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
Site Visit Questions (Answer all Questions)
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Job No:
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Project Title:
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ESB Supervisor
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ESB Design Drawing
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ESB PO Work Instruction (If Available)
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Who is noted as PSCS for these works?
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Type of ESB Works Involved
- T&D
- ERW FAULT WORKS
- High Voltage
- Reinstating
- Joint bay works
- Site investigation and trial holes
- Cable Pulling
- Mini Pillar Works
- Sub Unit Repair/ Replace/ Remedial
- Other
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Visit Date:
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Site Location:
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Site Size (Approx.):
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Programme for works - Steps for works and how long works are estimated
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Do you have service drawings available?
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Is there any High Volatge ESB
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Is there any High Pressure Gas
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Do we need to notify relevant bodies for Supervison prior to works commencing?
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Traffic Management required?
- Yes
- No
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Is there an ESB Design/PO/Work Instruction on site
- Yes
- No
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Upload supporting documents of Design/PO
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Do we need to liase with Public and business in area and is there a letter drop required?
- Yes
- No
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Type of Traffic Management required?
- Road Narrows
- Stop and Go
- Contra Flow
- TLSO
- Other
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Traffic lights in or near the work Zone?
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Do we need to request a TLSO?
- Yes
- No
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Is there an area for work vehicle parking
- Yes
- No
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Do we need to notify Councils for paking spaces?
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If spaces taking up how many spaces needed?
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Pre work Site visit checklist Photos
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Do you notice any particular defects in work area? Take pictures of these
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3 - Step process To be completed
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List other tasks:
Risks Indentified on site
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Additional Comments?
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Identify Possible Emergency Procedure Requirements: (Near River/O/H Lines/Heavy Traffic)
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Is there any Enviromental apspects that may be impacted when working in this location? eg Close to Waterways?
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Do You Notice Any Particular Risks/Hazards:(Main risks in the area)?
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Are there any Hospitals, Schools, Colleges, Churches in Direct proximity to Work Zone etc?
- Yes
- No
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Photos of Risks identified
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Overheads in area if so what type?
- ESB
- TELECOMS
- Stay wires
- Trees/Branches
- Other
- N/A
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Type of spoil to be Removed
- Concrete
- Soil
- Spoil
- Tar
- Other
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Will any Spoil removed contain contaminate?
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Confined Space Required?
- Yes
- No
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Will works take place directly under Overheads?
- Yes
- No
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Suggested overhead contols.
- Goalposts
- Signage
- Shroud
- Switch Out
- Machine Liniter
- Other
- N/A
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Picture of Overheads
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Height at which the overheads are measured?
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Identify Services/Stakeholders on Site:(Scars of roadway/Stopcocks in footpath/Gas Meters on houses?)
- ESB
- GNI
- IW
- EIR
- Virgin
- BT
- Other
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Do you expect the excavation to exceed expected depths during Works?
- Yes
- No
- TBC
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Welfare Unit Required?
- Yes
- No
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Do any other external agencies require notification? (e.g Dublin Bus, Traffic News, AA . Luas, Irish Rail, etc)
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Identify Plant & Machinery Suitable for this Site/Access/Type of works (Ensure Certified Plant)
- 5T excavator
- 3T Excavator
- Cat
- Genny
- Van
- Hotbox
- Pick up
- Grab
- Cable Carrier
- Winch
- Compressor
- Whacker Plate
- Jumping Jack
- Consaw
- Roadsaw
- Drill
- Power Pack
- Skill saw
- Generator
- Pump
- Dumper
- Ladder
- Other
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Identify Any Skills or Training Relevant to the Site or Project:
- First Aid
- Manual Handling
- CSCS 360 Excavator
- CSCS Dumper
- Abrasive Wheels
- Lugs
- SLG
- First Aid
- ESB Induction
- Covid 19 Induction
- Covid 19 Compliance Officer
- GPR
- Other
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Completed By:
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Name (Printed):
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Signature: