphalt
  • Cladding
  • Other

• Describe building structure

• Condition of building structure

  Good

  Average

  Poor

• Describe condition of building structure and how the mounts are going to be securely affixed (eg chem fixings)

• Do dishes/aerials and mounts need to be connected to the sites' existing Lightening Protection System?

  Yes

  No

• Describe what is required to bond the dishes/aerials and mounts to the existing LPS

• Ladders required?

• State size required

  Select T12 T14 T16 T18 T20 T22

  • T12
  • T14
  • T16
  • T18
  • T20
  • T22

• Cherry picker required?

• Please give details

• Is scaffold required?

• Please give details

Location 1 - Scope of Works

• Please state what is to be installed or what works are to be carried out in this location (select each of the requirements)

  Select Satellite Dishes TV Aerial FM Aerial DAB aerial Extra Feeds or Replacement Cables Relocation (eg of aerial/dish/head-end)

  • Satellite Dishes
  • TV Aerial
  • FM Aerial
  • DAB aerial
  • Extra Feeds or Replacement Cables
  • Relocation (eg of aerial/dish/head-end)

• How many satellite dishes are to be installed in this location?

  1

  2

  3

  4

Location 1 - Satellite Dish 1

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 1 - Satellite Dish 2

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 1 - Satellite Dish 3

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 1 - Satellite Dish 4

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 1 - FM Aerial

• State FM Transmitter:

• Is an FM Omni-directional or FM Directional aerial required:

  FM Omni-directional

  FM Directional

• State number of elements on the directional aerial required:

  2

  3

  4

  5

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the aerial above ground level (in metres):

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

Location 1 - DAB Aerial

• State DAB Transmitter:

• Type of DAB Aerial required:

  Select Dipole (single element) 2 elements 3 elements 4 elements 5 elements 6 elements Other

  • Dipole (single element)
  • 2 elements
  • 3 elements
  • 4 elements
  • 5 elements
  • 6 elements
  • Other

• State aerial type required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the aerial above ground level (in metres):

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

Location 1 - Relocation (eg of dishes, aerials, headend and viewing locations)

• Describe what relocation works are required (including what services, where from, where to, any upgrade of equipment needed)

Location 1 - Extra Feeds or Replacement Cables

• Describe what extra feeds or replacement cables are required (including what service(s), where from, where to, any upgrade of equipment needed)

• Number of cable runs required:

  1

  2

  3

  4

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Cable length required per run (metres):

Location 1 - TV Aerial

• State TV Transmitter:

• Wideband or Grouped aerial required?

  Wideband

  Group A

  Group B

  Group C/D

  Group E

• Type of Aerial required:

  Log Periodic

  Reva

  High Gain (42 element)

  Other

• State aerial type required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the aerial above ground level (in metres):

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Is a Masthead amp and psu required?

  Yes

  No

• State gain (dB) of masthead amp required:

Location 1 - Risk Assessment

a) Working at Heights

• A. IS THERE ANY WORKING AT HEIGHT?

• A1. RISK OF FALLS FROM HEIGHTS USING LADDERS AND ACCESS EQUIPMENT?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - All operatives must have a valid working at heights certificate. Ladders must be in good condition and set on level ground at the correct angle (1 in 4). Where this cannot be achieved, additional stabilising devices must be employed. All ladders to be secured by eye bolts and straps.
  Safety harnesses must be worn and attached using rope and grab when three points of contact cannot be maintained.
  Safety boots must be worn for ankle support and protection.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A2. RISK OF FALLS FROM HEIGHT WHEN USING SCAFFOLDING?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must under no circumstance access a incomplete scaffold unless it has been inspected by a competent person and tagged I to say it is "safe to use"(This must be done every 7 days). Scaffold must only be altered/erected by a company approved/competent person. If in any doubt, contact a member of the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A3. WORKING ON AN UNPROTECTED FLAT ROOF?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When no edge protection is provided, a 2 metre exclusion zone must be set up . To work within the 2 metre exclusion zone, operatives must be attached to dead mans anchor then from the anchor a fixed lanyard rope system is used.. If access for man anchor is not available, suitable anchor points shall be identified and restraint system implemented. If in doubt contact the Health and Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A4. WORKING ON A FLAT ROOF THAT HAS ROOF PROTECTION?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When working on a roof that has edge protection, this must be at least 950mm high as a minimum requirement. If you are unsure, then contact project manager or Health & Safety Department for further advice/guidance.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A5. EXIT ONTO THE ROOF WITHIN 2m OF ROOF EDGE?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives are to attach to a suitable anchorage point via fixed or inertia lanyard to operate as fall restraint from unprotected edges.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A6. ACCESSING A FLAT ROOF THAT DOES NOT HAVE ANCHOR POINTS?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - A mobile man anchor (MMA) must be used and positioned at least 2.5metres from any open edge or void. MMA must only be used where access allows and where the roofs integrity is capable of withstanding the weight . MMA must not be placed in locations where standing water is present or used in icy conditions. Operatives must attach work/safety lines or lanyards to the anchor point on the (MMA). Fall restraint must be used by operatives before entering 2m exclusion zone . NO EXCEPTIONS. Safe lifting and carrying techniques to be used and manual handling aids used where possible. Operatives are trained in the safe use of MMA.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A7. RISK OF FALLS FROM HEIGHT WHILST ON A PITCHED ROOF?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Cat ladders must be used on all pitched roof works. Access ladders must extend 1.2 metres above gutter line and must be secured at the top with a stand off and bottom with ratchet straps, stabiliser and eye bolts. Cat ladder must span the roof fully, have a rope system attached and be strapped to the access ladder.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A8. RISK OF FALLS FROM HEIGHT WHILST ON A PITCHED ROOF WITH NO APEX?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to use a rope safety line attached to eyebolts at each end of the roof. Safety harnesses to be attached to safety line at all times whilst working on roof. Work must cease in wet or windy conditions.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A9. UNSAFE GROUND CONDITIONS (ie UNEVEN OR SOFT)?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Levelling device to be used on ladder where ground is uneven. Use designated pathways. If unable to do this please contact your Project Manager.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A10. LOFT WORK?

• Harm - Falls from height, Serious injuries or Death from falling through ceiling
  Persons at risk - Operatives / Residents in block
  Risk rating - High
  -
  Control measures to be implemented - Lofts should be checked for integrity before entering. Where walkways are available, these must be kept to. If no walkways or boarded areas then crawl boards may be required to undertake activities in the loft. Lighting will be needed to reduce risk of injury. Face masks, Hard hats , Hi Viz, gloves , goggles & dust masks to be worn at all times. Possible breathing apparatus may be required.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A11. ACCESSING A LOFT WITHOUT AN INTERNAL LOFT LADDER?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If we need to access the loft then at survey stage a request is to be made to the client that he supplies one that is fit for purpose. If this is not possible then a extendable ladder should be used provided it can be secured to the wall via a eyebolt & ratchet strap or held at the base by a second person. Signage, cones and warning tape must be used at the base of the entry point. Ensure that prior to entry that there is adequate lighting and the loft can sustain your weight. If unsure seek advice from the Project Manager responsible.
  -
  Residual risk - Medium

• Additional Control Measures Required:

b) Access equipment (works with MEWP)

• IS A CHERRY PICKER OR SCISSOR LIFT (MEWP) REQUIRED?

• B1. OPERATING MEWP?

• Harm - Falls from heights, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Only competent and trained personnel holding valid certification to operate equipment. It must be fully tested and hold current certification to operate equipment. It must be fully tested and hold current certification. Equipment risk assessment to be read, understood and signed by operatives. It must be read, understood, signed by operatives. It must be made available on equipment at all times. All equipment shall be maintained to LOLER Regulations. Operator must carry out pre-start checks as per training. No materials to hang over the platform handrail. Operator must not hang over handrail and equipment must not be over loaded. Operations must cease in adverse weather including high winds, driving rain, thunder and lightning.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B2. SITING AND SETTING UP OF MEWP?

• Harm - Falls from Height, serious injuries or death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Machine set up and levelled in accordance with manufacturer’s instructions. Suitable firm level ground conditions with no slopes, underground services, man holes or obstructions. Outriggers/stabilisers used properly and set up with spreader pads utilised as necessary to spread load and prevent sinking. Ground conditions should be monitored at all times. During set up and once established, the work area must be maintained and unauthorised access prevented using cones, barriers and barrier tape. Use on pavements should be avoided where possible to minimise damage to underground services If working in public highway compliance with New Roads and Street Works Act 1991 must be followed. When parked, MEWP must be left in a safe place, all electrics isolated and keys held by operator.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B3. ACCESSING A FLAT ROOF USING MEWP?

