Information

  • Document No.

  • Audit Title

  • Client

  • Building Name

  • Site Address
  • Conducted on

  • Prepared by

  • Contact Name

  • Position

  • Tel No. (Office)

  • Mob No.

  • This report gives details of a site survey carried out at the above premises for a CCTV system meeting the requirements of NCP 104.

System Specification

System Specification

  • No. of Cameras:

  • No. of Fixed

  • No. of Pan/Tilt

  • No. of External

  • No. of Internal

  • Camera
  • Lens Type (form no. SCCIA 107)

  • Location

  • Direction/Field of View

  • Lighting Levels

  • Comments

Recorders

Recorders

  • No. of Recorders

  • Type Required

  • Switching Details

  • No. of Monitors

  • Types

  • Transmission Media

  • Location

  • Special Access Equipment

Sub-Contractor/Building Work

Sub-Contractor/Building Work

  • Sub-Contractor/Building Work Required

  • Chasing/Conduit/Diamond Drilling

  • Quantity

Cable Routes

Cable Routes

  • Use existing vertical riser?

  • Use existing 20/25mm Cond?

  • Use existing trunking?

Provide Wireways

  • 2"x2" Galv/PVC Trunking (m)

  • 25mm Galv/PVC Conduit (m)

  • 20mm Galv/PVC Conduit (m)

  • Mini-Trunking (m)

  • Multi-Core Cable (m)

  • Pair Cable (m)

Mains Supply

  • Use Existing?

  • Required?

  • Location

Site Conditions/Notes

Site Conditions

  • Occupied/Unoccupied

  • Refurb/Conversion/New Development

  • Plastering Completed/Decorated

Notes

  • Notes

RAMS

Hazard Present (General Activities)

  • A1. Access into lift motor room via loft ladders

  • HARM - Serious injuries or DEATH
    PERSONS AT RISK - Operatives/Members of public
    RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - Area must be cordoned off, by means of cones, barrier tape and warning signage. The access hatch must always be kept closed when not in use to prevent unauthorised entry.

  • RISIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A2. 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 and alternative method of working has been found. The clients asbestos register must be scanned in the specific areas before any further works are undertaken.

  • RISIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A3. 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 in dusty environments. Area must be cordoned off, by means of cones, barrier tape and warning signage to warn people of works taking place.

  • RISIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A4. Electrical hazards and access to moving machinery in lift motor room

  • HARM - Entanglement, entrapment, electrocution PERSONS AT RISK - Operatives RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - lift motor rooms should not be entered unless it is required for access or egress to another part of the building e.g. Roof. Care should be taken due to high voltages and this area should never be used as storage for equipment. Access to these areas must be monitored at all times by either supervision or a permit to work system.

  • RISIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A5. 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 and hazardous waste etc. are discovered, then work is to stop immediately and contact client/office to instigate a competent contractor to remove the hazard.

  • RISIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A6. Exit from lift motor room onto 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 a fixed or inertia lanyard so maintain a minimum 2metres from any unprotected edge

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A7. 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?

  • Any additional control measures required?

  • A8. Falls from height 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 (1in4). Where this can not be achieved, additional stabilising devices must be employed. All ladders to be secured by eye bolts and straps.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A9. Falls from heights 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 circumstances access an incomplete scaffold unless it has been inspected by a competent person and tagged 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 and safety department.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A10. 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 Load (What is it you're going to lift?), individual (Are you up to the lift?), Task (Does the task need to be done manually or can it be done by other means i.e. Mechanical devices?) and environment (What are the conditions and do you have a clear route?). All have been trained in manual handling techniques.

  • RESIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A11. Slips and Trips

  • HARM - Strains, broken legs/arms and 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 "house keeping" are maintained at all times.
    - Appropriate protective clothing is worn, especially 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?

  • Any additional control measures required?

  • A12. Unsafe ground conditions.

  • 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?

  • Any additional control measures required?

  • A13. 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?

  • Any additional control measures required?

  • A14. Uncooperative residents or members of the public

  • HARM - Possibility of being attacked by abusive resident or member of the public. PERSONS AT RISK - Operatives. RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - Operative to avoid any confrontation with residents/members of the public and walk away from the situation. This must be reported to management and the health and safety department immediately.

  • RESIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A15. 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?

  • Any additional control measures required?

  • A16. 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?

  • Any additional control measures required?

