Information
-
Technicians Names
-
Crew?
-
Address
-
Date
-
Prepared by
-
Photo of the property
-
Crew Number
-
Job number
-
System Card
-
Proof of batch number
HEALTH & SAFETY
-
On site arrival Health & Safety observation
-
All PPE being worn correctly?
-
Has dynamic risk assessment been completed?
Pre & Post installation checks
-
Survey form satisfactory
-
Customer contact
-
Are external walls in good condition
-
Is roof in good condition
-
Where is ventilation coming from
- Under floor
- Trickle
- Expelair
- Room
-
Has Pre & post checks been carried out
-
Has flue safety checks been carried out
-
Has loft area been checked
-
Measure
- Cavity
- Extraction
- Loft
HEALTH & SAFETY EQUIPMENT CHECK
Ladders
-
Triple Ladder Observation & ID Number
-
Double Ladder observation & ID Number
-
Step Ladder Observation & ID Number
-
Ladder Eye Bolt Observation
-
Ladder Strap observation
-
Ladder Yoke Observation
-
Ladder mats general observation & ID Number
-
Stand off general observation & ID Number
-
Transformer observation
-
110 drill lead observation
-
SDS drill/s observation & ID Number
-
Core Drill observation & ID Number
-
Extension lead observation
-
Lead light/torch observation
-
Hand tools observation
-
All Electrical Equipment PAT Tested
-
Date PAT Tested
-
Renewal Date for PAT Testing
Harness Restraint/s
-
No.1 Harness observation & ID Number
-
Cow's tail Observation & ID Number
-
Drill Bandolier observation & ID Number
-
No.2 Harness Observation & ID Number
-
Cow's tail Observation & ID Number
-
Drill Bandolier observation & ID Number
-
No.3 Harness Observation & ID Number
-
Cow's tail Observation & ID Number
-
Drill Bandolier observation & ID Number
-
Picture of all crew members wearing full PPE
-
Picture of all Crew members using of restraint system
Cavity Wall Insulation
-
Drill pattern correct
-
Blowing sequence correct
-
Cavity barrier been fitted
-
Has Combustion vent been fitted
-
Ventilation sleeved/clear
-
Has Lance been used
-
Making good
-
Has flue cert been fitted in the loft
-
Site organisation/cleanliness
-
Does crew leader understand the failed smoke test procedure?
Installation System
-
Air pressure reading
-
Pressure Vessel reading ?
-
Condition of control board
-
Condition of guns & 1m clear pipe
-
Are there 'TWO' full sets of jets present?
-
Spray jets clean and in good order?
-
Condition of hoses
-
Condition of test kit
-
45 m flow rates glue/grams?
-
30 m flow rates glue/grams?
-
Condition of Lance equipment
Extraction Process
-
Material Extracted
- White wool
- Yellow wool
- White Bead
- Carbon Bead
- Diamond Bead
- Foam
-
Identify Drill pattern
-
Blowing technique
-
Has directional nozzle been used
-
Has whip been used
-
Has extraction lanced been used
-
Have extraction holes been plugged
-
Boroscope inspection
-
Photo of clear cavity?
Extraction Equipment
-
Extraction fan in a safe working condition
-
Extraction bin/pipe observation
-
Contractor hose condition
-
Directional nozzle/whip fittings condition
-
Boroscope observation/working condition
Machinary
Generator
-
Make/Model
-
Oil levels
-
Safe working condition
Compressor
-
Make/model
-
Serial Number
-
Hours worked (under key fob)
-
Pressure setting
-
Oil levels
-
Safe working condition
Loft Installation
-
Is all PPE being used correctly ?
-
Are works at height be carried out safely
-
Are dust sheets being used
-
Has recessed lights/power cables been identified before install & left clear of installation
-
Have all eaves and wedges been fitted
-
Has the material been installed adequately
-
Have all pipes and tanks been insulated correctly
-
Has loft hatch and DP been fitted
-
Has warning labels and loft certain been stapled in loft area
Vehicle inspection
-
Vehicle Registration
-
Mileage
-
Any dash lights illuminated indicating maintenance required
-
Cab cleanliness and organisation
-
Compartments & storage areas organisation
-
EH&S content observation
-
First aid kit content observation
-
Fire extinguisher observation
-
Are all lights in a working order
-
Are light lenses and mirrors in a good working condition
-
Fluid levels checked and ok
-
Are tyre treads road legal
-
Tyre pressure ok (visual)
-
Is the exterior of the vehicle clean
-
Is there damage
-
Photo of 4 sides of vehicle/ cab and working area
Variations notice issued notes and photos
-
Final comments
-
Photo's
-
Crew leader Name & Signature
-
Crew Assistant No2 Name & Signature
-
Crew Assistant No3 Name & Signature
Inspectors name/signature of acknowledgement of responsibility to input accurate and true information, to clarify full compliance in line with the Evolve/PAS2030 specification and requirements.
-
Inspectors Name and Signature
