H107 Assesment

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre-work checks and inspections

• Photographic evidence of identity.

  Media

• Did the candidate complete a risk assessment prior commencing work?

  Yes

  No

  N/A

• Did the candidate select the correct PPE and confirm its condition was suitable for use?

  Yes

  No

  N/A

• Did the candidate check HV gloves and perform an inflation test before use as stated in COP 684?

  Yes

  No

  N/A

• Did the candidate select correct test equipment/indicators for the task?

  Yes

  No

  N/A

• Did the candidate select correct tools for the task?

  Yes

  No

  N/A

Climbing

• Did the candidate perform pre checks before climbing the structure?

  Yes

  No

  N/A

• Did the candidate wear a 4 point safety helmet?

  Yes

  No

  N/A

• Photographic evidence

  Media

• Did the candidate use pole choker belt?

  Yes

  No

  N/A

• Did the candidate check for damaged insulators before climbing over 3.7m?

  Yes

  No

  N/A

• Did the candidate maintain the safety distance?

  Yes

  No

  N/A

• Did the candidate attach fall arrest device once in position?

  Yes

  No

  N/A

• Were all tools/equipment taken up with the candidate or raised with the use of a sash line?

  Yes

  No

  N/A

• Did the candidate correctly use the fall arrest device?

  Yes

  No

  N/A

• Photo of non compliance.

  Media

Application of CME's.

• Did the candidate check test equipment was working and in good order before use?

  Yes

  No

  N/A

• Did the candidate wear HV gloves whilst within the safety distance?

  Yes

  No

  N/A

• Did the candidate test steelwork and all conductors?

  Yes

  No

  N/A

• Did the candidate re-prove test equipment/indicators after testing the conductors?

  Yes

  No

  N/A

• Did the candidate apply CME's whilst wearing HV gloves?

  Yes

  No

  N/A

• Were the CME's applied on the parking bar?

  Yes

  No

  N/A

• Caution notice applied?

  Yes

  No

  N/A

• Did the candidate correctly use the fall arrest device?

  Yes

  No

  N/A

• Photo of non compliance

  Media

Removal of Tension Insulator.

• Did the candidate select the correct tools/equipment for the assessment?

  Yes

  No

  N/A

• Did the candidate correctly attach tensioning equipment?

  Yes

  No

  N/A

• Did the candidate correctly replace tension insulator?

  Yes

  No

  N/A

• Did the candidate lower tensioning equipment safely?

  Yes

  No

  N/A

• Did the candidate correctly use the fall arrest device?

  Yes

  No

  N/A

• Photo of non compliance

  Media

Removal of CME's

• Did the candidate position the self outside the safety distance?

  Yes

  No

  N/A

• Did the candidate wear HV gloves?

  Yes

  No

  N/A

• Did the candidate correctly remove CME's and apply them onto parking bar?

  Yes

  No

  N/A

• Did the candidate safely lower the CME's?

  Yes

  No

  N/A

• Did the candidate correctly use the fall arrest device?

  Yes

  No

  N/A

• Photo of non compliance.

  Media

Audit completion

• Auditors signature

  Sign

• Auditors comments

• Candidate signature

  Sign

• Candidates comments