Information
Before starting any new document ensure to refer to previous visits/interactions to identify any outstanding actions that may need to be carried forward. Any progress should be recognised and praised.
-
Engineer Details (**payroll number must be included**)
-
Prepared by
-
Conducted on
EQUIPMENT INSPECTION
EQUIPMENT INSPECTION (All inspections are carried out in accordance with the current HS&S Maintenance Schedules)
TAG COLOUR - GREEN (SEPT/ OCT 2017)
THIS IS A STAND ALONE FORM AND SHOULD NOT BE USED ALONG SIDE ANY OTHER SECTION OF THIS DOCUMENT
Harness/ Cows Tail - These items have a working life (refer to ref guide)
-
Harness
-
Harness Serial no/ Date of manufacture
-
Cows Tail
-
Cows Tail Serial no/ Date
Kernmantle Rope/ Retractable Safety Line - These items have a working life (refer to ref guide)
-
15M Rope
-
15M Rope Serial no/ Date
-
10M Rope
-
10M Serial no/ Date
-
5M Rope
-
5M Serial no/ Date
-
Rope Grab
Continuous Loop Webbing Sling Life - These items have a working life (refer to ref guide)
-
Continuous Loop Webbing Sling
-
Continuous Loop Webbing Sling Dates
-
Adjustable (ratchet) Webbing Strap
-
10M Strap with Ratchet
-
Karabiners
Chimney Strop Life - These items have a working life (refer to ref guide)
-
Chimney Strop
-
Chimney Strop Serial no/ Date
Soft Sling Life - These items have a working life (refer to ref guide)
-
Soft Slings (part of chimney kit)
-
Soft Slings Dates
-
Microlite
-
Ladder Mate
-
Ladder Spike
-
Gravel Bag
-
Cones X2
-
Crawl Boards X2
-
10mm Eyebolts
-
20mm Eyebolt
Hard Hat - This item have a working life (refer to ref guide)
-
Hard Hat
-
Hard Hat Date/ Serial no
-
Ladders
-
Step Ladder/ Combi Ladder
-
CAT Ladder
-
Ear Protection
-
Ear Protection Type
-
Eye Protection
-
Eye Protection Type
-
Draper Floodlight (Ground mounted)
-
Draper Floodlight (Tripod mounted)
-
Peli Floodlight
-
Knee Pads
-
Manual Handling Gloves
-
Hi-Viz Vest
-
Dust Masks
-
Boots
-
Drill Harness
-
Bosch Detector
-
First Aid Kit Expiry Date
-
Portable Appliance Testing (PAT) Date
-
SPECIALIST ENGINEER
DAT/ SAT Only
-
50M Rope
-
50M Rope Serial no/ Date
-
Rocker
-
Rocker Serial no
-
Safety Ascender/Descender Device
-
30M x 7mm Static ACC. Cord
-
Axel Belay Device
-
Wire Rope Slings
-
Wire Rope Slings Serial nos
-
Delta Mailon
-
Rope Protecters
-
Pulley Blocks (fixed sheave)
-
RGH16 Harness (life same as DTH)
-
RGH16 Serial no/ Date
-
Silverstar Helmet
-
Silverstar Helmet Serial no/ Date
-
8 Rung Extension Ladder
-
Ladder Clamp
-
Conservatory Bearer Bar X2
-
CAMP 30ltr Kit Bag
-
NOTE - If any items are found to be defective they are to be isolated and replaced as soon as possible.
ENGINEER DECLARATION: I confirm that by signing below the listed equipment has been issued to and is used by me. That no other equipment is used without authorisation, and a full inspection has been carried out by the HS&S - PPE & Equipment Examiner. I also confirm that I have carried out the vehicle checks in accordance with the Fleet directives.
Please ensure to upload a copy of this Equipment Inspection to the relevant team folder on the designated Office365 site
-
TM
-
ENGINEER
