CFH MDU Site Assurance Check

• Site conducted

  Select

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Document Reference Number

• OHSF-PR-08-02 Version 1 Revision 1 Dated 09/06/2021

• (Format: City-PN-SN or ASN)

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

• Audit Conducted on?

  Select SCCI Sitec Virtua CASS Kelly Entegro OCU

  • SCCI
  • Sitec
  • Virtua
  • CASS
  • Kelly
  • Entegro
  • OCU

• Prepared by

• Date and Time

  Date

Location

• Complete location on tracker
  Address

• Is the Check in Progress or Retrospective?

  In Progress

  Retrospective

• Are safe practices being carried out? (for members of the public, yourself and the engineers on-site)

  Yes

  No

  N/A

• Do the engineers have I.D cards?

  Yes

  No

  N/A

• Engineer accreditations available and in date (NRSWA, SA002, Smart awards - OR accreditations)

  Yes

  No

  N/A

• Correct PPE being worn for activity - including safety footwear, eye protection, gloves, Hi-viz jacket (CF branded?).

  Yes

  No

  N/A

• Has site risk assessment been conducted and suitable for the current operations and are method statements in use and applicable? (COSHH)

  Yes

  No

  N/A

• Do the engineers have a copy of the Job Pack? (latest version)

  Yes

  No

  N/A

• Block wiring

  Yes

  No

  N/A

• Internal or external

  Yes

  No

  N/A

• Internal wall box / D.P. fitted , secured and level?

  Yes

  No

  N/A

• All trunking used or fitted is secured with no fibre cable visible?

  Yes

  No

  N/A

• Have all fire regulations been met? (fire clips and fire stopping)

  Yes

  No

  N/A

• Civils

  Yes

  No

  N/A

• Blowing, splicing & testing

  Yes

  No

  N/A

• All aspects of external build are identical to original job pack ?

  Yes

  No

  N/A

MDU Build - Pre wire

• Is the Check in Progress or Retrospective?

  In Progress

  Retrospective

• What type of work are you auditing?

  Internal Install

  External Install

Traffic Management

Documentation / Welfare / PPE

Documentation

• Has site risk assessment been conducted and suitable for the current operations?

  Yes

  No

  N/A

• Are method statements in use and applicable?

  Yes

  No

  N/A

• Are COSHH Assessment and Safety Data Sheets available for all hazardous substances held on site?

  Yes

  No

  N/A

• Are utility drawings onsite, available, legible and in date? (ordinarily 28 days from date of issue)

  Yes

  No

  N/A

Noticing and Competence

• Are NRSWA Noticing / TTRO's in place and displayed?

  Yes

  No

  N/A

• Is the noticing valid for the current operations?

  Yes

  No

  N/A

• Have Streetworks personnel got the relevant NRSWA Cards and plant certificates in date, appropriate and available for inspection? (Original / Print / Digital)

  Yes

  No

  N/A

• List Names of operatives sampled

Click ADD for another

• Names of Operative

• Qualification Expiry Date

Plant & Equipment

• Cat, Genny, GDU, Excavator, other plant, tools and equipment

• Is plant and equipment required on site at time of audit?

  Yes

  No

  N/A

• Are Plant / Equipment etc in good operational order, with beacons where required? (To include F91's)

  Yes

  No

  N/A

• Equipment Name / Type

• Calibration / Service due date

  Date
Click Add for more

• Equipment Name / Type

• Calibration / Service due date

  Date

• Photographic Evidence

  Media

Fire

• Are Fire Extinguishers held in vehicle or on site?

  Yes

  No

  N/A

• Is there an expiry date on the fire extinguisher? (Annual service record)

  Yes

  No

• What is the expiry date of Fire Extinguishers?

  Date

• Please provide photographic evidence

  Media

Welfare - For guidance see CDM Code of Practice Schedule 2

• Are drinking water and vessels made available to the operatives?

  Yes

  No

  N/A

• Are washing facilities available (including warm water, sink, soap & hand towels)?

  Yes

  No

  N/A

• Are toilet facilities within a ten minutes walking distance?

  Yes

  No

  N/A

• Are site First Aiders Qualified?

  Yes

  No

  N/A

• What is the expiry date of first aid certificate?

  Date

• Is First Aid Kit stocked suitably for the work being carried out and content in date? For guidance see INDG214, Q4

  Yes

  No

  N/A

• What is the expiry date of First Aid Stocks in First Aid Box

  Date

• Please provide photographic evidence

  Media

PPE

• Please select PPE items that are; - Being used correctly and appropriately OR - Readily available

  Select

• Is the CityFibre logo on the contractors PPE? (N/A- if flame retardant PPE is required)

  Yes

  No

  N/A

• Is there suitable storage for PPE in the vehicles or welfare facility provided?

  Yes

  No

  N/A

Defects

• Are there any Defects / Issues that have not been rectified at the completion of Site Visit?

  Yes

  No

• Follow standard defect process.

Install Quality

• Fibre installed with no additional excess fibre when blown?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Splice Tray Labelled neatly with all fibres in allocated spacers?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Pigtails labelled, secured and in parking bays ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All fibre's and pigtails , where necessary,have been routed through cable management system ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Secondary node secure and defect free, including no waste on SN cabinet floor?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Site left waste free and to quality standard ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Correct connectors used in Toby box with BFT looped as per job specification.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Visually, resinsatement to required standard? Pre-agreed & determned depths as stated in BOM A Distribution trench Width Min 80mm and 250mm surface cover B BFT in soft to the required depth? (expose cable) Grass = 200mm, flower bed = 250mm

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Reinstatement / Civils route matches pack details as previously route approved by M/A?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• External Distribution Box secured a minimum of 3m above ground level and is locked?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Catenary wire securely fitted to wall and all fibre drops cable tied accordingly?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• No visible signs of creepage on any drop cables in line of route?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• 2F Drop cables looped at each premise and secured accordingly & to quality standard with all loops equal in size.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All aspects of external build are identical to original job pack ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal wall box / D.P. fitted , secured and level?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used is securely fitted and to a quality standard.? (Any previously damaged trunking to have been identified before work commenced.)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used or fitted is secured and no fibre cable visible?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal cupboards / Risers left to quality standard & locked after use.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All ceiling tiles in line of route have been correctly re-fitted with no damage caused? (Previously damaged tiles need to have been identified before work commenced)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Loft hatches fitted where identified in job pack and secured accordingly.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Patress boxes left at residents doorway and secured in termnation box. ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Where 2F cable has been left above ceiling tile / hatch , fire clips used and 2F has been looped to correct standard.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

Documentation / Welfare / PPE

Documentation

• Has site risk assessment been conducted and suitable for the current operations?

  Yes

  No

  N/A

• Are method statements in use and applicable?

  Yes

  No

  N/A

• Are COSHH Assessment and Safety Data Sheets available for all hazardous substances held on site?

  Yes

  No

  N/A

• Are utility drawings onsite, available, legible and in date? (ordinarily 28 days from date of issue)

  Yes

  No

  N/A

House Keeping

• Please select any item which is true of the site being audited.

  Select

Plant & Equipment

• Cat, Genny, GDU, Excavator, other plant, tools and equipment

• Is plant and equipment required on site at time of audit?

  Yes

  No

  N/A

• Are Plant / Equipment etc in good operational order, with beacons where required? (To include F91's)

  Yes

  No

  N/A

• Equipment Name / Type

• Calibration / Service due date

  Date
Click Add for more

• Equipment Name / Type

• Calibration / Service due date

  Date

• Photographic Evidence

  Media

Fire

• Is there an expiry date on the fire extinguisher? (Annual service record)

  Yes

  No

• What is the expiry date of Fire Extinguishers?

  Date

• Please provide photographic evidence

  Media

Welfare - For guidance see CDM Code of Practice Schedule 2

• Are drinking water and vessels made available to the operatives?

  Yes

  No

  N/A

• Are washing facilities available (including warm water, sink, soap & hand towels)?

  Yes

  No

  N/A

• Are toilet facilities within a ten minutes walking distance?

  Yes

  No

  N/A

• Are site First Aiders Qualified?

  Yes

  No

  N/A

• What is the expiry date of first aid certificate?

  Date

• Is First Aid Kit stocked suitably for the work being carried out and content in date? For guidance see INDG214, Q4

  Yes

  No

  N/A

• What is the expiry date of First Aid Stocks in First Aid Box

  Date

• Please provide photographic evidence

  Media

PPE

• Please select PPE items that are; - Being used correctly and appropriately OR - Readily available

  Select

• Is the CityFibre logo on the contractors PPE? (N/A- if flame retardant PPE is required)

  Yes

  No

  N/A

• Is there suitable storage for PPE in the vehicles or welfare facility provided?

