Information

  • Engineers Name

  • Engineers Email Address

  • Site CSR

  • Document No.

  • Conducted on

  • Prepared by

  • Location

01) Site Project Details

  • 01,01) Project

  • 01,02) Activity

  • 01,03) Project Manager

  • 01,04) Scheduler

  • 01,05) Project Engineer

02) Site Access

  • 02,01) Has engineer booked on to site via MAXIM

  • 02,02) MAXIM text seen

  • 02,03) Has engineer booked on with lock down team

  • 02,04) Reference number

  • 02,05) Is the on site activity going to be completed

  • 02,06) Site type

  • 02,07) Access type

  • 02,08) Distance in metres

  • 02,09) Access type

  • 02,10) Distance in metres

  • 02,11) Access type

  • 02,12) Distance in metres

  • 02,13) If ladders are on site are they fit for purpose

  • 02,14) General photo of site

03) Engineer

  • 03,01) Is the engineer in possession of a company photo id

  • 03,02) Is the engineer in company image wear

  • 03,03) What role is engineer carrying out

  • 03,04) What level of PTID is needed for the activity being carried out

  • 03,05) What level of PTID does the engineer Hold

  • 03,06) Does the engineer have the correct training to access site

  • 03,07) Is engineer using a RF monitor

  • 03,08) Is engineer aware on how to report an accident, incident or near miss

  • 03,09) Is engineer demonstrating good house keeping

04) Engineer's Vehicle

  • 04,01) Is the Engineers vehicle fit for purpose

  • 04,02) Type of vehicle

  • 04,03) Is vehicle issued with beacons

  • 04,04) Is vehicle fitted with a fire extinguisher

  • 04,05) Is fire extinguisher in a good serviceable order

  • 04,06) Is vehicle fitted with a spill kit & battery PPE

  • 04,07) Is engineers vehicle clean

  • 04,08) Is the vehicle in good order, no damage

  • 04,09) Area of damage & Photo 1

  • 04,10) Area of damage & Photo 2

  • 04,11) Area of damage & Photo 3

  • 04,12) Can all equipment be stored out of sight and in a safe manner

05) Project Team

  • 05,01) Has the project team identified all specialist access & training needs

  • 05,02) Is there the correct amount of engineers on site<br>to carry out the on site activity in a safe manner

  • 05,03) Has site survey been uploaded to FTP server

  • 05,04) Have PM / TM plans been uploaded to FTP server

06) Documentation

  • 06,01) Is engineer in possession of the health & safety manual R15

  • 06,02) Is engineer in possession of hazardous waste consignment note R2

  • 06,03) Is engineer in possession of accident / incident report form R1

  • 06,04) Is engineer in possession of driver handbook R4

  • 06,05) Is the engineer in possession of site survey

  • 06,06) Is the engineer in possession of relevant work instructions

  • 06,07) Is engineer in possession of correct version of the project schedule

  • 06,08) Is engineer aware of control of records process

  • 06,09) Is engineer removing all other versions of project schedules

  • 06,10) Is engineer in possession of all correct QHSE documentation

  • 06,11) Is engineer in using the correct version of generic risk & method statements

  • 06,12) What version of the generic risk & method statement is in use

  • 06,13) Have all engineers on site read, understood and signed in to risk & method statements

  • 06,14) Have the risk & method statements been updated and saved to laptop

  • 06,15) Have all the risks been identified and controlled

  • 06,16) Has the MBNL Site Works Checklist been filled in & correct (hard copy)

  • 06,17) Does the engineer know the deference between a Hazard & Risk

07) Training

  • 07,01) Does the engineer have RF training

  • 07,02) Does the engineer have roof top training

  • 07,03) Does the engineer have first aid training

  • 07,04) Does the engineer have climbing training

  • 07,05) Does the engineer have rescue training

  • 07,06) Does the engineer have lifting training

  • 07,07) Does the engineer have lifeline training

  • 07,08) Does the engineer have advanced lifting training

  • 07,09) Does the engineer have NRSWA training

  • 07,10) Does the engineer have any other training

08) PPE

  • 08,01) Is engineer in protective footwear

  • 08,02) Is engineer in possession of hi visibility clothing & is it fit for purpose

  • 08,03) Is engineer in possession of eye protection

  • 08,04) Is engineer in possession of first aid kit

  • 08,05) Is first aid kit to the correct standard

  • 08,06) Is engineer in possession of gloves

  • 08,07) Is engineer in possession of hard hat

  • 08,08) Is engineer in possession of knee pads

  • 08,09) Is engineer in possession of hear protection

09) Tooling Calibrated

  • 09,01) BNC crimp tool ( black handle )

  • 09,02) DVM

  • 09,03) NorBar

  • 09,04) RF monitor

  • 09,05) Spanner SMA

  • 09,06) T43 MH800 crimper ( red handle )

10) Tooling General

  • 10,01) Boot lace ferrule crimper 4mm-16mm

  • 10,02) Boot lace ferrule crimper 25mm-50mm

  • 10,03) BNC die set outer ferrule / centre pin 3002 cable

  • 10,04) BNC die set outer ferrule / centre pin Pl PCM ( FTCE )

