Information
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Engineers Name
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Email Address
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Site CSR
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Document No.
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Conducted on
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Prepared by
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Location
01) Site Project Details
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01,01) Project
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01,02) Activity
- B2B
- BAU
- Call Testing
- Capacity Expansions
- DE
- Decommission
- FM Revisit
- HSDPA
- OD Clearance
- Site Survey
- Specialist Kit Delivery & Recovery
- U900
- Upgrade
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01,03) Project Manager
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01,04) Scheduler
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01,05) Project Engineer
- Ben Hewitt
- Dawn Daly
- Dickie Salter
- Jon Field
- Nick Marchant
- Taz Adams
02) Site Access
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02,01) Has engineer booked on to site via MAXIM
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02,02) MAXIM text seen
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02,03) Has engineer booked on with lock down team
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02,04) Reference number
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02,05) Is the on site activity going to be completed
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02,06) Site type
- Arqiva Green Field
- Arqiva Roof Top
- Compound
- Green Field
- Internal Room
- Mobile Site
- Roof Top
- NRSWA
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02,07) Access type
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02,08) Distance in metres
- 0-2.499
- 2.5-4.999
- 5-19.999
- 20-50
- 50-100
- 100-500
- 500-1000
- 1000+
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02,09) Access type
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02,10) Distance in metres
- 0-2.499
- 2.5-4.999
- 5-19.999
- 20-50
- 50-100
- 100-500
- 500-1000
- 1000+
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02,11) Access type
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02,12) Distance in metres
- 0-2.499
- 2.5-4.999
- 5-19.999
- 20-50
- 50-100
- 100-500
- 500-1000
- 1000+
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02,13) If ladders are on site are they fit for purpose
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02,14) General photo of site
03) Engineer
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03,01) Is the engineer in possession of a company photo id
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03,02) Is the engineer in company image wear
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03,03) What role is engineer carrying out
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03,04) What level of PTID is needed for the activity being carried out
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03,05) What level of PTID does the engineer Hold
- No PTID
- PTID level 1
- PTID level 1&2
- PTID level 2
- PTID level 3
- PTID level 4
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03,06) Does the engineer have the correct training to access site
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03,07) Is engineer using a RF monitor
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03,08) Is engineer aware on how to report an accident, incident or near miss
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03,09) Is engineer demonstrating good house keeping
04) Engineer's Vehicle
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04,01) Is the Engineers vehicle fit for purpose
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04,02) Type of vehicle
- DMN 4x4
- DMN Car
- DMN Estate Car
- DMN Van Large
- DMN Van Small
- Own 4x4
- Own Car
- Own Estate Car
- Own Van Large
- Own Van Small
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04,03) Is vehicle issued with beacons
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04,04) Is vehicle fitted with a fire extinguisher
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04,05) Is fire extinguisher in a good serviceable order
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04,06) Is vehicle fitted with a spill kit & battery PPE
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04,07) Is engineers vehicle clean
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04,08) Is the vehicle in good order, no damage
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04,09) Area of damage & Photo 1
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04,10) Area of damage & Photo 2
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04,11) Area of damage & Photo 3
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04,12) Can all equipment be stored out of sight and in a safe manner
05) Project Team
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05,01) Has the project team identified all specialist access & training needs
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05,02) Is there the correct amount of engineers on site<br>to carry out the on site activity in a safe manner
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05,03) Has site survey been uploaded to FTP server
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05,04) Have PM / TM plans been uploaded to FTP server
06) Documentation
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06,01) Is engineer in possession of the health & safety manual R15
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06,02) Is engineer in possession of hazardous waste consignment note R2
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06,03) Is engineer in possession of accident / incident report form R1
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06,04) Is engineer in possession of driver handbook R4
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06,05) Is the engineer in possession of site survey
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06,06) Is the engineer in possession of relevant work instructions
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06,07) Is engineer in possession of correct version of the project schedule
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06,08) Is engineer aware of control of records process
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06,09) Is engineer removing all other versions of project schedules
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06,10) Is engineer in possession of all correct QHSE documentation
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06,11) Is engineer in using the correct version of generic risk & method statements
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06,12) What version of the generic risk & method statement is in use
- DMN 3TO1 Lifting R5
- DMN Life Line R1
- DMN Tight Line R1
- MBNL Greenfield & Outdoor R5
- MBNL Indoor R5
- MBNL RoofTop R5
- MBNL StreetWorks R6
- O2 Greenfield & Outdoor R10
- O2 Indoor R10
- O2 RoofTop R9
- O2 StreetWorks R10
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06,13) Have all engineers on site read, understood and signed in to risk & method statements
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06,14) Have the risk & method statements been updated and saved to laptop
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06,15) Have all the risks been identified and controlled
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06,15) Does the engineer know the deference between a Hazard & Risk
07) Training
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07,01) Does the engineer have RF training
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07,02) Does the engineer have roof top training
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07,03) Does the engineer have first aid training
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07,04) Does the engineer have climbing training
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07,05) Does the engineer have rescue training
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07,06) Does the engineer have lifting training
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07,07) Does the engineer have lifeline training
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07,08) Does the engineer have advanced lifting training
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07,09) Does the engineer have NRSWA training
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07,10) Does the engineer have any other training
08) PPE
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08,01) Is engineer in protective footwear
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08,02) Is engineer in possession of hi visibility clothing & is it fit for purpose
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08,03) Is engineer in possession of eye protection
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08,04) Is engineer in possession of first aid kit
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08,05) Is first aid kit to the correct standard
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08,06) Is engineer in possession of gloves
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08,07) Is engineer in possession of hard hat
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08,08) Is engineer in possession of knee pads
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08,09) Is engineer in possession of hear protection
09) Tooling Calibrated
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09,01) BNC crimp tool ( black handle )
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09,02) DVM
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09,03) NorBar
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09,04) RF monitor
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09,05) Spanner SMA
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09,06) T43 MH800 crimper ( red handle )
10) Tooling General
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10,01) Boot lace ferrule crimper 4mm-16mm
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10,02) Boot lace ferrule crimper 25mm-50mm
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10,03) BNC die set outer ferrule / centre pin 3002 cable
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10,04) BNC die set outer ferrule / centre pin Pl PCM ( FTCE )
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10,05) Cable stripper 3002
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10,06) Cable Stripper speedflex
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10,07) Camera
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10,08) Drill large
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10,09) Is drill large within PAT
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10,10) Drill small
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10,11) Is drill small within PAT
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10,12) Earth lug crimper 6mm-70mm
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10,13) FTP access
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10,14) Heat gun
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10,15) Is heat gun within PAT
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10,16) Internet access from site
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10,17) Laptop
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10,18) Is laptop within PAT
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10,19) Step ladder
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10,20) Correct standard & in-test
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10,21) Tarpaulin
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10,22) Work Area Lighting
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10,23) Test phone
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10,24) O2 sim
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10,25) Orange sim
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10,26) T-Mobile sim
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10,27) Three sim
11) Tooling Hand Tools
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11,01) Adjustable spanner large
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11,02) Adjustable spanner small
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11,03) Allan key set ( metric )
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11,04) Cutters flush
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11,05) Cutters side
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11,06) Hacksaw large
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11,07) Hacksaw small
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11,08) Hole cutter 20mm
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11,09) Hole cutter 25mm
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11,10) Hole cutter
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11,11) Hole cutter eltek
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11,12) Pliers
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11,13) Screw driver set insulated
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11,14) Screw driver set torx ( T10-T20-T25-T35 )
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11,15) Security torque bits
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11,16) Socket set 10mm-13mm-17mm-19mm-32mm
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11,17) Spanner insulated 13mm
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11,18) Spanner set 10mm-13mm-17mm-19mm-32mm
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11,19) Spirit level
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11,20) Tape measure
12) Tooling Keys & Access Cards
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12,01) Have "3" keys been issued
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12,02) Have Fire Brigade keys been issued
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12,03) Have O2 keys been issued
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12,04) Have T-mobile keys been issued
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12,05) Have Vodafone keys been issued
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12,06) Have Orange keys been issued
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12,07) Has a BT OBASS card been issued
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12,08) OBASS PIN not visible on card
13) Arqiva Sites
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13,01) Is engineer working on an arqiva site
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13,02) Site type
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13,03) Is permit on site
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13,04) Is permit correct
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13,05) Permit number
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13,06) Is engineer aware of site access details
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13,07) Has engineer met all access details for site
14) NRSWA
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14,01) Is engineer working on a NRSWA site
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14,02) Is there an NRSWA trained engineer on site
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14,03) Is the engineer in possession of a vaild SWQR card
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14,04) Has engineer been issued signs & barriers
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14,05) Have signs & barriers been deployed on site as per NRSWA
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14,06) Are there enough signs & barriers deployed on site
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14,07) Is permit board used with correct permit number displayed
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14,08) Photo of permit board
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14,09) Is there PM / TM / on site
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14,10) Has PM / TM been deployed as per plan
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14,11) Photo of set up & Notes
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14,12) Photo of set up & Notes
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14,13) Photo of set up & Notes
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14,14) Are members of the public controlled
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14,15) Are vehicles parked to NRSWA or high way code
15) At Height
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15,01) Is engineer working at height or gaining access to height
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15,02) Is engineer in possession of correct RAM's
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15,03) Is engineer in possession of climbing kit
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15,04) Has climbing kit been inspected with in the last six months
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15,05) Is engineer in possession of lifting & rescue kit
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15,06) Has lifting & rescue kit been inspected with in the last six months
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15,07) Is the rescue kit on site and ready if needed
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15,08) Is all kit being lifted by 3TO1
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15,09) Does the site require lifelines
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15,10) Are there lifelines on site
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15,11) Has lifeline kit been inspected with in the last six months
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15,12) Does the site require advanced lifting
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15,13) Is there an advanced lifting kit on site
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15,14) Has advanced lifting kit been inspected with in the last six months
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15,15) General @ height comments
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15,16) Photo of set up
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15,17) Photo of set up
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15,18) Photo of set up
Area's That Need Feed Back ( when replying please include reference number)
Where actions are required, timelines for completion will be detailed through by way of a 'CAR' which will be logged within Kelros.
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02) Site Access
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Notes
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03) Engineer
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Notes
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04) Engineer's Vehicle
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Notes
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05) Project Team
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Notes
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06) Documentation
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Notes
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07) Training
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Notes
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08) PPE
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Notes
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09) Tooling Calibrated
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Notes
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10) Tooling General
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Notes
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11) Tooling Hand Tools
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Notes
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12) Tooling Keys & Access Cards
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Notes
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13) Arqiva Sites
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Notes
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14) NRSWA
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Notes
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15) At Height
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Notes
Sign Off
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Engineer comments
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By signing below i agree all of the above is correct
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Sign off by auditor