Dynamic Overhead Safety Live Audit - SA001

• Site conducted

• Engineer Name

• Prepared by

• Location
  Address

• Date

  Date

General

• Is the site risk assessment correct? All major hazards identified and risk controlled appropriately

  No

  Yes

• Is all required equipment fit for the task

  No

  Yes

• Has the engineer got the correct accreditations (NRWSA, SA001)?

  No

  Yes

PPE & Harness

• Is PPE being worn correctly and appropriate for the works being conducted?

  No

  Yes

• Is the harness, belt and lanyard free of cuts or other damage?<br>

  No

  Yes

Ladder

• Is ladder inspected prior to use

  No

  Yes

• is ladder safe to use

  No

  Yes

• Have drop wire minimum height checks been completed?

  No

  Yes

SLG

• Has consideration been given to passing MOPs and vehicles and an adequate exclusion/drop zone been put in place?

  No

  Yes

• Has consideration been given to current and potential weather conditions?

  No

  Yes

Bringing Tools and Equipment to Work Area

• Are tools and equipment secured to prevent drops?

  No

  Yes

Pre Climb Checks

• Person being checked demonstrates an ability to be able to check all items of the safety belt?All elements of safety belt are fit for use?<br>

  No

  Yes

• Pole has been inspected and tested before climbing and pole climb Label attached

  No

  Yes

• Is there any sign of damage to the pole? (Damage caused by hedge trimming, vehicle damage, Vandalism etc.)

  No

  Yes

• Is the pole in date to climb?

  No

  Yes

• Can at least three quarters of the circumference of the pole be seen and tested?

  No

  Yes

• Is there a D, SC, SD, H or Z tag?

  Yes

  No

  N/A

• D = Defective (Decay) DO NOT CLIMB
  SC= Shallow climbable SD= Shallow depth (THESE POLES SHOULD NOT BE CLIMBED)
  H + Z = Hazard near the pole, if an engineer can safely position their ladder in such a way to reduce the hazard then the pole can be climbed.

Climbing/Descending

• Are the Pole steps checked; feet engaged on steps correctly?

  No

  Yes

• Is the Correct method of climbing pole using safety belt 11 used?

  No

  Yes

• Are Work position belt correctly fastened to harness?

  No

  Yes

• Is Lanyard correctly positioned and locked off?

  No

  Yes

• Is Correct method for turning at pole top

  Yes

  No

  N/A

• Is Work position belt correctly fastened to harness? Lanyard correctly positioned and locked off?

  No

  Yes

Good Practice & Sign Off

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

• Sign Off

  Sign

• Auditor Signature

  Sign