HCS 004 Sub-contractor Customer / Damage Complaint

• Hills Connection Solutions Customer / Damage Complaint V.4
  http://connection-solutions.hills.com.au

• Conducted on

  Date

• Prepared by

• Document No.

• HCS Expectations:
  
  It is a WHS requirement that a Risk Assessment is completed for every task, this is done before a job is started.
  This will be separate to any site specific inductions that may be required.
  The subcontractor will complete the audit in full and all evidence that is collected such as photos and comments made by customers will be documented.
  

Inspectors Risk Assessment

• Hazards

  Select Working at Height Working from Ladder Working Enclosed space Working in Public Bad weather conditions Hazardous Materials Working from EWP

  • Working at Height
  • Working from Ladder
  • Working Enclosed space
  • Working in Public
  • Bad weather conditions
  • Hazardous Materials
  • Working from EWP

• Controls

  Select Ladder Secured Harness Secured Anchor point Used Safety rope used Safety Barrier Used Exclusion Zone Created PPE used

  • Ladder Secured
  • Harness Secured
  • Anchor point Used
  • Safety rope used
  • Safety Barrier Used
  • Exclusion Zone Created
  • PPE used

• Residual Risk Level

  Low

  Medium

  High

  Extreme

• Add signature

  Sign

Customer Details

• Complainants Name:

• Contact Number:

• Email Address:

• Job Type

  Install

  Assurance Call

  PreQual

• Inspection Date

  Date

• Contractors Name & ID:

• Add location
  Address

Damage / Customer Complaint:

• Damage / Customer Complaint Description

  Select Patch Lead Drip Loop ODU Location IDU Location Incorrect Mount RJ45 Connector Cable Damage

  • Patch Lead
  • Drip Loop
  • ODU Location
  • IDU Location
  • Incorrect Mount
  • RJ45 Connector
  • Cable Damage

• Was the Damage / Complaint caused by the Installation?

  Yes

  No

• How was the Damage / Complaint caused?

• What caused the Damage / Complaint?

• What is the extent of the Damage / Complaint?

  Water Damage

  Property Damage

  Contents Damage

  Equipment Damage

• Location where Damage / Complaint has occurred?

  Select Roof Damage Internal Damage External Damage

  • Roof Damage
  • Internal Damage
  • External Damage

• Will an Insurance Claim be made?

  Yes

  No

• Provide Photos of the Damage / Complaint (Mandatory)

  Media

General Safety

• Was a Risk Assessment carried out before the subcontractor started the job?

  Yes

  No

• Why was a Risk Assessment not carried out?

• Is the SWMS reflected in the work practice and does the subcontractor have all necessary PPE to complete the job safely?

  Yes

  No

• You must stop the job until you have the correct PPE and either downloaded a copy of the SWMS to your tablet or have a hard copy in your vehicle.

• Were all safety procedures followed?

  Yes

  No

• Explain why some safety procedures were not followed?

Height Safety

• Did the subcontractor access the roof and wear a Harness?

  Yes

  No

• List the PPE used with the Harness.

  Select Ladder Secured Harness Secured Anchor point Used Safety rope used Safety Barrier Used Exclusion Zone Created PPE used

  • Ladder Secured
  • Harness Secured
  • Anchor point Used
  • Safety rope used
  • Safety Barrier Used
  • Exclusion Zone Created
  • PPE used

• Is the Harness in good condition & has the Harness been inspected in the last 6 months?

  Good

  Fair

  Poor

• Advise the subcontractor to have their Harness inspected

• Photo of Anchor point (Mandatory)

  Media

• Were tools & materials secured while on roof?

  Yes

  No

• Were the correct tools used for the task?

  Yes

  No

• Explain why a Harness was not used, this is an WHS breach if the subcontractor was working at height without Fall Restraint

  Worked from the Ladder

  Worked from an EWP

  Worked from a Platform

  Roof has a permanent Safety Barrier

  Did not access the roof

Ladder Safety

• Was a Ladder used on the Inspection?

  Yes

  N/A

• Is the ladder in good condition?

  Yes

  No

• Advise the subcontractor to have their Ladder replaced

• Was the ladder appropriate for the task?

  Yes

  No

• Did the subcontractor have 3 points of contact while using the ladder

  Yes

  No

• Was the ladder secured?

  Yes

  No

• Did the ladder extend 900mm past the landing?

  Yes

  No

• Explain why the ladder was not secured, this is an WHS breach if the subcontractor was working at height without securing the ladder

• Photo of Ladder secured (Mandatory)

  Media

Electrical Safety

• Were power tools used?

  Yes

  N/A

• Do the power tools have current Tag & Tested dates?

  Select Yes No

  • Yes
  • No

• Have you advised the subcontractor of the fail and the need to have the power tools tested

  Yes

  No

• Was an RCD used?

  Yes

  N/A

• Was the power-box locked out?

  Yes

  N/A

• Lockout Tag used?

  Select Yes No

  • Yes
  • No

• Photo of Lockout Tag

  Media

HCS compliance

• Have you provided the customer a Deed of Release and have they signed?

  Yes

  No

• Does the subcontractor have a ID badge with Risk calculator?

  Yes

  No

• Was the subcontractors ID badge left with the customer?

  Yes

  N/A

• Email hseq.hcs@hills.com.au for a replacement ID Badge
  http://connection-solutions.hills.com.au

• Did the contractor wear safety footwear and Hi-visibility clothing?

  Select Safety Footwear Hi Vis Clothing Company Uniform

  • Safety Footwear
  • Hi Vis Clothing
  • Company Uniform

• First Aid Kit and Fire Extinguisher carried in subcontractors vehicle?

  Yes

  No

• It is a mandatory WHS policy to carry a First Aid kit and Fire Extinguisher in your vehicle, Quality team member will follow up to ensure you carry these in your vehicle.

Artifact / Photos

• Have you all the required photos for this QA?

  Yes

  No

Resolution:

• Is the customer satisfied with the outcome of the Inspection?

  Yes

  No

• Has the customer agreed to a Resolution?

  Yes

  No

• Have you emailed a copy of the Inspection to the customer?

  Yes

  No

• What Resolution has the customer agreed to?

• List your comments below ( Mandatory )

Sign-Off

• Contractors Signature:

  Sign

• Complainants Signature:

  Sign