  Yes

  No

  N/A

Defects

• Are there any Defects / Issues that have not been rectified at the completion of Site Visit?

  Yes

  No

• Follow standard defect process.

Install Quality

• Fibre installed with no additional excess fibre when blown?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Splice Tray Labelled neatly with all fibres in allocated spacers?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Pigtails labelled, secured and in parking bays ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All fibre's and pigtails , where necessary,have been routed through cable management system ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Secondary node secure and defect free, including no waste on SN cabinet floor?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Site left waste free and to quality standard ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Correct connectors used in Toby box with BFT looped as per job specification.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All aspects of external build are identical to original job pack ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal wall box / D.P. fitted , secured and level?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used is securely fitted and to a quality standard.? (Any previously damaged trunking to have been identified before work commenced.)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used or fitted is secured and no fibre cable visible?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal cupboards / Risers left to quality standard & locked after use.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All ceiling tiles in line of route have been correctly re-fitted with no damage caused? (Previously damaged tiles need to have been identified before work commenced)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Loft hatches fitted where identified in job pack and secured accordingly.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Patress boxes left at residents doorway and secured in termnation box. ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Where 2F cable has been left above ceiling tile / hatch , fire clips used and 2F has been looped to correct standard.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

Documentation / Welfare / PPE

Documentation

• Has site risk assessment been conducted and suitable for the current operations?

  Yes

  No

  N/A

• Are method statements in use and applicable?

  Yes

  No

  N/A

• Are COSHH Assessment and Safety Data Sheets available for all hazardous substances held on site?

  Yes

  No

  N/A

• Are utility drawings onsite, available, legible and in date? (ordinarily 28 days from date of issue)

  Yes

  No

  N/A

House Keeping

• Please select any item which is true of the site being audited.

  Select

Plant & Equipment

• Cat, Genny, GDU, Excavator, other plant, tools and equipment

• Is plant and equipment required on site at time of audit?

  Yes

  No

  N/A

• Are Plant / Equipment etc in good operational order, with beacons where required? (To include F91's)

  Yes

  No

  N/A

• Equipment Name / Type

• Calibration / Service due date

  Date
Click Add for more

• Equipment Name / Type

• Calibration / Service due date

  Date

• Photographic Evidence

  Media

Documentation / Welfare / PPE

Documentation

• Has site risk assessment been conducted and suitable for the current operations?

  Yes

  No

  N/A

• Are method statements in use and applicable?

  Yes

  No

  N/A

• Are COSHH Assessment and Safety Data Sheets available for all hazardous substances held on site?

  Yes

  No

  N/A

• Are utility drawings onsite, available, legible and in date? (ordinarily 28 days from date of issue)

  Yes

  No

  N/A

Noticing and Competence

• Are NRSWA Noticing / TTRO's in place and displayed?

  Yes

  No

  N/A

• Is the noticing valid for the current operations?

  Yes

  No

  N/A

• Have Streetworks personnel got the relevant NRSWA Cards and plant certificates in date, appropriate and available for inspection? (Original / Print / Digital)

  Yes

  No

  N/A

• List Names of operatives sampled

Click ADD for another

• Names of Operative

• Qualification Expiry Date

Fire

• Are Fire Extinguishers held in vehicle or on site?

  Yes

  No

  N/A

• Is there an expiry date on the fire extinguisher? (Annual service record)

  Yes

  No

• What is the expiry date of Fire Extinguishers?

  Date

• Please provide photographic evidence

  Media

Welfare - For guidance see CDM Code of Practice Schedule 2

• Are drinking water and vessels made available to the operatives?

  Yes

  No

  N/A

• Are washing facilities available (including warm water, sink, soap & hand towels)?

  Yes

  No

  N/A

• Are toilet facilities within a ten minutes walking distance?

  Yes

  No

  N/A

• Are site First Aiders Qualified?

  Yes

  No

  N/A

• What is the expiry date of first aid certificate?

  Date

• Is First Aid Kit stocked suitably for the work being carried out and content in date? For guidance see INDG214, Q4

  Yes

  No

  N/A

• What is the expiry date of First Aid Stocks in First Aid Box

  Date

• Please provide photographic evidence

  Media

PPE

• Please select PPE items that are; - Being used correctly and appropriately OR - Readily available

  Select

• Is the CityFibre logo on the contractors PPE? (N/A- if flame retardant PPE is required)

  Yes

  No

  N/A

• Is there suitable storage for PPE in the vehicles or welfare facility provided?

  Yes

  No

  N/A

Defects

• Are there any Defects / Issues that have not been rectified at the completion of Site Visit?

  Yes

  No

• Follow standard defect process.

Install Quality

• Fibre installed with no additional excess fibre when blown?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Splice Tray Labelled neatly with all fibres in allocated spacers?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Pigtails labelled, secured and in parking bays ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All fibre's and pigtails , where necessary,have been routed through cable management system ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Secondary node secure and defect free, including no waste on SN cabinet floor?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Site left waste free and to quality standard ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Correct connectors used in Toby box with BFT looped as per job specification.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Visually, resinsatement to required standard? Pre-agreed & determned depths as stated in BOM A Distribution trench Width Min 80mm and 250mm surface cover B BFT in soft to the required depth? (expose cable) Grass = 200mm, flower bed = 250mm

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Reinstatement / Civils route matches pack details as previously route approved by M/A?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• External Distribution Box secured a minimum of 3m above ground level and is locked?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Catenary wire securely fitted to wall and all fibre drops cable tied accordingly?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• No visible signs of creepage on any drop cables in line of route?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• 2F Drop cables looped at each premise and secured accordingly & to quality standard with all loops equal in size.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All aspects of external build are identical to original job pack ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal wall box / D.P. fitted , secured and level?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used is securely fitted and to a quality standard.? (Any previously damaged trunking to have been identified before work commenced.)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used or fitted is secured and no fibre cable visible?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal cupboards / Risers left to quality standard & locked after use.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All ceiling tiles in line of route have been correctly re-fitted with no damage caused? (Previously damaged tiles need to have been identified before work commenced)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Loft hatches fitted where identified in job pack and secured accordingly.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Patress boxes left at residents doorway and secured in termnation box. ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Where 2F cable has been left above ceiling tile / hatch , fire clips used and 2F has been looped to correct standard.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

Documentation / Welfare / PPE

Documentation

• Has site risk assessment been conducted and suitable for the current operations?

  Yes

  No

  N/A

• Are method statements in use and applicable?

  Yes

  No

  N/A

• Are COSHH Assessment and Safety Data Sheets available for all hazardous substances held on site?

  Yes

  No

  N/A

• Are utility drawings onsite, available, legible and in date? (ordinarily 28 days from date of issue)

  Yes

  No

  N/A

Noticing and Competence

• Are NRSWA Noticing / TTRO's in place and displayed?

  Yes

  No

  N/A

• Is the noticing valid for the current operations?

  Yes

  No

  N/A

• Have Streetworks personnel got the relevant NRSWA Cards and plant certificates in date, appropriate and available for inspection? (Original / Print / Digital)

  Yes

  No

  N/A

• List Names of operatives sampled

Click ADD for another

• Names of Operative

• Qualification Expiry Date

House Keeping

• Please select any item which is true of the site being audited.

  Select

Plant & Equipment

• Cat, Genny, GDU, Excavator, other plant, tools and equipment

• Is plant and equipment required on site at time of audit?

  Yes

  No

  N/A

• Are Plant / Equipment etc in good operational order, with beacons where required? (To include F91's)

  Yes

  No

  N/A

• Equipment Name / Type

• Calibration / Service due date

  Date
Click Add for more

• Equipment Name / Type

• Calibration / Service due date

  Date

• Photographic Evidence

  Media

Fire

• Are Fire Extinguishers held in vehicle or on site?

  Yes

  No

  N/A

• Is there an expiry date on the fire extinguisher? (Annual service record)

  Yes

  No

• What is the expiry date of Fire Extinguishers?

  Date

• Please provide photographic evidence

  Media

Welfare - For guidance see CDM Code of Practice Schedule 2

• Are drinking water and vessels made available to the operatives?

  Yes

  No

  N/A

• Are washing facilities available (including warm water, sink, soap & hand towels)?

  Yes

  No

  N/A

• Are toilet facilities within a ten minutes walking distance?