• Harm - Falls from Height, serious injuries or death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - MEWP must be operated by trained competent person. All areas below must be segregated from members of the public by means of signage and physical barriers. The MEWP arm must be fully extendable and be placed a suitable distance away from the edge of the roof. Suggest approx 2 meters. The operatives must be kept attached via a fixed lanyard at all times including exiting the basket until a safe distance can be maintained
  -
  RESIDUAL RISK - Low

• Additional Control Measures Required:

• B4. OVERHEAD LINES (STRIKING OF ELECTRICITY LINES)?

• Harm - Striking electrical cables / electrocution
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Area to be assessed at survey stage if possible. Under no circumstance must equipment be used in the vicinity of overhead lines unless otherwise stated. Ensure work area is clear of any temporary power lines that may be being run and that MEWP cannot come into contact with any power lines. If unsure, do not start work and seek advice from Project Manager.
  -
  RESIDUAL RISK - Low

• Additional Control Measures Required:

c) Environment and Exposure

• C1. Asbestos exposure

• Harm - Ill health from exposure to asbestos
  Persons at risk - Operatives / Members of public
  Risk rating - High
  -
  Control measures to be implemented - If asbestos is suspected in the area you are working, work must be stopped immediately and reported to project management. Works will only continue when an asbestos survey of the affected work area has been carried out by a competent person/company and is either declared safe to work in or an alternative method of working has been found. The clients asbestos register must be scanned in the specific areas before any further works are undertaken
  -
  Residual risk - Low

• Additional Control Measures Required:

• C2. Dust exposure

• Harm - Ill health from exposure to dust inhalation
  Persons at risk - Operatives / Members of public
  Risk rating - Medium
  -
  Control measures to be implemented - Face masks must be worn at all times whilst drilling or working in dusty environments. Work area must be cordoned off by means of cones, barrier tape and warning signage to warn people of works taking place. Where dust masks are provided operatives will undergo face fit testing.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C3. Presence of needle injuries inside properties and buildings

• Harm - Needle injuries, possibility of contracting serious diseases
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operators to be extra vigilant and cautious when working in properties and buildings. If needles are found, work must stop immediately. You must inform Project Management and leave the area. If injuries are sustained, you must attend the nearest hospital immediately.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C4. Environmental hazards/Bees/Wasps/Vermin and hazardous waste

• Harm - Potential of contracting various diseases
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If any environmental hazards such as wasps/bees nests/vermin/ hazardous waste etc are discovered, then work is to stop immediately and contact client/office to instigate a competent contractor to remove hazard.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C5. Un-cooperative residents or members of the public

• Harm - Possibility of being attacked by abusive resident or member of public
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operative to avoid confrontation with residents/members of the public and walk away from situation. This must be reported to management and the Health & Safety Department Immediately
  -
  Residual risk - Low

• Additional Control Measures Required:

• C6. Weather conditions (i.e severe gales or snow etc.)

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - In the event of excessive weather work will be stopped specifically high winds on MEWP, Ladders, Cradles and roof works. Also extra care is needed when working in snow and ice. Under no circumstances should work continue in these circumstances. If significant risk is present, contact the Health & Safety Department
  -
  Residual risk - Low

• Additional Control Measures Required:

• C7. Working in access roads, car parks or public places

• Harm - Injuries to members of the public, slips &trips or head injuries fro falling objects
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives are to ensure that work areas are cordoned off with cones, barrier tape and suitable signage to prevent un-authorised entry. If possible try to minimise works within these areas. If working in a public highway, works must comply with the New Road Street Works Act 1991.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C8. Discovery of pirate radio aerials

• Harm - Threats of violence, possibility of being attacked
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If you discover anything to do with pirate radio, work must stop and you must leave site immediately. Contact project management immediately for further advise
  -
  Residual risk - Low

• Additional Control Measures Required:

• C9. Overhead lines (striking of telephone or power lines)

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Equipment must not be used in vicinity of overhead lines. Additional care must be taken when moving ladders as to not to strike the lines. This must be a two man operation. Should the work be too close to lines, stop and contact project manager or Health & Safety Department for further advice
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C10. Working in a confined space

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure adequate lighting is available prior to entry. Bump cap to be worn at all times whilst working in confined space to avoid head injuries. All items must be removed from the confined space before entry and a safe working area must be established.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C11. Working in residents or communal gardens

• Harm - Serious Injuries or Death
  Persons at risk - Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Cones, barrier tape and warning signage to be in place around work area and adequate signage to be in place at all entrances, exits of the building and along all pathways.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C12. Exposure to noise from drilling or loud machinery

• Harm - Loss of hearing or partial deafness
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Hearing protection must be worn when undertaking noisy activities such as drilling. Noise levels must not exceed 85 dba. If unsure, contact project manager or Health & Safety Department for further advise.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C13. Chemical Hazards (Hazardous substances)

• Harm - Risk of burns, inhalation and ingestion
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - In order to reduce the risk of exposure to hazardous substances, the following measures will be implemented:
  • An inventory of all substances hazardous to health in use by the company will be compiled and maintained together with appropriate hazard information. This can be obtained from the Health & Safety Department.
  • All operatives involving, or which may involve, exposure to substances hazardous to health will be medically assessed.
  • Appropriate control measures will be implemented if it is not possible to eliminate, or substitute for a hazardous substance (See separate risk assessment).
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C14. Inadequate First Aid provisions

• Harm - Sustaining Injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives must ensure they have a first aid box which is a minimum of a 1-10 man kit. It must be adequately stocked and meets legal compliance. Operatives must have a minimum standard of first aid training to comply with the First Aid at work regulations 1981.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C15. Fire prevention and escape routes

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must ensure before works commence that they know where the escape routes and assembly points are located. Operatives are only allowed to use fire extinguishers if they have had the necessary training. Operatives to follow site emergency procedures at all times.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C16. Potential non-ionising Radiation exposure from transmitters on roof

• Harm - General sickness, limb weakness. nausea, headaches. flu like symptoms
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - At survey stage, details shall be taken of contact number and site code to request power down of transmitter. Work shall be avoided directly in front of the mast, with signal strength generally reducing significantly from 2-5 metres. If any sickness is identified, the operative concerned must inform the client, and leave site immediately to seek further medical advice – e.g. go to local hospital.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C17. Slips and Trips

• Harm - Strains, broken legs, arms, head injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives to ensure that: • All work areas will be regularly inspected to ensure that good standards of “housekeeping” are maintained at all times.
  • Appropriate protective clothing must be worn, especially safety footwear.
  • Operatives are required to take reasonable care of their own safety when working and moving about a site. This means keeping their work area clean and tidy at all times.
  -
  Residual risk - Low

• Additional Control Measures Required:

d) Work Activities

• D1. Manual Handling

• Harm - Serious back damage, sprains or torn ligaments
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to assess for the following: Load (What is it that you are going to lift), Individual (Are you up to the lift), Task (Does the task need to be done manually or can it done by other means i.e. mechanical devices?) and Environment (What are the conditions and do you have a clear route?). Where available mechanical means must be implemented. Manual handling principles must be adopted in line with manual handling training provided. Team lifts used for bulky or awkward items must use a lead person who will relay to the team the actions and routes to be taken. Ensure all routes are free from obstruction and drop location is clear.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D2. Raising materials to height using pulley system

• Harm - Serious injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Materials to be raised to height using a rope pulley system. A failsafe rope is to pass through an automatic anti reverse belay pulley attached to the top of the ladder and through an automatic rope grab attached to bottom of ladder.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D3. Cutting metal materials with hand saw

• Harm - Eye injuries due to metal fragment, cuts to hand when handling metal.
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection and gloves to be worn at all times when cutting metal using a hand saw. Hand saw must be checked by operatives before and after use. Any defects must be reported to project management immediately.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D4. Removal of waste

• Harm - Serious back damage, sprains, torn ligaments
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - All waste that is created on site such as cardboard, cable, wood, metal brackets, bricks and electrical equipment must be taken back to Head office/depot at the end of each working day where it is must be segregated into the correct skips/bins. This will then be taken away by a licensed waste contractor
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D5. Drilling activities

• Harm - Eye Injuries due to dust particles
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection must be worn at all times when drilling to avoid eye injuries occurring
  -
  Residual risk - Low

• Additional Control Measures Required:

• D6. Drilling in properties on high level (falling debris)

• Harm - Injuries to passing pedestrians, falling debris
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Before drilling through walls in properties 1 storey and above where there is a risk to the public from falling debris in places such as shops, public foot paths/pavements, roads, communal areas of properties such as gardens and patio areas), an area wide enough directly below on the outside must be cordoned off with cones, barrier tape and clear warning signage to prevent unauthorised access. A second man must be used to hold the net basket inside the property to catch any brick dust or falling debris. Always use a scanner before drilling into any wall.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D7. Work Equipment

• Harm - Serious Injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When working with any work equipment, operatives must ensure the following:
  • Work equipment will be maintained in efficient working order, good repair and inspected before and after use. Any defects must be reported to the Health & Safety Department immediately.
  • Operatives must ensure that they are trained before using any work equipment in their correct operation.
  • Operatives to ensure that they wear necessary protective clothing (such as hi viz, safety boots, gloves and where applicable, eye protection and dust masks.
  • Operatives to use work equipment in the manner and for the purpose, which they were intended for use.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D8. High risk maintenance works or complex installations

• Harm - Serious injury or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - A Permit To Work must be used in any situation where the work is of high risk to operatives. Operatives must be fully briefed of conditions set out in permit and must be signed for by an authorised person. All work areas must be segregated from members of the public by using cones, barrier tape and warning signage. At the end of works, engineers must check area to ensure that it is safe and poses no risk to members of the public. Authorised person will then check area fully and sign off permit to say works are completed.
  -
  Residual risk - Medium

• Additional Control Measures Required:

e) Electrical

• Are electrical works involved or connection to electrical systems?

