Information
-
Document No.
-
Survey carried out at
-
Client
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Add location
-
Select date
-
Preliminary start date
-
Location of works.
-
Location of associated MCP. Distance to work face.
-
Is the access to the plant area clear from obstructions ?
-
What i/o are available ?
-
Is a new controller required ?
-
What are the loadings of any new electrical plant that are being installed ?
-
What loose kit will be required ?
-
Are the works to be completed out of normal working hours ?
- YES
- NO
-
Will extra cover be required whilst the works are completed ?
- YES
- NO
-
Are there any working/noise restrictions ?
-
Who is the principal contractor ?
-
Is asbestos present on-site ?
- YES
- NO
-
Have any specific risks or hazards been identified ? List below.
-
Photo of
-
Add media
-
Photo of
-
Add media
-
Photo of
-
Add media
-
Photo of
-
Add media
-
Sketch of
-
Add drawing
-
Other relevant information.
-
Add signature