  Yes

  No

  N/A

• Are site First Aiders Qualified?

  Yes

  No

  N/A

• What is the expiry date of first aid certificate?

  Date

• Is First Aid Kit stocked suitably for the work being carried out and content in date? For guidance see INDG214, Q4

  Yes

  No

  N/A

• What is the expiry date of First Aid Stocks in First Aid Box

  Date

• Please provide photographic evidence

  Media

PPE

• Please select PPE items that are; - Being used correctly and appropriately OR - Readily available

  Select

• Is the CityFibre logo on the contractors PPE? (N/A- if flame retardant PPE is required)

  Yes

  No

  N/A

• Is there suitable storage for PPE in the vehicles or welfare facility provided?

  Yes

  No

  N/A

Defects

• Are there any Defects / Issues that have not been rectified at the completion of Site Visit?

  Yes

  No

• Follow standard defect process.

Install Quality

• Fibre installed with no additional excess fibre when blown?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Splice Tray Labelled neatly with all fibres in allocated spacers?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Pigtails labelled, secured and in parking bays ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All fibre's and pigtails , where necessary,have been routed through cable management system ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Secondary node secure and defect free, including no waste on SN cabinet floor?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Site left waste free and to quality standard ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Correct connectors used in Toby box with BFT looped as per job specification.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Visually, resinsatement to required standard? Pre-agreed & determned depths as stated in BOM A Distribution trench Width Min 80mm and 250mm surface cover B BFT in soft to the required depth? (expose cable) Grass = 200mm, flower bed = 250mm

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Reinstatement / Civils route matches pack details as previously route approved by M/A?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• External Distribution Box secured a minimum of 3m above ground level and is locked?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Catenary wire securely fitted to wall and all fibre drops cable tied accordingly?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• No visible signs of creepage on any drop cables in line of route?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• 2F Drop cables looped at each premise and secured accordingly & to quality standard with all loops equal in size.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All aspects of external build are identical to original job pack ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

Signing Lighting & Guarding

• Are CityFibre approved Courtesy Boards displayed and contain correct information? (0800 083 6160 Number)

  Yes

  No

  N/A

• please provide supporting evidence such as annotated photo’s and notes

• Are Advanced warnings signs in correct sequence, distance and suitably fixed to prevent being blown down or out of position?

  Yes

  No

  N/A

• Are all chapter 8 elements in good condition (no damage)?

  Yes

  No

  N/A

• Please add pictures of damaged elements.

  Media

• Is the lighting adequate for the works being carried out?

  Yes

  No

  N/A

• Is there temporary lighting (As in DRA)

  Yes

  No

Barriers and Work Area

• Are Traffic / Pedestrian Segregation Barriers fitted, supported by suitable bases, linked together?

  Yes

  No

  N/A

• Is all the working equipment contained within the barriered work area?

  Yes

  No

  N/A

• Is the site closed (barriered / guarded) on all sides?

  Yes

  No

• Is work area of a suitable size to operate safely?

  Yes

  No

  N/A

Footways

• Are alternative pedestrian arrangements required? (i.e. Pedestrian re-routing, narrowing of walkway, road crossing)

  Yes

  No

  N/A

• Are footway Covers / Ramps fitted, fixed and a correct loading for the task? (i.e. vehicle or pedestrian)

  Yes

  No

  N/A

• Are footway closed signs in use?

  Yes

  No

  N/A

• Are pedestrian diversion signs in place and correctly fitted? (is it immediately obvious what is happening and what is expected of me - pedestrians & traffic)

  Yes

  No

  N/A

• Is the pedestrian walkway the correct width? (At least 1.2m)

  Yes

  No

  N/A

• Is there a safe method for pedestrians to avoid the road / carriageway whilst passing works?

  Yes

  No

  N/A

• Please provide photographs of the walkway & signage.

  Media

• (Footways / Paths) - Site Comments

Environmental

• Is spoil stored and contained in appropriate, barriered off, area(s)? (Environmental considerations i.e. away from water courses, tree canopies & drainage, not covering a fire hydrant.)

  Yes

  No

  N/A

• Have all excavation works taken place as advised by the NJUG tree protection zone? SROH - NG1.10.1 <br>- Prohibited (no excavation) - within 1m of the tree trunk<br>- Precautionary (no mechanical excavation) - within 4x the circumference of the tree trunk<br>- Permitted (works as normal) - Outside of the precautionary zone

  Yes

  No

  N/A

• Is there a site appropriate spill kit available for any environmental issues, fuel leaks etc

  Yes

  No

  N/A

Traffic Management

• Is Traffic Management required?