• E1. Electric shock

• Harm - Serious Injuries, Burns or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - It is essential to carry out all necessary precautions to ensure all cables, junction boxes, sockets and fittings are not damaged in any way and are safe to use. Provide an accessible and clearly identified switch near each fixed machine to cut off power in event of an emergency. Be aware of first aid procedures in the event of an electrical shock. The use of RCD (Residual Current Device) if using equipment operating at 230 volts or higher can provide additional safety. Either, build it into main switchboard or the socket outlet as this means the supply cables are permanently protected. If this is not possible, a plug incorporating and RCD or a plug in RCD adaptor can also provide additional safety.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E2. Alternating current electrocution

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Isolation procedures must be followed and electrical supplies must be locked off as necessary. An electrical permit to work must be used and any electrical circuits must be verified as "Dead".
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E3. Use of portable/transportable electrical equipment

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Portable Appliance Testing should be carried out by a competent person every 6 months in line with HSG INDG236 ‘Maintaining portable electric equipment in offices and other low-risk environments’. Pre use examinations should be carried out by operatives to ensure that any cables have no damage to insulation, severing to outer casing, lose connections and that fuse/pins are all in good condition.
  All faults should be reported to the Health & Safety Department immediately and the equipment should not be used until it has been re tested and declared safe by a competent person.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E4. Using electrical equipment in wet areas or conditions

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that equipment is suitably insulated and only tested equipment is used which has been checked by a competent person. In severe environmental conditions the use of electrical equipment must not be used and must be reported to the Health & Safety Department immediately. If working in the vicinity of the pool area, the use of a R.C.D. should be used and the use of a transformer to reduce the electrical voltage to 110V.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E5. Overloading of power points

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to ensure that enough points are available to carry out their works. One appliance should only be used at each power point to avoid the use of multipoint adaptors and the possibility of overloading. If in any doubt, contact the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E6. Trailing cables from static or portable electrical equipment

• Harm - Serious injury, trips or burns
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Cable clips must be used to tie cables together. Use hazard tape to secure cables to floor/wall etc, or the use of a cable run to prevent any slips, trips & falls. Consider installing new sockets to prevent any trailing cables and use appropriate signage to show trailing cables if you are using a portable electrical item such as a vacuum cleaner. Portable electrical equipment should be used out of hours wherever reasonably practicable.
  -
  Residual risk - Low

• Additional Control Measures Required:

• E7. Faulty Cables on electrical equipment

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Visual checks of cables should be carried out by a competent person at specified times (i.e. Before use, weekly, monthly or annually depending on the type of equipment). Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E8. Fire caused by an electrical fault

• Harm - Smoke inhalation, Burns, Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Ensure that visual checks are carried out on a regular basis (i.e. Before use, weekly, monthly and annually). Ensure that wires are not fraying as this can cause arcing. Further advice can be obtained from the Health & Safety Department
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E9. Switch rooms and Fuse boards

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that distribution board circuits are correctly labelled. Keep area locked/secured at all times and ensure good housekeeping is adhered to. Must ensure that fixed installation testing is carried out by a competent person every 5 years. Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

Location 2 - Description

• Note: Wherever possible avoid front of building, do not obstruct windows or doors and do not detract from logo's, signage etc

• Describe fully the proposed location for dish/aerial location option 2

• Insert and mark-up photograph showing location option 2

  Media

• Describe access to this dish/aerial location for both installation and service calls

• Describe accurately the means of safely anchoring yourself and others during the installation any specific PPE equipment required

• Can the dish/aerial location be viewed by higher buildings?

  Yes

  No

• Describe buildings overlooking proposed location

• Insert photograph showing overlooking buildings

  Media

• Are there existing dishes/aerials in this location?

  Yes

  No

• Insert photograph showing existing dishes/aerials

  Media

• Is the proposed location considered secure?

  Yes

  No

• Describe the reasons why this location is not considered secure

• Is there possibility of future blockage to dishes/aerials caused by trees or building works?

  Yes

  No

• Give details

• Insert photograph showing potential future blockage

  Media

• Describe cable route from this proposed location to headend/receiver position

• Insert and mark-up photographs showing cable route from this proposed location to headend/receiver position (external and internal routes)

  Media

• Will wall penetration be required for the cable?

  Yes

  No

• If Yes, give details of hole size, wall thickness and sealant required

• Insert and mark-up photograph showing cable entry point

  Media

• Trunking or conduit required?

  Yes

  No

• Give details

• Details of building structure at dish position

  Select Brick Stone Concrete Asphalt Cladding Other

  • Brick
  • Stone
  • Concrete
  • Asphalt
  • Cladding
  • Other

• Describe building structure

• Condition of building structure

  Good

  Average

  Poor

• Describe condition of building structure and how the mounts are going to be securely affixed (eg chem fixings)

• Do dishes/aerials and mounts need to be connected to the sites' existing Lightening Protection System?

  Yes

  No

• Describe what is required to bond the dishes/aerials and mounts to the existing LPS

• Ladders required?

• State size required

  Select T12 T14 T16 T18 T20 T22

  • T12
  • T14
  • T16
  • T18
  • T20
  • T22

• Cherry picker required?

• Please give details

• Is scaffold required?

• Please give details

Location 2 - Scope of Works

• Please state what equipment is to be installed in this location (select each of the requirements)

  Select Satellite Dishes TV Aerial FM Aerial DAB aerial Extra Feeds or Replacement Cables Relocation (eg of aerial/dish/head-end)

  • Satellite Dishes
  • TV Aerial
  • FM Aerial
  • DAB aerial
  • Extra Feeds or Replacement Cables
  • Relocation (eg of aerial/dish/head-end)

• How many satellite dishes are to be installed in this location?

  1

  2

  3

  4

Location 2 - Satellite Dish 2

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 2 - Satellite Dish 1

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 2 - Satellite Dish 3

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 2 - Satellite Dish 4

• Size:

  Select Zone 1 Zone 2 60cm 78cm (TD78) 80cm 84cm (SIS) 88cm (TD88) 90cm 1.2m 1.5m 1.8m Bisat (75cm) Bisat (90cm) Bisat (1.0m Triax) Other

  • Zone 1
  • Zone 2
  • 60cm
  • 78cm (TD78)
  • 80cm
  • 84cm (SIS)
  • 88cm (TD88)
  • 90cm
  • 1.2m
  • 1.5m
  • 1.8m
  • Bisat (75cm)
  • Bisat (90cm)
  • Bisat (1.0m Triax)
  • Other

• Detail type of satellite dish required:

• Satellite (if dual-feed or Bisat dish select all satellites required):

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• Detail satellite orbital locations required:

• Services (if dual-feed or Bisat dish select all services required):

  Select Turf TV TRP Sky SIS Paddy Power IRN 10-02 (cinema feed) E5WA (cinema feed) Other

  • Turf TV
  • TRP
  • Sky
  • SIS
  • Paddy Power
  • IRN
  • 10-02 (cinema feed)
  • E5WA (cinema feed)
  • Other

• Detail satellite services/channels required:

• LNB's required (if dual-feed or Bisat dish select all LNB's required):

  Select Single Universal x 1 Single Universal x 2 Single Alps Bullet Feed x 1 Single C120 Universal x 1 Single fixed - 10 GHz LO x 1 Single fixed - 10.6 Ghz LO x 1 Single fixed - 10.75 Ghz LO (SIS) x 1 Quad Universal x 1 Quad Universal x 2 Quad C120 x 1 Quattro x 1 Twin Inverto Pencil feed x 2 Fiber (LNB-F) x 1 Fiber C120 x 1 Other

  • Single Universal x 1
  • Single Universal x 2
  • Single Alps Bullet Feed x 1
  • Single C120 Universal x 1
  • Single fixed - 10 GHz LO x 1
  • Single fixed - 10.6 Ghz LO x 1
  • Single fixed - 10.75 Ghz LO (SIS) x 1
  • Quad Universal x 1
  • Quad Universal x 2
  • Quad C120 x 1
  • Quattro x 1
  • Twin Inverto Pencil feed x 2
  • Fiber (LNB-F) x 1
  • Fiber C120 x 1
  • Other

• Detail LNB type(s) required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the dish above ground level (in metres):

• Insert line of sight photograph

  Media

• Is the full arc viewable from this position?