  • A17. Falls from height whilst on 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 eye bolts 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?

  • Any additional control measures required?

  • A18. 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 fail safe 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?

  • Any additional control measures required?

  • A19. 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 2m exclusion zone, operatives must be attached to a dead mans anchor then from the anchor a fixed lanyard/rope system is used. If in doubt contact the health and safety department.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A20. Working in access roads, car parks or public places.

  • HARM - Injuries to members of the public, slips & trips or head injuries from 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 unauthorised 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 - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A21. Accessing a loft without 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 an extendable ladder should be provided it can be secured to the wall via an 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 project manager responsible.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A22. Loft work

  • HARM - Falls from height, serious injuries or Death. PERSONS AT RISK - Operatives/residents in block. RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - 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 vis, gloves, goggles & dust masks to be worn at all times. Possible breathing apparatus may be required.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A23. 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 must be used and the operative must be attached using a fixed restraint device that prevents a fall from the edge of the roof. If the works allow, it is preferable to maintain a 2m exclusion zone to limit the risk of a fall. If you need to gain closer access to the edge, this must be within 1m and a fixed lanyard must be used. NO EXCEPTIONS.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A24. Working on flat roof that has edge 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?

  • Any additional control measures required?

  • A25. 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 advice.

  • RESIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A26. 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 - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A27. 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 footpaths/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?

  • Any additional control measures required?

  • A28. Access above a low level flat roof.

  • HARM - Serious injuries or Death. PERSONS AT RISK - Operatives. RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - Operatives must stand on the flat roof at any time. Cables are to be suspended on a cat wire made on floor then ladder secured in position with eye bolts on either side of the roof with a rope system in place to attach harness to and a stabiliser at the bottom of the ladder.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A29. Access above a low level pitched roof.

  • HARM - Serious injuries or Death. PERSONS AT RISK - Operatives. RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - Operatives must stand on the pitched roof at any time. Cables are to be suspended on a cat wire made on floor then ladder secured in position with eye bolts on either side of the roof with a rope system in place to attach harness to and a stabiliser at the bottom of the ladder.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A30. 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 strike the lines. This must be a 2 man operation. Should the work be too close to lines, stop and contact the project manager or the health and safety department for further advice.

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A31. 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 endure 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?

  • Any additional control measures required?

  • A32. 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?

  • Any additional control measures required?

  • A33. 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?

  • Any additional control measures required?

  • A34. Earth spike installation hazard

  • HARM - Serious injuries or Death. PERSONS AT RISK - Operatives. RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - Area to be scanned using approved cable, avoidance tool prior to installing, an earth spike. A visual inspection is to be carried out, for underground services noting water pipe, gas boxes etc. Earth rod to be enclosed in suitable IP rated enclosure. Conduit to be used from enclosure to cabinet. Please refer to SCCI QWI No. 15

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A35. Excavations

  • HARM - Serious injuries or Death. PERSONS AT RISK - Operatives. RISK RATING - High

  • CONTROL MEASURES TO BE IMPLEMENTED - If there are any excavations to be carried out, this must be done by a trained and approved contractor. Services such as gas, electricity and water must be identified prior to works commencing using a cat scanner, utility drawings and if necessary, isolating services so works can be carried out safely. The utility companies must be called if there is a perceived risk of striking any other cables or utilities (competent contractor to provide a full safe system of work that must be reviewed by health & safety department)

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A36. 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?

  • Any additional control measures required?

  • A37. Cutting metal materials with hand saw

  • HARM - Eye injuries due to metal fragments, 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?

  • Any additional control measures required?

  • A38. 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 db. If unsure contact project manager or health and safety department for further advise.

  • RESIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

  • A39. 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 harmless substance

  • RESIDUAL RISK - Medium

  • Additional control measures required?

  • Any additional control measures required?

  • A40. 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 meet 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?

  • Any additional control measures required?

  • A41. 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?

  • Any additional control measures required?

  • A42. 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 - Maintain a 2m exclusion zone away from the transmitters or if possible, ask for the transmitters to be switched off. If any sickness is identified the operative concerned must inform the client and leave the site immediately to take further medical advice - e.g. Go to local hospital.

  • RESIDUAL RISK - Low

  • Additional control measures required?

  • Any additional control measures required?

Declaration

Declaration

  • System Designer/Surveyor

  • Signature

  • Date

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