Title Page
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Project conducted
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Site ID
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Site Type
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Client
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Subcontractor(s)
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Subcontractor
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Subcontractor
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Inspection Date
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Site Location
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Event Manager
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PICW for site and company they work for
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Safety Advisor
Summary & Highlights of Audit
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Good Practice(s)
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Bad Practice(s)
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Have field staff & PICW been issued the latest QHSE Bulletins?
Work Environment
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Arrangements for protection against adverse weather conditions
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Housekeeping Slips/Trips/Falls
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Is there a spill kit available on site, attach a photograph
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Are access routes clearly defined
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Are materials stored tidily outside access routes
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Are the significant risks relating to confined spaces controlled
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Are the significant risks relating to confined spaces controlled
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Are the significant risks relating to overhead obstructions controlled
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Are the significant risks relating to overhead obstructions controlled
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Are the significant risks relating to overhead services controlled
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Are the significant risks relating to overhead services controlled
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Are leading edges protected
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Are leading edges protected
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Is grillage in good condition with all clips attached?
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Are significant risks from existing processes controlled
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Are significant risks from existing processes controlled
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Are the significant risks relating to contaminated land controlled
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Are the significant risks relating to contaminated land controlled
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Has the presence of Asbestos been determined
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Mechanical hazards (existing processes, lift motor rooms, window cleaning equipment, etc)
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Mechanical hazards (existing processes, lift motor rooms, window cleaning equipment, etc)
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Are plant & pedestrians adequately segregated
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Traffic management plan implemented
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Is the work area defined & adequately segregated
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Adequate and suitable arrangements for site security
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Are the significant risks relating to work adjacent to water controlled
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Are the significant risks relating to work adjacent to water controlled
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Is access to prohibited area controlled
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Are existing fall arrest systems tagged & in date
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Are existing fall arrest systems tagged & in date
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Are existing fixed ladders inspected & tagged in date
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Are existing fixed ladders inspected & tagged in date
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Are there signs of vermin/animal infestation
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Does the location/nature of the site present an unacceptable risk to persons security
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Are there signs of intravenous drug use/paraphernalia
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Provide photographs
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Action required
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Welfare Arrangements
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Means for taking rest break available
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Adequate toilet facilities available
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Adequate washing facilities available
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Hot & cold running water available
Emergency Arrangements
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Adequate means of raising the alarm
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Evacuation arrangements inc. muster point, adequate & suitable
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Adequate & suitable trained first aid resource present
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Fully stocked, in date, first aid box present
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Emergency contact numbers specified
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Personnel booked onto site (with both operator & owner/occupier)
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Owner/occupier emergency arrangements integrated
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Means for incident reporting
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Are adequate and suitable fire extinguishers available & inspected in date
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Are adequate and suitable fire extinguishers available & inspected in date
Rigging Personnel (Add as required)
- Field Engineer
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Name of engineer & Company
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Are persons wearing required PPE
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Are persons complying with SSW requirements
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Site rules complied with?
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Is the PICW adequately controlling on site activity & briefed engineer(s)?
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RF Monitors calibrated, in date and in use on site
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Does FE have correct authorisation cards and name on documentation to work on site?
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Is the site an MBNL site? Does FE have mandatory MBNL CTL training cert?
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Where applicable are all Working at Heights Medicals in date?( Enter expiry Date)
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Where applicable is there evidence of Climber training? ( Enter expiry Date)
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Where applicable is there evidence of Annual Rescue Training? ( Enter expiry Date)
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Where applicable Is there evidence of Rooftop Training? ( Enter expiry Date)
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Where applicable is there evidence of RF Training? ( Enter expiry Date)
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Where applicable is there evidence of Asbestos Awareness Training? ( Enter expiry Date)
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Where applicable is there evidence of Emergency First Aid/First Aid at Height? (enter expiry date) (Note: Emergency First Aid only for non Nokia climbing tasks)
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Where applicable is there evidence of Manual Handling Training? (Enter expiry Date)
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Where applicable is there evidence of DC power Training? (enter expiry date)
General Arrangements, Documents, and Signage
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Has the Build Manager completed the RAMS checklist?