  • 10,05) Cable stripper 3002

  • 10,06) Cable Stripper speedflex

  • 10,07) Camera

  • 10,08) Drill large

  • 10,09) Is drill large within PAT

  • 10,10) Drill small

  • 10,11) Is drill small within PAT

  • 10,12) Earth lug crimper 6mm-70mm

  • 10,13) FTP access

  • 10,14) Heat gun

  • 10,15) Is heat gun within PAT

  • 10,16) Internet access from site

  • 10,17) Laptop

  • 10,18) Is laptop within PAT

  • 10,19) Step ladder

  • 10,20) Correct standard & in-test

  • 10,21) Tarpaulin

  • 10,22) Work Area Lighting

  • 10,23) Test phone

  • 10,24) O2 sim

  • 10,25) Orange sim

  • 10,26) T-Mobile sim

  • 10,27) Three sim

11) Tooling Hand Tools

  • 11,01) Adjustable spanner large

  • 11,02) Adjustable spanner small

  • 11,03) Allan key set ( metric )

  • 11,04) Cutters flush

  • 11,05) Cutters side

  • 11,06) Hacksaw large

  • 11,07) Hacksaw small

  • 11,08) Hole cutter 20mm

  • 11,09) Hole cutter 25mm

  • 11,10) Hole cutter

  • 11,11) Hole cutter eltek

  • 11,12) Pliers

  • 11,13) Screw driver set insulated

  • 11,14) Screw driver set torx ( T10-T20-T25-T35 )

  • 11,15) Security torque bits

  • 11,16) Socket set 10mm-13mm-17mm-19mm-32mm

  • 11,17) Spanner insulated 13mm

  • 11,18) Spanner set 10mm-13mm-17mm-19mm-32mm

  • 11,19) Spirit level

  • 11,20) Tape measure

12) Tooling Keys & Access Cards

  • 12,01) Have "3" keys been issued

  • 12,02) Have Fire Brigade keys been issued

  • 12,03) Have O2 keys been issued

  • 12,04) Have T-mobile keys been issued

  • 12,05) Have Vodafone keys been issued

  • 12,06) Have Orange keys been issued

  • 12,07) Has a BT OBASS card been issued

  • 12,08) OBASS PIN not visible on card

13) Arqiva Sites

  • 13,01) Is engineer working on an arqiva site

  • 13,02) Site type

  • 13,03) Is permit on site

  • 13,04) Is permit correct

  • 13,05) Permit number

  • 13,06) Is engineer aware of site access details

  • 13,07) Has engineer met all access details for site

14) NRSWA

  • 14,01) Is engineer working on a NRSWA site

  • 14,02) Is there an NRSWA trained engineer on site

  • 14,03) Is the engineer in possession of a vaild SWQR card

  • 14,04) Has engineer been issued signs & barriers

  • 14,05) Have signs & barriers been deployed on site as per NRSWA

  • 14,06) Are there enough signs & barriers deployed on site

  • 14,07) Is permit board used with correct permit number displayed

  • 14,08) Photo of permit board

  • 14,09) Is there PM / TM / on site

  • 14,10) Has PM / TM been deployed as per plan

  • 14,11) Photo of set up & Notes

  • 14,12) Photo of set up & Notes

  • 14,13) Photo of set up & Notes

  • 14,14) Are members of the public controlled

  • 14,15) Are vehicles parked to NRSWA or high way code

15) At Height

  • 15,01) Is engineer working at height or gaining access to height

  • 15,02) Is engineer in possession of correct RAM's

  • 15,03) Is engineer in possession of climbing kit

  • 15,04) Has climbing kit been inspected with in the last six months

  • 15,05) Is engineer in possession of lifting & rescue kit

  • 15,06) Has lifting & rescue kit been inspected with in the last six months

  • 15,07) Is the rescue kit on site and ready if needed

  • 15,08) Is all kit being lifted by 3TO1

  • 15,09) Does the site require lifelines

  • 15,10) Are there lifelines on site

  • 15,11) Has lifeline kit been inspected with in the last six months

  • 15,12) Does the site require advanced lifting

  • 15,13) Is there an advanced lifting kit on site

  • 15,14) Has advanced lifting kit been inspected with in the last six months

  • 15,15) General @ height comments

  • 15,16) Photo of set up

  • 15,17) Photo of set up

  • 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.

  • 02) Site Access

  • Notes

  • 03) Engineer

  • Notes

  • 04) Engineer's Vehicle

  • Notes

  • 05) Project Team

  • Notes

  • 06) Documentation

  • Notes

  • 07) Training

  • Notes

  • 08) PPE

  • Notes

  • 09) Tooling Calibrated

  • Notes

  • 10) Tooling General

  • Notes

  • 11) Tooling Hand Tools

  • Notes

  • 12) Tooling Keys & Access Cards

  • Notes

  • 13) Arqiva Sites

  • Notes

  • 14) NRSWA

  • Notes

  • 15) At Height

  • Notes

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  • Engineer comments

  • By signing below i agree all of the above is correct

  • Sign off by auditor

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