  Yes

  No

• 

• Which satellites are affected?

  Select 42.0° East 36.0° East 33.0° East 28.2° East 19.2° East 13.0° East 9.0° East 4.8° East 1.0° West 5.0° West 7.0° West 12.5° West 15.0° West 24.5° West 30.0° West 37.5° West Other

  • 42.0° East
  • 36.0° East
  • 33.0° East
  • 28.2° East
  • 19.2° East
  • 13.0° East
  • 9.0° East
  • 4.8° East
  • 1.0° West
  • 5.0° West
  • 7.0° West
  • 12.5° West
  • 15.0° West
  • 24.5° West
  • 30.0° West
  • 37.5° West
  • Other

• State obstructions

• Insert and mark-up photograph showing obstructions

  Media

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Are line amplifiers required?

  Yes

  No

• Describe what line amplifiers are required (quantity and capacity):

Location 2 - FM Aerial

• State FM Transmitter:

• Is an FM Omni-directional or FM Directional aerial required:

  FM Omni-directional

  FM Directional

• State number of elements on the directional aerial required:

  2

  3

  4

  5

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the aerial above ground level (in metres):

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

Location 2 - DAB Aerial

• State DAB Transmitter:

• Type of DAB Aerial required:

  Select Dipole (single element) 2 elements 3 elements 4 elements 5 elements 6 elements Other

  • Dipole (single element)
  • 2 elements
  • 3 elements
  • 4 elements
  • 5 elements
  • 6 elements
  • Other

• State aerial type required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the aerial above ground level (in metres):

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

Location 2 - Relocation (eg of dishes, aerials, headend and viewing locations)

• Describe what relocation works are required (including what services, where from, where to, any upgrade of equipment needed)

Location 2 - Extra Feeds or Replacement Cables

• Describe what extra feeds or replacement cables are required (including what service(s), where from, where to, any upgrade of equipment needed)

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

Location 2 - TV Aerial

• State TV Transmitter:

• Wideband or Grouped aerial required?

  Wideband

  Group A

  Group B

  Group C/D

  Group E

• Type of Aerial required:

  Log Periodic

  Reva

  High Gain (42 element)

  Other

• State aerial type required:

• Mount Type:

  Wall

  Pole

  NPR

  Cladding

  Other

• Describe type of mount required:

• Describe size of mount required (diameter, length, height, standoff etc):

• State the height of the aerial above ground level (in metres):

• Cable type required:

  100

  125

  165

  Fibre

  Existing

• Number of cable runs from this dish required:

  1

  2

  3

  4

• Cable length required per run (metres):

• Is a Masthead amp and psu required?

  Yes

  No

• State gain (dB) of masthead amp required:

Location 2 - Risk Assessment

a) Working at Heights

• A. IS THERE ANY WORKING AT HEIGHT?

• A1. RISK OF FALLS FROM HEIGHTS USING LADDERS AND ACCESS EQUIPMENT?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - All operatives must have a valid working at heights certificate. Ladders must be in good condition and set on level ground at the correct angle (1 in 4). Where this cannot be achieved, additional stabilising devices must be employed. All ladders to be secured by eye bolts and straps.
  Safety harnesses must be worn and attached using rope and grab when three points of contact cannot be maintained.
  Safety boots must be worn for ankle support and protection.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A2. RISK OF FALLS FROM HEIGHT WHEN USING SCAFFOLDING?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must under no circumstance access a incomplete scaffold unless it has been inspected by a competent person and tagged I to say it is "safe to use"(This must be done every 7 days). Scaffold must only be altered/erected by a company approved/competent person. If in any doubt, contact a member of the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A3. WORKING ON AN UNPROTECTED FLAT ROOF?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When no edge protection is provided, a 2 metre exclusion zone must be set up . To work within the 2 metre exclusion zone, operatives must be attached to dead mans anchor then from the anchor a fixed lanyard rope system is used.. If access for man anchor is not available, suitable anchor points shall be identified and restraint system implemented. If in doubt contact the Health and Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A4. WORKING ON A FLAT ROOF THAT HAS ROOF PROTECTION?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When working on a roof that has edge protection, this must be at least 950mm high as a minimum requirement. If you are unsure, then contact project manager or Health & Safety Department for further advice/guidance.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A5. EXIT ONTO THE ROOF WITHIN 2m OF ROOF EDGE?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives are to attach to a suitable anchorage point via fixed or inertia lanyard to operate as fall restraint from unprotected edges.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A6. ACCESSING A FLAT ROOF THAT DOES NOT HAVE ANCHOR POINTS?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - A mobile man anchor (MMA) must be used and positioned at least 2.5metres from any open edge or void. MMA must only be used where access allows and where the roofs integrity is capable of withstanding the weight . MMA must not be placed in locations where standing water is present or used in icy conditions. Operatives must attach work/safety lines or lanyards to the anchor point on the (MMA). Fall restraint must be used by operatives before entering 2m exclusion zone . NO EXCEPTIONS. Safe lifting and carrying techniques to be used and manual handling aids used where possible. Operatives are trained in the safe use of MMA.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A7. RISK OF FALLS FROM HEIGHT WHILST ON A PITCHED ROOF?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Cat ladders must be used on all pitched roof works. Access ladders must extend 1.2 metres above gutter line and must be secured at the top with a stand off and bottom with ratchet straps, stabiliser and eye bolts. Cat ladder must span the roof fully, have a rope system attached and be strapped to the access ladder.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A8. RISK OF FALLS FROM HEIGHT WHILST ON A PITCHED ROOF WITH NO APEX?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to use a rope safety line attached to eyebolts at each end of the roof. Safety harnesses to be attached to safety line at all times whilst working on roof. Work must cease in wet or windy conditions.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A9. UNSAFE GROUND CONDITIONS (ie UNEVEN OR SOFT)?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Levelling device to be used on ladder where ground is uneven. Use designated pathways. If unable to do this please contact your Project Manager.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A10. LOFT WORK?

• Harm - Falls from height, Serious injuries or Death from falling through ceiling
  Persons at risk - Operatives / Residents in block
  Risk rating - High
  -
  Control measures to be implemented - Lofts should be checked for integrity before entering. Where walkways are available, these must be kept to. If no walkways or boarded areas then crawl boards may be required to undertake activities in the loft. Lighting will be needed to reduce risk of injury. Face masks, Hard hats , Hi Viz, gloves , goggles & dust masks to be worn at all times. Possible breathing apparatus may be required.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A11. ACCESSING A LOFT WITHOUT AN INTERNAL LOFT LADDER?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If we need to access the loft then at survey stage a request is to be made to the client that he supplies one that is fit for purpose. If this is not possible then a extendable ladder should be used provided it can be secured to the wall via a eyebolt & ratchet strap or held at the base by a second person. Signage, cones and warning tape must be used at the base of the entry point. Ensure that prior to entry that there is adequate lighting and the loft can sustain your weight. If unsure seek advice from the Project Manager responsible.
  -
  Residual risk - Medium

• Additional Control Measures Required:

b) Access equipment (works with MEWP)

• IS A CHERRY PICKER OR SCISSOR LIFT (MEWP) REQUIRED?

• B1. OPERATING MEWP?

• Harm - Falls from heights, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Only competent and trained personnel holding valid certification to operate equipment. It must be fully tested and hold current certification to operate equipment. It must be fully tested and hold current certification. Equipment risk assessment to be read, understood and signed by operatives. It must be read, understood, signed by operatives. It must be made available on equipment at all times. All equipment shall be maintained to LOLER Regulations. Operator must carry out pre-start checks as per training. No materials to hang over the platform handrail. Operator must not hang over handrail and equipment must not be over loaded. Operations must cease in adverse weather including high winds, driving rain, thunder and lightning.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B2. SITING AND SETTING UP OF MEWP?

• Harm - Falls from Height, serious injuries or death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Machine set up and levelled in accordance with manufacturer’s instructions. Suitable firm level ground conditions with no slopes, underground services, man holes or obstructions. Outriggers/stabilisers used properly and set up with spreader pads utilised as necessary to spread load and prevent sinking. Ground conditions should be monitored at all times. During set up and once established, the work area must be maintained and unauthorised access prevented using cones, barriers and barrier tape. Use on pavements should be avoided where possible to minimise damage to underground services If working in public highway compliance with New Roads and Street Works Act 1991 must be followed. When parked, MEWP must be left in a safe place, all electrics isolated and keys held by operator.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B3. ACCESSING A FLAT ROOF USING MEWP?

• Harm - Falls from Height, serious injuries or death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - MEWP must be operated by trained competent person. All areas below must be segregated from members of the public by means of signage and physical barriers. The MEWP arm must be fully extendable and be placed a suitable distance away from the edge of the roof. Suggest approx 2 meters. The operatives must be kept attached via a fixed lanyard at all times including exiting the basket until a safe distance can be maintained
  -
  RESIDUAL RISK - Low

• Additional Control Measures Required:

• B4. OVERHEAD LINES (STRIKING OF ELECTRICITY LINES)?

• Harm - Striking electrical cables / electrocution
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Area to be assessed at survey stage if possible. Under no circumstance must equipment be used in the vicinity of overhead lines unless otherwise stated. Ensure work area is clear of any temporary power lines that may be being run and that MEWP cannot come into contact with any power lines. If unsure, do not start work and seek advice from Project Manager.
  -
  RESIDUAL RISK - Low

• Additional Control Measures Required:

c) Environment and Exposure

• C1. Asbestos exposure

• Harm - Ill health from exposure to asbestos
  Persons at risk - Operatives / Members of public
  Risk rating - High
  -
  Control measures to be implemented - If asbestos is suspected in the area you are working, work must be stopped immediately and reported to project management. Works will only continue when an asbestos survey of the affected work area has been carried out by a competent person/company and is either declared safe to work in or an alternative method of working has been found. The clients asbestos register must be scanned in the specific areas before any further works are undertaken
  -
  Residual risk - Low

• Additional Control Measures Required:

• C2. Dust exposure

• Harm - Ill health from exposure to dust inhalation
  Persons at risk - Operatives / Members of public
  Risk rating - Medium
  -
  Control measures to be implemented - Face masks must be worn at all times whilst drilling or working in dusty environments. Work area must be cordoned off by means of cones, barrier tape and warning signage to warn people of works taking place. Where dust masks are provided operatives will undergo face fit testing.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C3. Presence of needle injuries inside properties and buildings

• Harm - Needle injuries, possibility of contracting serious diseases
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operators to be extra vigilant and cautious when working in properties and buildings. If needles are found, work must stop immediately. You must inform Project Management and leave the area. If injuries are sustained, you must attend the nearest hospital immediately.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C4. Environmental hazards/Bees/Wasps/Vermin and hazardous waste

• Harm - Potential of contracting various diseases
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If any environmental hazards such as wasps/bees nests/vermin/ hazardous waste etc are discovered, then work is to stop immediately and contact client/office to instigate a competent contractor to remove hazard.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C5. Un-cooperative residents or members of the public

• Harm - Possibility of being attacked by abusive resident or member of public
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operative to avoid confrontation with residents/members of the public and walk away from situation. This must be reported to management and the Health & Safety Department Immediately
  -
  Residual risk - Low

• Additional Control Measures Required:

• C6. Weather conditions (i.e severe gales or snow etc.)

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - In the event of excessive weather work will be stopped specifically high winds on MEWP, Ladders, Cradles and roof works. Also extra care is needed when working in snow and ice. Under no circumstances should work continue in these circumstances. If significant risk is present, contact the Health & Safety Department
  -
  Residual risk - Low

• Additional Control Measures Required:

• C7. Working in access roads, car parks or public places

• Harm - Injuries to members of the public, slips &trips or head injuries fro falling objects
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives are to ensure that work areas are cordoned off with cones, barrier tape and suitable signage to prevent un-authorised entry. If possible try to minimise works within these areas. If working in a public highway, works must comply with the New Road Street Works Act 1991.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C8. Discovery of pirate radio aerials

• Harm - Threats of violence, possibility of being attacked
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If you discover anything to do with pirate radio, work must stop and you must leave site immediately. Contact project management immediately for further advise
  -
  Residual risk - Low

• Additional Control Measures Required:

• C9. Overhead lines (striking of telephone or power lines)

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Equipment must not be used in vicinity of overhead lines. Additional care must be taken when moving ladders as to not to strike the lines. This must be a two man operation. Should the work be too close to lines, stop and contact project manager or Health & Safety Department for further advice
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C10. Working in a confined space

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure adequate lighting is available prior to entry. Bump cap to be worn at all times whilst working in confined space to avoid head injuries. All items must be removed from the confined space before entry and a safe working area must be established.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C11. Working in residents or communal gardens

• Harm - Serious Injuries or Death
  Persons at risk - Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Cones, barrier tape and warning signage to be in place around work area and adequate signage to be in place at all entrances, exits of the building and along all pathways.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C12. Exposure to noise from drilling or loud machinery

• Harm - Loss of hearing or partial deafness
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Hearing protection must be worn when undertaking noisy activities such as drilling. Noise levels must not exceed 85 dba. If unsure, contact project manager or Health & Safety Department for further advise.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C13. Chemical Hazards (Hazardous substances)

• Harm - Risk of burns, inhalation and ingestion
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - In order to reduce the risk of exposure to hazardous substances, the following measures will be implemented:
  • An inventory of all substances hazardous to health in use by the company will be compiled and maintained together with appropriate hazard information. This can be obtained from the Health & Safety Department.
  • All operatives involving, or which may involve, exposure to substances hazardous to health will be medically assessed.
  • Appropriate control measures will be implemented if it is not possible to eliminate, or substitute for a hazardous substance (See separate risk assessment).
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C14. Inadequate First Aid provisions

• Harm - Sustaining Injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives must ensure they have a first aid box which is a minimum of a 1-10 man kit. It must be adequately stocked and meets legal compliance. Operatives must have a minimum standard of first aid training to comply with the First Aid at work regulations 1981.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C15. Fire prevention and escape routes

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must ensure before works commence that they know where the escape routes and assembly points are located. Operatives are only allowed to use fire extinguishers if they have had the necessary training. Operatives to follow site emergency procedures at all times.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C16. Potential non-ionising Radiation exposure from transmitters on roof

• Harm - General sickness, limb weakness. nausea, headaches. flu like symptoms
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - At survey stage, details shall be taken of contact number and site code to request power down of transmitter. Work shall be avoided directly in front of the mast, with signal strength generally reducing significantly from 2-5 metres. If any sickness is identified, the operative concerned must inform the client, and leave site immediately to seek further medical advice – e.g. go to local hospital.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C17. Slips and Trips

• Harm - Strains, broken legs, arms, head injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives to ensure that: • All work areas will be regularly inspected to ensure that good standards of “housekeeping” are maintained at all times.
  • Appropriate protective clothing must be worn, especially safety footwear.
  • Operatives are required to take reasonable care of their own safety when working and moving about a site. This means keeping their work area clean and tidy at all times.
  -
  Residual risk - Low

• Additional Control Measures Required:

d) Work Activities

• D1. Manual Handling

• Harm - Serious back damage, sprains or torn ligaments
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to assess for the following: Load (What is it that you are going to lift), Individual (Are you up to the lift), Task (Does the task need to be done manually or can it done by other means i.e. mechanical devices?) and Environment (What are the conditions and do you have a clear route?). Where available mechanical means must be implemented. Manual handling principles must be adopted in line with manual handling training provided. Team lifts used for bulky or awkward items must use a lead person who will relay to the team the actions and routes to be taken. Ensure all routes are free from obstruction and drop location is clear.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D2. Raising materials to height using pulley system

• Harm - Serious injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Materials to be raised to height using a rope pulley system. A failsafe rope is to pass through an automatic anti reverse belay pulley attached to the top of the ladder and through an automatic rope grab attached to bottom of ladder.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D3. Cutting metal materials with hand saw

• Harm - Eye injuries due to metal fragment, cuts to hand when handling metal.
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection and gloves to be worn at all times when cutting metal using a hand saw. Hand saw must be checked by operatives before and after use. Any defects must be reported to project management immediately.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D4. Removal of waste

• Harm - Serious back damage, sprains, torn ligaments
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - All waste that is created on site such as cardboard, cable, wood, metal brackets, bricks and electrical equipment must be taken back to Head office/depot at the end of each working day where it is must be segregated into the correct skips/bins. This will then be taken away by a licensed waste contractor
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D5. Drilling activities

• Harm - Eye Injuries due to dust particles
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection must be worn at all times when drilling to avoid eye injuries occurring
  -
  Residual risk - Low

• Additional Control Measures Required:

• D6. Drilling in properties on high level (falling debris)

• Harm - Injuries to passing pedestrians, falling debris
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Before drilling through walls in properties 1 storey and above where there is a risk to the public from falling debris in places such as shops, public foot paths/pavements, roads, communal areas of properties such as gardens and patio areas), an area wide enough directly below on the outside must be cordoned off with cones, barrier tape and clear warning signage to prevent unauthorised access. A second man must be used to hold the net basket inside the property to catch any brick dust or falling debris. Always use a scanner before drilling into any wall.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D7. Work Equipment

• Harm - Serious Injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When working with any work equipment, operatives must ensure the following:
  • Work equipment will be maintained in efficient working order, good repair and inspected before and after use. Any defects must be reported to the Health & Safety Department immediately.
  • Operatives must ensure that they are trained before using any work equipment in their correct operation.
  • Operatives to ensure that they wear necessary protective clothing (such as hi viz, safety boots, gloves and where applicable, eye protection and dust masks.
  • Operatives to use work equipment in the manner and for the purpose, which they were intended for use.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D8. High risk maintenance works or complex installations

• Harm - Serious injury or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - A Permit To Work must be used in any situation where the work is of high risk to operatives. Operatives must be fully briefed of conditions set out in permit and must be signed for by an authorised person. All work areas must be segregated from members of the public by using cones, barrier tape and warning signage. At the end of works, engineers must check area to ensure that it is safe and poses no risk to members of the public. Authorised person will then check area fully and sign off permit to say works are completed.
  -
  Residual risk - Medium

• Additional Control Measures Required:

e) Electrical

• Are electrical works involved or connection to electrical systems?

• E1. Electric shock

• Harm - Serious Injuries, Burns or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - It is essential to carry out all necessary precautions to ensure all cables, junction boxes, sockets and fittings are not damaged in any way and are safe to use. Provide an accessible and clearly identified switch near each fixed machine to cut off power in event of an emergency. Be aware of first aid procedures in the event of an electrical shock. The use of RCD (Residual Current Device) if using equipment operating at 230 volts or higher can provide additional safety. Either, build it into main switchboard or the socket outlet as this means the supply cables are permanently protected. If this is not possible, a plug incorporating and RCD or a plug in RCD adaptor can also provide additional safety.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E2. Alternating current electrocution

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Isolation procedures must be followed and electrical supplies must be locked off as necessary. An electrical permit to work must be used and any electrical circuits must be verified as "Dead".
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E3. Use of portable/transportable electrical equipment

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Portable Appliance Testing should be carried out by a competent person every 6 months in line with HSG INDG236 ‘Maintaining portable electric equipment in offices and other low-risk environments’. Pre use examinations should be carried out by operatives to ensure that any cables have no damage to insulation, severing to outer casing, lose connections and that fuse/pins are all in good condition.
  All faults should be reported to the Health & Safety Department immediately and the equipment should not be used until it has been re tested and declared safe by a competent person.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E4. Using electrical equipment in wet areas or conditions

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that equipment is suitably insulated and only tested equipment is used which has been checked by a competent person. In severe environmental conditions the use of electrical equipment must not be used and must be reported to the Health & Safety Department immediately. If working in the vicinity of the pool area, the use of a R.C.D. should be used and the use of a transformer to reduce the electrical voltage to 110V.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E5. Overloading of power points

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to ensure that enough points are available to carry out their works. One appliance should only be used at each power point to avoid the use of multipoint adaptors and the possibility of overloading. If in any doubt, contact the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E6. Trailing cables from static or portable electrical equipment

• Harm - Serious injury, trips or burns
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Cable clips must be used to tie cables together. Use hazard tape to secure cables to floor/wall etc, or the use of a cable run to prevent any slips, trips & falls. Consider installing new sockets to prevent any trailing cables and use appropriate signage to show trailing cables if you are using a portable electrical item such as a vacuum cleaner. Portable electrical equipment should be used out of hours wherever reasonably practicable.
  -
  Residual risk - Low

• Additional Control Measures Required:

• E7. Faulty Cables on electrical equipment

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Visual checks of cables should be carried out by a competent person at specified times (i.e. Before use, weekly, monthly or annually depending on the type of equipment). Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E8. Fire caused by an electrical fault

• Harm - Smoke inhalation, Burns, Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Ensure that visual checks are carried out on a regular basis (i.e. Before use, weekly, monthly and annually). Ensure that wires are not fraying as this can cause arcing. Further advice can be obtained from the Health & Safety Department
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E9. Switch rooms and Fuse boards

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that distribution board circuits are correctly labelled. Keep area locked/secured at all times and ensure good housekeeping is adhered to. Must ensure that fixed installation testing is carried out by a competent person every 5 years. Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

HEADEND / RECEIVER / VIEWING LOCATIONS

• State number of receiver or viewing locations (if just one headend or receiver location select '1' and if external works only select 'N/A')

  1

  2

  3

  N/A

• No internal works required

Location 1

• Describe location 1 including floor level and room identification

• Insert photographs of proposed headend / receiver / viewing location 1

  Media

• Describe access to location 1

• Is this location locked?

  Yes

  No

• State key holder information

• Is there sufficient electrical mains power available for the equipment?

  Yes

  No

• Describe what actions we need to take or equipment we need to supply

• Is there sufficient rack or shelf room for the equipment?

  Yes

  No

• Describe what actions we need to take or equipment we need to supply

• Will the headend amps/switches require earth bonding?

  Yes

  No

• Is there a clean earth available that we can use?

  Yes

  No

• Describe how to connect to viewing equipment or headend including any cables and connectors required

Location 2

• Describe location 2 including floor level and room identification

• Insert photographs of proposed headend / receiver / viewing location 2

  Media

• Describe access to location 2

• Is this location locked?

  Yes

  No

• State key holder information

• Is there sufficient rack or shelf room for the equipment?

  Yes

  No

• Describe what actions we need to take or equipment we need to supply

• Is there sufficient electrical mains power available for the equipment?

  Yes

  No

• Describe what actions we need to take or equipment we need to supply

• Describe how to connect to viewing equipment or headend including any cables and connectors required

Location 3

• Describe location 3 including floor level and room identification

• Insert photographs of proposed headend / receiver / viewing location 3

  Media

• Describe access to location 3

• Is this location locked?

  Yes

  No

• State key holder information

• Is there sufficient rack or shelf room for the equipment?

  Yes

  No

• Describe what actions we need to take or equipment we need to supply

• Is there sufficient electrical mains power available for the equipment?

  Yes

  No

• Describe what actions we need to take or equipment we need to supply

• Describe how to connect to viewing equipment or headend including any cables and connectors required

• No internal works required

WiFi

• Is the survey being completed on an Airtable?

  Yes

  No

• Insert link to Airtable

• Survey the WiFi system for signal level and signal-to-noise at the TV and bed positions in three locations - two at extreme ends of the building at furthest points from the distribution headend, and one close to the distribution headend. If site have issues in particular rooms then survey those.

Location 1

• State Room number and floor level

• Describe location of nearest AP

• TV Position - Distance to nearest AP (m)

• TV Position - Signal Level (dBm)

• TV Position - Signal-to-noise ratio (dB)

• Bed Position - Distance to nearest AP (m)

• Bed Position - Signal Level (dBm)

• Bed Position - Signal-to-noise ratio (dB)

Location 2

• State Room number and floor level

• Describe location of nearest AP

• TV Position - Distance to nearest AP (m)

• TV Position - Signal Level (dBm)

• TV Position - Signal-to-noise ratio (dB)

• Bed Position - Distance to nearest AP (m)

• Bed Position - Signal Level (dBm)

• Bed Position - Signal-to-noise ratio (dB)

Location 3

• State Room number and floor level

• Describe location of nearest AP

• TV Position - Distance to nearest AP (m)

• TV Position - Signal Level (dBm)

• TV Position - Signal-to-noise ratio (dB)

• Bed Position - Distance to nearest AP (m)

• Bed Position - Signal Level (dBm)

• Bed Position - Signal-to-noise ratio (dB)

WiFi - Risk Assessment

a) Working at Heights

• A. IS THERE ANY WORKING AT HEIGHT?

• A1. RISK OF FALLS FROM HEIGHTS USING LADDERS AND ACCESS EQUIPMENT?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - All operatives must have a valid working at heights certificate. Ladders must be in good condition and set on level ground at the correct angle (1 in 4). Where this cannot be achieved, additional stabilising devices must be employed. All ladders to be secured by eye bolts and straps.
  Safety harnesses must be worn and attached using rope and grab when three points of contact cannot be maintained.
  Safety boots must be worn for ankle support and protection.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A2. RISK OF FALLS FROM HEIGHT WHEN USING SCAFFOLDING?

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must under no circumstance access a incomplete scaffold unless it has been inspected by a competent person and tagged I to say it is "safe to use"(This must be done every 7 days). Scaffold must only be altered/erected by a company approved/competent person. If in any doubt, contact a member of the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A3. UNSAFE GROUND CONDITIONS (ie UNEVEN OR SOFT)?

