Daily Site Documentation for Licensed Works

• Site Address
  Address

• Conducted on

  Date

• Job Number

• Contracts Manager

  Select Raymond Threlfal Glen Cunningham Steven Robertshaw

  • Raymond Threlfal
  • Glen Cunningham
  • Steven Robertshaw

• Site Supervisor

  Select Dave Medley Chris Thompson Lee Corrigan Rob Russell Dave Phelan Nicky Clarkson Dave Cross Martin Riby Eden Barnes John Haynes Nathan Drury

  • Dave Medley
  • Chris Thompson
  • Lee Corrigan
  • Rob Russell
  • Dave Phelan
  • Nicky Clarkson
  • Dave Cross
  • Martin Riby
  • Eden Barnes
  • John Haynes
  • Nathan Drury

SITE DIARY AND REGISTER

• Arrived on Site

  Date

• Operatives on Site

  Select Shaun Molyneux Patrick Sobiecki Aaron Price Matty Marriott Shaun Molyneux Danny Grundy Luke Raynor Nicky Clarkson Terry Misset David Cross Anthony Price James Levick James Carter Andy White Damon Robinson Stephen Marsdon Scott Brunt Josh Marriott Josh Milson Shane Bingham Craig West Elliott Barley Alex Proctor Callum Riby Danny Larvin Adam Biscomb

  • Shaun Molyneux
  • Patrick Sobiecki
  • Aaron Price
  • Matty Marriott
  • Shaun Molyneux
  • Danny Grundy
  • Luke Raynor
  • Nicky Clarkson
  • Terry Misset
  • David Cross
  • Anthony Price
  • James Levick
  • James Carter
  • Andy White
  • Damon Robinson
  • Stephen Marsdon
  • Scott Brunt
  • Josh Marriott
  • Josh Milson
  • Shane Bingham
  • Craig West
  • Elliott Barley
  • Alex Proctor
  • Callum Riby
  • Danny Larvin
  • Adam Biscomb

AM - SHIFT CHECKS AND SUPERVISORS SITE DIARY NOTES

• DCU Checks Completed

  Yes

  No

  N/A

• Enclosure Checks Completed

  Yes

  No

  N/A

• Works being completed during the shift

  Select Site induction(s) - Site establishment (Site Fencing setup and compound erection) - Decontamination Unit Setup - Enclosure Erection (framing and sheeting) - Smoke Test Enclosure(s) - Pre-cleaning (vacuuming / wiping items prior to sheeting) - Asbestos Removal (as detailed in the site specific method statement) - Spray fibre Suppression (via Greco or Kill spray) - Injection of Asbestos via multi point injection machine (Sprayed Coating or Pipe Insulation) - Environmental clean of the enclosure(s) - Waste Removal (as detailed in site specific method statement) - Fine Cleaning work area (clean prior to the supervisors inspection of the work area) - Supervisors Inspection of the work area (prior to visual inspection) - Independent analytical Inspection of site prior to the visual (Stage 1 of the 4 Stage Clearance) - Independent analytical visual inspection of the enclosure(s) (Stage 2 of the 4 Stage clearance) - Independent analytical clearance Air test of the Enclosure(s) (Stage 3 of the 4 Stage clearance) - De-tenting the work area(s) (Removal of the enclosure materials) - Independent 4 Stage Clearance (Stage 4 of the 4 Stage Clearance) - Clear Site (Removal of the plant and equipment from site) - Other (Detail all other works on site in supervisor notes below) -

  • Site induction(s) -
  • Site establishment (Site Fencing setup and compound erection) -
  • Decontamination Unit Setup -
  • Enclosure Erection (framing and sheeting) -
  • Smoke Test Enclosure(s) -
  • Pre-cleaning (vacuuming / wiping items prior to sheeting) -
  • Asbestos Removal (as detailed in the site specific method statement) -
  • Spray fibre Suppression (via Greco or Kill spray) -
  • Injection of Asbestos via multi point injection machine (Sprayed Coating or Pipe Insulation) -
  • Environmental clean of the enclosure(s) -
  • Waste Removal (as detailed in site specific method statement) -
  • Fine Cleaning work area (clean prior to the supervisors inspection of the work area) -
  • Supervisors Inspection of the work area (prior to visual inspection) -
  • Independent analytical Inspection of site prior to the visual (Stage 1 of the 4 Stage Clearance) -
  • Independent analytical visual inspection of the enclosure(s) (Stage 2 of the 4 Stage clearance) -
  • Independent analytical clearance Air test of the Enclosure(s) (Stage 3 of the 4 Stage clearance) -
  • De-tenting the work area(s) (Removal of the enclosure materials) -
  • Independent 4 Stage Clearance (Stage 4 of the 4 Stage Clearance) -
  • Clear Site (Removal of the plant and equipment from site) -
  • Other (Detail all other works on site in supervisor notes below) -