  Yes

  No

  N/A

• Is Traffic Management suitable for location?

  Yes

  No

  N/A

• Is Traffic Management set up in accordance with plan and assessment?

  Yes

  No

  N/A

• Is traffic management equipment in good working condition? (ie traffic lights working)

  Yes

  No

  N/A

• Site Comments (Traffic Management)

Documentation / Welfare / PPE

Documentation

• Has site risk assessment been conducted and suitable for the current operations?

  Yes

  No

  N/A

• Are method statements in use and applicable?

  Yes

  No

  N/A

• Are COSHH Assessment and Safety Data Sheets available for all hazardous substances held on site?

  Yes

  No

  N/A

• Are utility drawings onsite, available, legible and in date? (ordinarily 28 days from date of issue)

  Yes

  No

  N/A

House Keeping

• Please select any item which is true of the site being audited.

  Select

Plant & Equipment

• Cat, Genny, GDU, Excavator, other plant, tools and equipment

• Is plant and equipment required on site at time of audit?

  Yes

  No

  N/A

• Are Plant / Equipment etc in good operational order, with beacons where required? (To include F91's)

  Yes

  No

  N/A

• Equipment Name / Type

• Calibration / Service due date

  Date
Click Add for more

• Equipment Name / Type

• Calibration / Service due date

  Date

• Photographic Evidence

  Media

• Is it Internal or External

  Internal Install

  External Install

Install Quality

• Fibre installed with no additional excess fibre when blown?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Splice Tray Labelled neatly with all fibres in allocated spacers?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Pigtails labelled, secured and in parking bays ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All fibre's and pigtails , where necessary,have been routed through cable management system ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Secondary node secure and defect free, including no waste on SN cabinet floor?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Site left waste free and to quality standard ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Correct connectors used in Toby box with BFT looped as per job specification.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Visually, resinsatement to required standard? Pre-agreed & determned depths as stated in BOM A Distribution trench Width Min 80mm and 250mm surface cover B BFT in soft to the required depth? (expose cable) Grass = 200mm, flower bed = 250mm

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Reinstatement / Civils route matches pack details as previously route approved by M/A?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• External Distribution Box secured a minimum of 3m above ground level and is locked?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Catenary wire securely fitted to wall and all fibre drops cable tied accordingly?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• No visible signs of creepage on any drop cables in line of route?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• 2F Drop cables looped at each premise and secured accordingly & to quality standard with all loops equal in size.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All aspects of external build are identical to original job pack ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

Install Quality

• Fibre installed with no additional excess fibre when blown?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Splice Tray Labelled neatly with all fibres in allocated spacers?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Pigtails labelled, secured and in parking bays ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All fibre's and pigtails , where necessary,have been routed through cable management system ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Secondary node secure and defect free, including no waste on SN cabinet floor?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Site left waste free and to quality standard ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Correct connectors used in Toby box with BFT looped as per job specification.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All aspects of external build are identical to original job pack ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal wall box / D.P. fitted , secured and level?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used is securely fitted and to a quality standard.? (Any previously damaged trunking to have been identified before work commenced.)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All trunking used or fitted is secured and no fibre cable visible?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Internal cupboards / Risers left to quality standard & locked after use.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All ceiling tiles in line of route have been correctly re-fitted with no damage caused? (Previously damaged tiles need to have been identified before work commenced)

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Loft hatches fitted where identified in job pack and secured accordingly.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Patress boxes left at residents doorway and secured in termnation box. ?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Where 2F cable has been left above ceiling tile / hatch , fire clips used and 2F has been looped to correct standard.?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• All engineering waste cleared from site?

  Select Check OK Below Standard N/A

  • Check OK
  • Below Standard
  • N/A

• Would you like to highlight any good practice?

  Yes

  No

• Who would you like to highlight?

  Contractor / Gang

  Individual

  Other

• If answer is other, please specify.

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

• Which category best describes the good practice? Categories TBC

  Select

• Please describe the category of the work being recognised.

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

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

• Please provide the name of the Gang Leader.

• Auditor Signature

  Sign