• Harm - Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Levelling device to be used on ladder where ground is uneven. Use designated pathways. If unable to do this please contact your Project Manager.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A4. LOFT WORK?

• Harm - Falls from height, Serious injuries or Death from falling through ceiling
  Persons at risk - Operatives / Residents in block
  Risk rating - High
  -
  Control measures to be implemented - Lofts should be checked for integrity before entering. Where walkways are available, these must be kept to. If no walkways or boarded areas then crawl boards may be required to undertake activities in the loft. Lighting will be needed to reduce risk of injury. Face masks, Hard hats , Hi Viz, gloves , goggles & dust masks to be worn at all times. Possible breathing apparatus may be required.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• A5. ACCESSING A LOFT WITHOUT AN INTERNAL LOFT LADDER?

• Harm - Falls from height, Serious injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If we need to access the loft then at survey stage a request is to be made to the client that he supplies one that is fit for purpose. If this is not possible then a extendable ladder should be used provided it can be secured to the wall via a eyebolt & ratchet strap or held at the base by a second person. Signage, cones and warning tape must be used at the base of the entry point. Ensure that prior to entry that there is adequate lighting and the loft can sustain your weight. If unsure seek advice from the Project Manager responsible.
  -
  Residual risk - Medium

• Additional Control Measures Required:

b) Access equipment (works with MEWP)

• IS A CHERRY PICKER OR SCISSOR LIFT (MEWP) REQUIRED?

• B1. OPERATING MEWP?

• Harm - Falls from heights, Serious injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Only competent and trained personnel holding valid certification to operate equipment. It must be fully tested and hold current certification to operate equipment. It must be fully tested and hold current certification. Equipment risk assessment to be read, understood and signed by operatives. It must be read, understood, signed by operatives. It must be made available on equipment at all times. All equipment shall be maintained to LOLER Regulations. Operator must carry out pre-start checks as per training. No materials to hang over the platform handrail. Operator must not hang over handrail and equipment must not be over loaded. Operations must cease in adverse weather including high winds, driving rain, thunder and lightning.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B2. SITING AND SETTING UP OF MEWP?

• Harm - Falls from Height, serious injuries or death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Machine set up and levelled in accordance with manufacturer’s instructions. Suitable firm level ground conditions with no slopes, underground services, man holes or obstructions. Outriggers/stabilisers used properly and set up with spreader pads utilised as necessary to spread load and prevent sinking. Ground conditions should be monitored at all times. During set up and once established, the work area must be maintained and unauthorised access prevented using cones, barriers and barrier tape. Use on pavements should be avoided where possible to minimise damage to underground services If working in public highway compliance with New Roads and Street Works Act 1991 must be followed. When parked, MEWP must be left in a safe place, all electrics isolated and keys held by operator.
  -
  RESIDUAL RISK - Medium

• Additional Control Measures Required:

• B3. OVERHEAD LINES (STRIKING OF ELECTRICITY LINES)?

• Harm - Striking electrical cables / electrocution
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Area to be assessed at survey stage if possible. Under no circumstance must equipment be used in the vicinity of overhead lines unless otherwise stated. Ensure work area is clear of any temporary power lines that may be being run and that MEWP cannot come into contact with any power lines. If unsure, do not start work and seek advice from Project Manager.
  -
  RESIDUAL RISK - Low

• Additional Control Measures Required:

c) Environment and Exposure

• C1. Asbestos exposure

• Harm - Ill health from exposure to asbestos
  Persons at risk - Operatives / Members of public
  Risk rating - High
  -
  Control measures to be implemented - If asbestos is suspected in the area you are working, work must be stopped immediately and reported to project management. Works will only continue when an asbestos survey of the affected work area has been carried out by a competent person/company and is either declared safe to work in or an alternative method of working has been found. The clients asbestos register must be scanned in the specific areas before any further works are undertaken
  -
  Residual risk - Low

• Additional Control Measures Required:

• C2. Dust exposure

• Harm - Ill health from exposure to dust inhalation
  Persons at risk - Operatives / Members of public
  Risk rating - Medium
  -
  Control measures to be implemented - Face masks must be worn at all times whilst drilling or working in dusty environments. Work area must be cordoned off by means of cones, barrier tape and warning signage to warn people of works taking place. Where dust masks are provided operatives will undergo face fit testing.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C3. Presence of needle injuries inside properties and buildings

• Harm - Needle injuries, possibility of contracting serious diseases
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operators to be extra vigilant and cautious when working in properties and buildings. If needles are found, work must stop immediately. You must inform Project Management and leave the area. If injuries are sustained, you must attend the nearest hospital immediately.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C4. Environmental hazards/Bees/Wasps/Vermin and hazardous waste

• Harm - Potential of contracting various diseases
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - If any environmental hazards such as wasps/bees nests/vermin/ hazardous waste etc are discovered, then work is to stop immediately and contact client/office to instigate a competent contractor to remove hazard.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C5. Un-cooperative residents or members of the public

• Harm - Possibility of being attacked by abusive resident or member of public
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operative to avoid confrontation with residents/members of the public and walk away from situation. This must be reported to management and the Health & Safety Department Immediately
  -
  Residual risk - Low

• Additional Control Measures Required:

• C6. Working in access roads, car parks or public places

• Harm - Injuries to members of the public, slips &trips or head injuries fro falling objects
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives are to ensure that work areas are cordoned off with cones, barrier tape and suitable signage to prevent un-authorised entry. If possible try to minimise works within these areas. If working in a public highway, works must comply with the New Road Street Works Act 1991.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C7. Working in a confined space

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure adequate lighting is available prior to entry. Bump cap to be worn at all times whilst working in confined space to avoid head injuries. All items must be removed from the confined space before entry and a safe working area must be established.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C8. Exposure to noise from drilling or loud machinery

• Harm - Loss of hearing or partial deafness
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Hearing protection must be worn when undertaking noisy activities such as drilling. Noise levels must not exceed 85 dba. If unsure, contact project manager or Health & Safety Department for further advise.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C9. Chemical Hazards (Hazardous substances)

• Harm - Risk of burns, inhalation and ingestion
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - In order to reduce the risk of exposure to hazardous substances, the following measures will be implemented:
  • An inventory of all substances hazardous to health in use by the company will be compiled and maintained together with appropriate hazard information. This can be obtained from the Health & Safety Department.
  • All operatives involving, or which may involve, exposure to substances hazardous to health will be medically assessed.
  • Appropriate control measures will be implemented if it is not possible to eliminate, or substitute for a hazardous substance (See separate risk assessment).
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C10. Inadequate First Aid provisions

• Harm - Sustaining Injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives must ensure they have a first aid box which is a minimum of a 1-10 man kit. It must be adequately stocked and meets legal compliance. Operatives must have a minimum standard of first aid training to comply with the First Aid at work regulations 1981.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C11. Fire prevention and escape routes

• Harm - Serious Injuries or Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Operatives must ensure before works commence that they know where the escape routes and assembly points are located. Operatives are only allowed to use fire extinguishers if they have had the necessary training. Operatives to follow site emergency procedures at all times.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• C12. Potential non-ionising Radiation exposure from transmitters on roof

• Harm - General sickness, limb weakness. nausea, headaches. flu like symptoms
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - At survey stage, details shall be taken of contact number and site code to request power down of transmitter. Work shall be avoided directly in front of the mast, with signal strength generally reducing significantly from 2-5 metres. If any sickness is identified, the operative concerned must inform the client, and leave site immediately to seek further medical advice – e.g. go to local hospital.
  -
  Residual risk - Low

• Additional Control Measures Required:

• C13. Slips and Trips

• Harm - Strains, broken legs, arms, head injuries
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Operatives to ensure that: • All work areas will be regularly inspected to ensure that good standards of “housekeeping” are maintained at all times.
  • Appropriate protective clothing must be worn, especially safety footwear.
  • Operatives are required to take reasonable care of their own safety when working and moving about a site. This means keeping their work area clean and tidy at all times.
  -
  Residual risk - Low

• Additional Control Measures Required:

d) Work Activities

• D1. Manual Handling

• Harm - Serious back damage, sprains or torn ligaments
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to assess for the following: Load (What is it that you are going to lift), Individual (Are you up to the lift), Task (Does the task need to be done manually or can it done by other means i.e. mechanical devices?) and Environment (What are the conditions and do you have a clear route?). Where available mechanical means must be implemented. Manual handling principles must be adopted in line with manual handling training provided. Team lifts used for bulky or awkward items must use a lead person who will relay to the team the actions and routes to be taken. Ensure all routes are free from obstruction and drop location is clear.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D2. Raising materials to height using pulley system

• Harm - Serious injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Materials to be raised to height using a rope pulley system. A failsafe rope is to pass through an automatic anti reverse belay pulley attached to the top of the ladder and through an automatic rope grab attached to bottom of ladder.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D3. Cutting metal materials with hand saw