• Shifts Notes

BREAK TIMES

• Break Start Time

  Date

• Break Finish Time

  Date

PM - SHIFT CHECKS AND SUPERVISORS SITE DIARY NOTES

• Enclosure Checks Completed

  Yes

  No

  N/A

• DCU Checks Completed

  Yes

  No

  N/A

• Works being completed during the shift

  Select Site induction(s) - Site establishment (Site Fencing setup and compound erection) - Decontamination Unit Setup - Enclosure Erection (framing and sheeting) - Smoke Test Enclosure(s) - Pre-cleaning (vacuuming / wiping items prior to sheeting) - Asbestos Removal (as detailed in the site specific method statement) - Spray fibre Suppression (via Greco or Kill spray) - Injection of Asbestos via multi point injection machine (Sprayed Coating or Pipe Insulation) - Environmental clean of the enclosure(s) - Waste Removal (as detailed in site specific method statement) - Fine Cleaning work area (clean prior to the supervisors inspection of the work area) - Supervisors Inspection of the work area (prior to visual inspection) - Independent analytical Inspection of site prior to the visual (Stage 1 of the 4 Stage Clearance) - Independent analytical visual inspection of the enclosure(s) (Stage 2 of the 4 Stage clearance) - Independent analytical clearance Air test of the Enclosure(s) (Stage 3 of the 4 Stage clearance) - De-tenting the work area(s) (Removal of the enclosure materials) - Independent 4 Stage Clearance (Stage 4 of the 4 Stage Clearance) - Clear Site (Removal of the plant and equipment from site) - Other (Detail all other works on site in supervisor notes below) -

  • Site induction(s) -
  • Site establishment (Site Fencing setup and compound erection) -
  • Decontamination Unit Setup -
  • Enclosure Erection (framing and sheeting) -
  • Smoke Test Enclosure(s) -
  • Pre-cleaning (vacuuming / wiping items prior to sheeting) -
  • Asbestos Removal (as detailed in the site specific method statement) -
  • Spray fibre Suppression (via Greco or Kill spray) -
  • Injection of Asbestos via multi point injection machine (Sprayed Coating or Pipe Insulation) -
  • Environmental clean of the enclosure(s) -
  • Waste Removal (as detailed in site specific method statement) -
  • Fine Cleaning work area (clean prior to the supervisors inspection of the work area) -
  • Supervisors Inspection of the work area (prior to visual inspection) -
  • Independent analytical Inspection of site prior to the visual (Stage 1 of the 4 Stage Clearance) -
  • Independent analytical visual inspection of the enclosure(s) (Stage 2 of the 4 Stage clearance) -
  • Independent analytical clearance Air test of the Enclosure(s) (Stage 3 of the 4 Stage clearance) -
  • De-tenting the work area(s) (Removal of the enclosure materials) -
  • Independent 4 Stage Clearance (Stage 4 of the 4 Stage Clearance) -
  • Clear Site (Removal of the plant and equipment from site) -
  • Other (Detail all other works on site in supervisor notes below) -

• Shifts Notes

• Finished on Site

  Date

DCU Details

• DCU Number

• NPU - DOP Certificate Expiry Date

  Date

• Gas Certificate Expiry Date

  Date

• Electrical Certificate Expiry Date

  Date

DCU Checklist

• Unit Clean throughout (Including Dirty end)

  Yes

  No

  N/A

• Earth Spike - Stored Safely

  Yes

  No

  N/A

• Ensure the Clearance Certificate from the last job is displayed in the clean end

  Yes

  No

  N/A

• Steps - are in good condition, not have any cracks in the welds or major rust deposits

  Yes

  No

  N/A

• Boiler Instructions in the Clean End

  Yes

  No

  N/A

• LPG and Boiler checked (Full Bottle of Gas and inspected for faults)

  Yes

  No

  N/A

• Adequate shower pressure and water temperature

  Yes

  No

  N/A

• Compartment heating Functioning

  Yes

  No

  N/A

• Gas certification in date and displayed in the clean end

  Yes

  No

  N/A

• Functioning battery chargers

  Yes

  No

  N/A

• Carbon Monoxide detector fitted and operational

  Yes

  No

  N/A

• Any damage or problems (note in supervisors comments)

  Yes

  No

  N/A

• Shower Clean and Soap/Gel/Disposable towels in place

  Yes

  No

  N/A

• NPU functioning and DOP test in date and displayed in the clean end

  Yes

  No

  N/A

• Doors are self closing - check after transport

  Yes

  No

  N/A

• Connected to power supply (state if self contained)

  Yes

  No

  N/A

• Connected to water supply (state if self contained)

  Yes

  No

  N/A

• Waste water connected to the drain or waste container

  Yes

  No

  N/A

• AM - NPU manometer readings (these must be taken)

• PM - NPU manometer reading (must be taken)

• Supervisors Comments

ENCLOSURE

• Enclosure Smoke Test Undertaken

  Date

• Seals Checked and Ok - AM

• Seals Checked and Ok - PM

• Waste not being allowed to accumulate - AM

• Waste not being allowed to accumulate - PM

• CCTV installed and working ok - AM

• CCTV installed and working ok - PM

• Trailing Leads and trip hazards secured / minimised - AM

• Trailing Leads and trip hazards secured / minimised - PM

Airlock & Baglock

• Seals and Flaps checked and ok - AM

• Seals and Flaps checked and ok - PM

• Primary decontamination Vacuum Checked (with yellow hose) and working - AM

• Primary decontamination Vacuum Checked (with yellow hose) and working - PM

• Sponge, Water and Kill spray present for Primary Decontamination - PM

• Sponge, Water and Kill spray present for Primary Decontamination - AM

RPE and PPE

• Check for improper or Incorrect use or storage of RPE or PPE - AM

• Check for improper or Incorrect use or storage of RPE or PPE - PM

TRANSIT / WASTE ROUTE

• Marked with appropriate signage, clean and unobstructed - AM

• Marked with appropriate signage, clean and unobstructed - PM

NEGATIVE PRESSURE UNIT(S)

• NPU Pre - Filter Changed - AM

  Yes

  No

  N/A

• NPU Pre - Filter Changed - PM

  Yes

  No

  N/A

• Negative Pressure unit(s) Reading - AM

• Negative Pressure unit(s) Reading - PM

MOBILE TOWER SCAFFOLD INSPECTION

• Name or the Inspector(s)

  Select Shaun Molyneux Patrick Sobiecki Aaron Price Matty Marriott Shaun Molyneux Danny Grundy Luke Raynor Nicky Clarkson Terry Misset David Cross Anthony Price James Levick James Carter Andy White Damon Robinson Stephen Marsdon Scott Brunt Josh Marriott Josh Milson Shane Bingham Craig West Elliott Barley Alex Proctor Callum Riby Danny Larvin Adam Biscomb

  • Shaun Molyneux
  • Patrick Sobiecki
  • Aaron Price
  • Matty Marriott
  • Shaun Molyneux
  • Danny Grundy
  • Luke Raynor
  • Nicky Clarkson
  • Terry Misset
  • David Cross
  • Anthony Price
  • James Levick
  • James Carter
  • Andy White
  • Damon Robinson
  • Stephen Marsdon
  • Scott Brunt
  • Josh Marriott
  • Josh Milson
  • Shane Bingham
  • Craig West
  • Elliott Barley
  • Alex Proctor
  • Callum Riby
  • Danny Larvin
  • Adam Biscomb

• Is the access equipment detailed in the Method statement suitable

  Safe

  At Risk

  N/A

• Number of tower scaffold on site

CHECKS TO BE COMPLETED

• Is the Tower level

  Yes

  No

  N/A

• Are the brakes working on each of the castors

  Yes

  No

  N/A

• Is the tower correctly built with the correct brace pattern

  Yes

  No

  N/A

• Are there sufficient gaurd rails on the tower

  Yes

  No

  N/A

• Are the toe boards in place on the tower

  Yes

  No

  N/A

• Are the outrigger in place on the scaffolding (where possible)

  Yes

  No

  N/A

• Are there any damaged parts on the tower

  Yes

  No

  N/A

• Is the ground surface as level as practicable or if not has the area been boarded to maintain a level area

  Yes

  No

  N/A

• Was the tower erected by a trained and competent person

  Yes

  No

  N/A

• Has the tower been constructed at a safe distance from live electrical services (4 metres)

  Yes

  No

  N/A

• Are the platform doors facing outwards

  Yes

  No

  N/A

• Are all open ends caped

  Yes

  No

  N/A

CONFIRMATION OF THE INFORMATION PROVIDED All the information provided on the document is correct and is a true reflection of the times arriving / leaving sites and the daily works completed on site

• Supervisors Signature

  Sign