Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Engineer on Site
Information
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CAT1 – Activity with serious H&S implications which should not continue without corrective measures in place. – Stop works until resolved.
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CAT3 – Activity with significant H&S implications where corrective measures can be taken – non-affected works may continue.
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CAT5 – Minor H&S indiscretions, where the effect on safety is minimal, but where action is still required to resolve.
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CAT10 – Measures which the contractor has taken to improve H&S beyond what could reasonably be expected.
DICI
Personal Certification - Validity
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Manual Handling
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Electrical Safety
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NRWSA
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Driver Awareness
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RF Awareness
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Asbestos Awareness
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First Aid
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PICW - Eminencetel Engineers only
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Tower Rescue Expiry
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Rooftop Expiry Date
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Rigging and Lifting Training
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First Aid at Height
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WAH Medical
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Is work at height medical certificate validity appropriate to the age group?
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CAT Scoring
EQUIPMENT CERTIFICATION
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Is there electrical equipment in use on site?
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Has Electrical Equipment been PAT Tested (Within the last 6 Months)
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CAT Scoring
HEALTH & SAFETY MANAGEMENT
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Is the PICW carrying out his duties adequately?
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Is a site specific health & safety plan available?
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Have all attendees been inducted on to the site and signed the register (including auditors)?
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Are the contractor RAMS available and is there written confirmation that they have been reviewed and amended as necessary (Dynamic/Point of Work Risk Assessment)?
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Are contractors RAMS relevant to the works being performed?
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Electrical – Is a safe Isolation procedure documented? Can safe isolation also be demonstrated?
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Are residual risks NOTED and controlled including public access?
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Has the asbestos register been checked?
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Does asbestos affect the works and is it sufficiently covered by the RAMS?
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Is PPE worn and appropriate?
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Are welfare facilities identified, provided & adequate?
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Are A&E hospital details written down and correct?
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Can Supervisors/Team Leaders demonstrate HSE competence?
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CAT Scoring
EMPLOYEES SAFETY AWARENESS
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Verbal understanding of first aid arrangements?
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Verbal understanding of emergency procedures? – is there an evacuation signal/alarm? Is the Muster point confirmed?
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Verbal understanding of accident reporting?
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Verbal understanding of radio frequency hazards?
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CAT Scoring
TOOLS & EQUIPMENT
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Are there RF Monitors on site?
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Serial No & Calibration Date valid
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Is there a First Aid kit on site / close to works?
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Are the contents full?
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Are the contents in date?
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Is there Eye Wash present?
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Are all ladders, steps, in use on-site?
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Are they in good condition?
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Are tagged & in date
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Has it been inspected (Record date)
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Cat Scoring
Worksite
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Is there safe access, egress to site? Is it unobstructed?
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Is housekeeping good? (Is it a tidy site?)
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Is there a first aider on site?
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Are there Site Rules Displayed?
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Cat Scoring
OTHER HAZARDS / ISSUES / CONCERNS.
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Is there excessive noise being generated on site?
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Are design drawings present and correct?
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Are COSHH substances in use?
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Are there Excavation works on site?
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Are vibrations being managed properly?
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Are ladders being used correctly?
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Has the risk from overhead cables been assessed?
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Are there any Hot Works in use on site?
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Are there any Abrasive Wheels in use on site?
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Is there an RF Issue on site?
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Cat Scoring
ENVIRONMENTAL PROTECTION
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Are Environmental risks assessed and understood?
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Are assessments relevant to site?
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Is there any protected wildlife present on site? (i.e. Badgers/Bats/Great crested newts/Adders/Nesting birds?
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Are there any Invasive Plants identified within seven meters of the site? (i.e. Giant Hogweed, Himalayan Balsam, Japanese knotweed)
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Is Waste being generated on site?
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Is waste managed - recyclable materials segregated?
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Do carriers have a Waste Carriers Licence?
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Are there waste transfer notes?
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Are there diesel generators in use on site?
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CAT scoring
Additional comments
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Comments
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Cat Scoring