Title Page
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Document No.
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University of Surrey - 5GIC Infrastructure Construction Project
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Conducted on
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Prepared by
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Location
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Personnel
Health and Safety
Signing and Guarding of Works
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Has the work area, includkng the storage of plant materials been signed and guarded adequately
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If No, add information
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Picture before corrective measures
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Picture after corrective measures
Working at Height
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Are all works conducted at below 2 metres above ground and don not require access to roof tops?
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If No, add Information
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Picture
Asbestos Risk and other Hazardous Chemicals
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Is there any indication that either asbestos or other hazardous chemical or material are present in the proximity of the work area?
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If Yes, add information
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Picture
PPE Requirements
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Have all operatives complied with th site rules and using PPE required for the works undertaken?
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If No, add information
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Picture
Site Access, Egress and Lone Working
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Are the works located in the areas where access is restricted due to client requirements or within areas where "confined spaces" procedures need to be applied?
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Describe process undertaken
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Are operatives working alone?
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Describe process undertaken
Manual Handling
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Does the work necessitate the lifting or moving of heavy objects or use of vibrating plant?
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If Yes, describe measures being taken
Construction Phase
Pulling Fibre, Termination
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Are all fibre installation works completed to the required specificstion and tested?
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If No, why?
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Picture
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What is the estimated completion date for the fibre installation works?
Hand Over of Completed Site
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Have all of the works related to the picocell in question been completed to the satisfaction of the contract administrator and a handover inspection/meeting been conducted?
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Picture
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Information
Electronic Signature of Auditor
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Signature