• Harm - Eye injuries due to metal fragment, cuts to hand when handling metal.
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection and gloves to be worn at all times when cutting metal using a hand saw. Hand saw must be checked by operatives before and after use. Any defects must be reported to project management immediately.
  -
  Residual risk - Low

• Additional Control Measures Required:

• D4. Removal of waste

• Harm - Serious back damage, sprains, torn ligaments
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - All waste that is created on site such as cardboard, cable, wood, metal brackets, bricks and electrical equipment must be taken back to Head office/depot at the end of each working day where it is must be segregated into the correct skips/bins. This will then be taken away by a licensed waste contractor
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D5. Drilling activities

• Harm - Eye Injuries due to dust particles
  Persons at risk - Operatives
  Risk rating - Medium
  -
  Control measures to be implemented - Eye protection must be worn at all times when drilling to avoid eye injuries occurring
  -
  Residual risk - Low

• Additional Control Measures Required:

• D6. Drilling in properties on high level (falling debris)

• Harm - Injuries to passing pedestrians, falling debris
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Before drilling through walls in properties 1 storey and above where there is a risk to the public from falling debris in places such as shops, public foot paths/pavements, roads, communal areas of properties such as gardens and patio areas), an area wide enough directly below on the outside must be cordoned off with cones, barrier tape and clear warning signage to prevent unauthorised access. A second man must be used to hold the net basket inside the property to catch any brick dust or falling debris. Always use a scanner before drilling into any wall.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D7. Work Equipment

• Harm - Serious Injuries
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - When working with any work equipment, operatives must ensure the following:
  • Work equipment will be maintained in efficient working order, good repair and inspected before and after use. Any defects must be reported to the Health & Safety Department immediately.
  • Operatives must ensure that they are trained before using any work equipment in their correct operation.
  • Operatives to ensure that they wear necessary protective clothing (such as hi viz, safety boots, gloves and where applicable, eye protection and dust masks.
  • Operatives to use work equipment in the manner and for the purpose, which they were intended for use.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• D8. High risk maintenance works or complex installations

• Harm - Serious injury or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - A Permit To Work must be used in any situation where the work is of high risk to operatives. Operatives must be fully briefed of conditions set out in permit and must be signed for by an authorised person. All work areas must be segregated from members of the public by using cones, barrier tape and warning signage. At the end of works, engineers must check area to ensure that it is safe and poses no risk to members of the public. Authorised person will then check area fully and sign off permit to say works are completed.
  -
  Residual risk - Medium

• Additional Control Measures Required:

e) Electrical

• Are electrical works involved or connection to electrical systems?

• E1. Electric shock

• Harm - Serious Injuries, Burns or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - It is essential to carry out all necessary precautions to ensure all cables, junction boxes, sockets and fittings are not damaged in any way and are safe to use. Provide an accessible and clearly identified switch near each fixed machine to cut off power in event of an emergency. Be aware of first aid procedures in the event of an electrical shock. The use of RCD (Residual Current Device) if using equipment operating at 230 volts or higher can provide additional safety. Either, build it into main switchboard or the socket outlet as this means the supply cables are permanently protected. If this is not possible, a plug incorporating and RCD or a plug in RCD adaptor can also provide additional safety.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E2. Alternating current electrocution

• Harm - Serious Injuries or Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Isolation procedures must be followed and electrical supplies must be locked off as necessary. An electrical permit to work must be used and any electrical circuits must be verified as "Dead".
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E3. Use of portable/transportable electrical equipment

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Portable Appliance Testing should be carried out by a competent person every 6 months in line with HSG INDG236 ‘Maintaining portable electric equipment in offices and other low-risk environments’. Pre use examinations should be carried out by operatives to ensure that any cables have no damage to insulation, severing to outer casing, lose connections and that fuse/pins are all in good condition.
  All faults should be reported to the Health & Safety Department immediately and the equipment should not be used until it has been re tested and declared safe by a competent person.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E4. Using electrical equipment in wet areas or conditions

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that equipment is suitably insulated and only tested equipment is used which has been checked by a competent person. In severe environmental conditions the use of electrical equipment must not be used and must be reported to the Health & Safety Department immediately. If working in the vicinity of the pool area, the use of a R.C.D. should be used and the use of a transformer to reduce the electrical voltage to 110V.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E5. Overloading of power points

• Harm - Serious injury, Electrocution, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Operatives to ensure that enough points are available to carry out their works. One appliance should only be used at each power point to avoid the use of multipoint adaptors and the possibility of overloading. If in any doubt, contact the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E6. Trailing cables from static or portable electrical equipment

• Harm - Serious injury, trips or burns
  Persons at risk - Operatives / Members of the public
  Risk rating - Medium
  -
  Control measures to be implemented - Cable clips must be used to tie cables together. Use hazard tape to secure cables to floor/wall etc, or the use of a cable run to prevent any slips, trips & falls. Consider installing new sockets to prevent any trailing cables and use appropriate signage to show trailing cables if you are using a portable electrical item such as a vacuum cleaner. Portable electrical equipment should be used out of hours wherever reasonably practicable.
  -
  Residual risk - Low

• Additional Control Measures Required:

• E7. Faulty Cables on electrical equipment

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Visual checks of cables should be carried out by a competent person at specified times (i.e. Before use, weekly, monthly or annually depending on the type of equipment). Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E8. Fire caused by an electrical fault

• Harm - Smoke inhalation, Burns, Death
  Persons at risk - Operatives / Members of the public
  Risk rating - High
  -
  Control measures to be implemented - Ensure that visual checks are carried out on a regular basis (i.e. Before use, weekly, monthly and annually). Ensure that wires are not fraying as this can cause arcing. Further advice can be obtained from the Health & Safety Department
  -
  Residual risk - Medium

• Additional Control Measures Required:

• E9. Switch rooms and Fuse boards

• Harm - Serious injuries, electric shock, Death
  Persons at risk - Operatives
  Risk rating - High
  -
  Control measures to be implemented - Ensure that distribution board circuits are correctly labelled. Keep area locked/secured at all times and ensure good housekeeping is adhered to. Must ensure that fixed installation testing is carried out by a competent person every 5 years. Further advice can be obtained from the Health & Safety Department.
  -
  Residual risk - Medium

• Additional Control Measures Required:

GENERAL

• Was full access available to complete survey?

  Yes

  No

• Please give details

• Are specific parking arrangements required?

  Yes

  No

• Please give details

• Is there easy access for equipment?

  Yes

  No

• Provide details

• Are inductions required for the installation?

  Yes

  No

• Please give details

• Does the SSOW need to be sent to a particular contact?

  Yes

  No

• Please give details

• Are there any special equipment/materials required?

  Yes

  No

• Please give details

• Estimate the number of hours/days needed to complete the installation

  Select 1 hour 2 hours 3 hours 4 hours 5 hours 6 hours 7 hours 8 hours ½ day 1 day 1½ days 2 days 2½ days 3 days 3½ days 4 days 4½ days 5 days

  • 1 hour
  • 2 hours
  • 3 hours
  • 4 hours
  • 5 hours
  • 6 hours
  • 7 hours
  • 8 hours
  • ½ day
  • 1 day
  • 1½ days
  • 2 days
  • 2½ days
  • 3 days
  • 3½ days
  • 4 days
  • 4½ days
  • 5 days

• State if one, two or three man installation

  1

  2

  3

• Indicate when the installation services can be performed

  Select In normal office hours Out of hours - evenings Out of hours - Saturdays Out of hours - Sundays

  • In normal office hours
  • Out of hours - evenings
  • Out of hours - Saturdays
  • Out of hours - Sundays

• Any additional comments?

AERIAL VIEW OF BUILDING

• For surveys including satellite dishes please use Dish Pointer to identify line of sight. For all other surveys please use Google Earth or Maps for an image of the building layout.

• Use the following link to use Dish Pointer:
  http://www.dishpointer.com/

• Insert the Dish Pointer or Google Earth image (after entering the postcode and satellite) and highlight dish/aerial locations, existing dishes, size, service, direction of south, adjacent roads, cable routes and distance in metres:

  Media

Additional Photographs

• Any additional photos

  Media

• Find the nearest welfare facilities to the site (eg McDonalds)
  http://www.mcdonalds.co.uk/ukhome/Restaurants/restaurant_locator.html

• Enter Phone Number and Postcode

• Find the nearest hospital to the site
  http://www.nhs.uk/Service-Search

• Enter Phone Number and Postcode

Client

• I confirm the dish/aerial/receiver location(s), internal works, cable entry route(s) and point(s) of entry are agreed

• Client/Site Contact Name

• Client/Site Contact Position

• Client/Site Contact Signature

  Sign

Engineer

• Engineer Name

• Engineer signature

  Sign