Information
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LCL Number
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Job / Project Number
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Client Job/Project Title
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Location
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Conducted on
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Team Names
Vehicle and Winch
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Is Vehicle; Secure / ignition keys removed / parked safely?
- YES
- NO
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Is the Site specific risk Assessment for the location sufficient and all team members aware of requirements?
- YES
- NO
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Are all Training Certificates for the team available and appropriate.
- YES
- NO
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Do all team members have DNO identification?
- YES
- NO
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Is the winch positioned correctly and fenced off?
- YES
- NO
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Is a suitable spill kit available?
- YES
- NO
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Does the winch operator know the correct pulling tension for the cable being installed?
- YES
- NO
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Are cable pulling tensions available on site?
- YES
- NO
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Is a spill tray in use under the winch?
- YES
- NO
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is the winch in calibration?
- YES
- NO
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Is the cable pulling stocking attached correctly?
- YES
- NO
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Is the swivel attached?
- YES
- NO
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Take photograph
Cable Trench
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Is there safe access and egress for the public?
- YES
- NO
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Take Photograph of trench?
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Is there safe access and egress for site staff?
- YES
- NO
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Is the cable trench sanded?
- YES
- NO
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Take Photograph of trench?
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Is the cable trench excavated to the correct depth?
- YES
- NO
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Is the trench free of debris and stones?
- YES
- NO
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Are cable rollers being used?
- YES
- NO
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Are cable rollers spaced correctly?
- YES
- NO
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Take photograph
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Take photograph
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Take photograph
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Are bell mouths being used and installed correctly?
- YES
- NO
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Take photograph.
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is there communication between the winch operator and other members of staff?
- YES
- NO
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Is the general house keeping on site satisfactory?
- YES
- NO
Signature
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Please sign.
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Any Comments:
