Title Page

  • Site Name

  • Address

  • Operator Ref

  • Date and Time

  • Company

  • Prepared by

Site Information

  • Any failed responses (highlighted in red) should be rectified on site where possible and detailed in the report. Any items that can not be rectified during the visit should be reported to the Shared Access Maintenance Team whilst on site. Photos and additional information are required for any failed responses.

  • How many antennas are installed? (Refer to As Built drawings for Shrouded monopoles)

  • How many dishes are installed?

  • What are the sizes of the installed dishes?

  • How many operator cabinets are on site? (excluding the EMC)

  • List the Operator cabinets installed on site.

  • Is any other equipment installed on site? (e.g. RRU's, MHA's)

  • Please list any additional equipment (including quantity and location).

  • LP Certificate complete?

  • Date of LP Certificate

  • Did the Lightning Protection pass inspection?

  • Please provide details

  • Fall Arrest Certificate complete?

  • Date of Fall Arrest Certificate

  • Did the Fall Arrest pass inspection?

  • Please provide details

Trees

  • Are there localized trees within the "Fall Zone" of site?

  • Please supply photos of trees around the site and compound

  • What is the approximate height of the trees?

  • What is the distance of the trees from site?

  • Are there any overhanging branches near the site?

  • Are there any signs of damage to the tree trunk or main branches of trees near to the site?

  • Is there any remedial actions required?

PPM Visit Report

  • INSTRUCTIONS

    1. Please answer all questions.
    2. Add photos and notes by clicking on the paperclip icon.
    3. Complete audit by providing digital signature.
    4. Share your report by exporting as PDF.

1 - Site Access

  • Please include pictures of the access route from the road to the site

  • 1.1 Can the site be accessed following the access route shown on the drawings?

  • 1.2 Is there adequate lighting along the access route?

  • 1.3 Is the access route to site clear of obstacles?

  • 1.4 Are there any drainage issues to prevent year round site access?

  • 1.5 Is there adequate vehicle access and safe parking?

  • 1.6 Is this the first PPM visit completed at this site?

  • 1.7 What is the condition of the DNO/REC and fibre route reinstatement?

  • 1.8 General Comments

2 - Site/Compound

  • Please provide pictures of the site/compound

  • 2.1 Is the site fenced?

  • 2.2 Is the padlock on the gate installed?

  • 2.3 Please provide the new padlock code (Note: the Access Team will provide a new code on the day of the visit, please call 01590 670025 if no codes have been provided)

  • 2.4 Are the fence posts secure, stable and in good condition?

  • 2.5 Do the gate pins, bolt & socket allow the gate to operate smoothly?

  • 2.6 Is the fence in good condition?

  • 2.7 Are all barriers/bollards/handrails in good condition?

  • 2.8 Is there any evidence of water ponding on concrete surfaces?

  • 2.9 Is the concrete damaged at any location?

  • 2.10 Is the site free from slips, trips and fall hazards?

  • 2.11 Is the site/compound free from waste, vegetation, vermin/pest infestations?

  • 2.12 Has weed killer been applied where required?

  • 2.13 Is the equipment installed as per the drawings?

  • 2.14 Are covers fitted to cable ladders / trays where cables are likely to be stepped across?

  • 2.15 Are there cable management systems installed and used correctly?

  • 2.16 General comments

3 - Meter Cabinet/Electrical Installation

  • Please provide pictures of the meter cabinet(s)

  • 3.1 Are the doors of the EMC securely lockable with a padlock fitted?

  • 3.2 Please provide the new padlock code (Note: the Access Team will provide a new code on the day of the visit, please call 01590 670025 if no codes have been provided)

  • 3.3 Has Bitumen been applied to foundation of the cabinet?

  • 3.4 Are all ducts foamed and sealed?

  • 3.5 Are there any signs of water ingress?

  • 3.6 Is the DNO/REC equipment in good condition?

  • 3.7 Are all devices in the EMC labelled correctly?

  • 3.8 Are the sub-main supply cables installed with tags at both ends?

  • 3.9 Are the correct breakers installed as per the drawings?

  • 3.10 Is the internal earth bar correctly installed and all connections labelled in a secure & permanent manner?

  • 3.11 Is the generator socket and changeover switch in good condition?

  • 3.12 What is the condition of the distribution board?

  • 3.13 Are the power cable(s) as per the drawings?

  • 3.14 Are all unused cable glands sealed?

  • 3.15 Are the earthing connections to all other cabinets as per the drawings?

  • 3.16 Are all covers fitted securely to all live parts?

  • 3.17 Is the external condition of the enclosure & finish acceptable with no signs of damage?

  • 3.18 General comments

4 - Operator Cabinets

  • Please provide pictures of the cabinets

  • 4.1 Are all cabinet doors & panels secure and locked?

  • 4.2 Are all cabinets the correct type & colour?

  • 4.3 Has Bitumen been applied to the foundation of the cabinets?

  • 4.4 Are all the ducts been foamed and sealed?

  • 4.5 Are there any signs of water ingress?

  • 4.6 Is the external condition of the enclosure & finish acceptable with no signs of damage?

  • 4.7 General comments

5 - Lightning Protection

  • Please provide pictures of the LP installation

  • 5.1 Is the LP installed as per the drawings?

  • 5.2 Is there LP bonding to compound/MUGA fence?

  • 5.3 Is there LP bonding to the structure?

  • 5.4 Are all steelwork items bonded to the LPS?

  • 5.5 Is the LP surface mounted/visible?

  • 5.6 Are all exposed earthing tapes PVC coated?

  • 5.7 Are all earthing tape runs straight?

  • 5.8 Are all changes in direction 90deg with proprietary joints?

  • 5.9 Are earth tapes labelled in earth pits?

  • 5.10 Has denso tape/contact paste been applied to all external LP connections?

  • 5.11 General comments

6 - Structure

  • Please provide pictures of the structure

  • 6.1 Does the galvanising/painted finish appear in good condition?

  • 6.2 Are there any visible signs of damage on the structure?

  • 6.3 Are the access hatches secure?

  • 6.4 Are the holding down bolts visible?

  • 6.5 Is there any damage/corrosion to the HDB?

  • 6.6 Are the HDB secure and tight?

  • 6.7 Has denso been applied on all HDB?

  • 6.8 Are all welds at the base of the structure free from cracks?

  • 6.9 Are all antennas, MHA's, RRU's and combiners correctly secured?

  • 6.10 Are all dish/GPS/CCTV brackets in good working order with no visible signs of corrosion?

  • 6.11 Is the structure designed to be climbable?

  • 6.12 Has the fall arrest system been installed as per the manufacturers recommendations?

  • 6.13 Is the system tagged & in date?

  • 6.14 Is the structure safe to climb?

  • 6.15 Is an anti-climb guard installed with padlock fitted & functional?

  • Please provide the new padlock code (Note: the Access Team will provide a new code on the day of the visit, please call 01590 670025 if no codes have been provided)

  • 6.16 What is the condition of the system / cable?

  • 6.17 Are there floodlights installed on the structure?

  • 6.18 Is the floodlight bracket in good condition?

  • 6.19 Is the bracket installed at the height shown on the drawings?

  • 6.20 General comments

7 - Signage (please include pictures)

  • Please provide pictures of the signage

  • 7.1 Has Shared Access H&S signage been installed on the EMC?

  • 7.2 Has Shared Access H&S signage been installed on the structure?

  • 7.3 Has Shared Access H&S signage been installed on the compound gate?

  • 7.4 Has Shared Access H&S signage been installed on the floodlight switch gear cabinet?

  • 7.5 Is all operator signage installed as per the drawing?

  • 7.6 General comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.