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Has an adequate and suitable work activity risk assessment been provided
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Has an adequate & suitable method statement been provided
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Has an adequate & suitable manual handling assessment been provided
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Has an adequate & suitable noise assessment been provided
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Has an adequate & suitable COSHH assessment been provided
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Has an adequate & suitable COSHH assessment been provided
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Is a record of persons inducted available
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Has an adequate & suitable traffic management/pedestrian management plan been provided
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Has an adequate & suitable traffic management/pedestrian management plan been provided
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Has an asbestos management plan been provided
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Has an asbestos management plan been provided
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Are construction drawings available on site
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Are records of portable ladder inspection available
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Are records of portable ladder inspection available
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Is F10 being displayed
Lifting Operations
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Is this section applicable?
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Is the MEWP operator trained
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Is the MEWP operator trained
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Name of Engineer and Company
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Are persons wearing PPE
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Evidence of RF training
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Evidence of First aid training
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Evidence of manual handling
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Evidence of Asbestos awareness
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Evidence of MBNL cert
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Evidence of Ericsson Card
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Is the AP/Lift Supervisor trained
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Is the AP/Lift Supervisor trained
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Name of engineer and company
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Are persons wearing PPE
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Evidence of RF training
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Evidence of First Aid training
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Evidence of Rooftop training
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Evidence of Manual Handling
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Evidence of Asbestos awareness
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Evidence of MBNL cert
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Evidence of Ericsson card
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Is the Crane operator trained
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Is the Crane operator trained
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Name of engineer and company
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Are persons wearing PPE
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Evidence of RF training
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Evidence of first aid training
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Evidence of manual handling
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Evidence of asbestos awareness
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Evidence of MBNL cert
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Evidence of Ericsson card
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Name of engineer and Company
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Are persons wearing PPE
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Evidence of First aid training
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Evidence of Manual Handling
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Evidence of MBNL cert
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Evidence of Ericsson card
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Is the Slinger/signaller trained
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Is the Slinger/signaller trained
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name of engineer and company
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Are persons wearing PPE
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Evidence of RF training
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Evidence of First aid training
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Evidence of Rooftop training
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Evidence of Manual handling
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Evidence of asbestos awareness
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Evidence of MBNL cert
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Evidence of Ericsson card
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Adequate & suitable method of communication established
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Has an adequate& suitable lifting operations plan been produced
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Is an AP or lift supervisor present during lifting activities
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Are the requirements of the lifting operations plan being implemented
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Has an adequate & suitable exclusion zone established
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Are certificates of test & thorough examination available for Lifting appliances (cranes, MEWPS, etc.)
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Is there a spill kit with the appliance
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Is there a fire extinguisher with the appliance
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Is there a first aid kit with the appliance
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Is lifting equipment marked with its SWL
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Are lifting equipment inspection records available & in date (6 months)
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MEWP fall prevention in use
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MEWP fall prevention in use
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Is inspected WAH PPE & equipment in use
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Have plant operators daily inspection sheets been completed
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Traffic management plan implemented
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Safe slewing zones established
Excavation
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Is this section applicable?
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Are users of service avoidance equipment trained.
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Are plant operatores trained.
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Are those issuing permits to dig trained
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Are Statutory Services drawings available on site
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Are Statutory Service drawing in date, within last 4 weeks
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Is the cable avoidance tool calibrated.
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Have all services been identified, marked on the ground and exposed
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Has a permit to dig been issued
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Are insulated hand tools been used for digging
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Are excavations supported in accordance with method statement
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Are underground services supported when running through excavation
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Are excavation access/egress arrangements adequate (inc. emergency)
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Have measures been taken to prevent plant inadvertently entering excavation (stop boards)
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Safe excavator slewing zones established
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Have measures been taken to prevent persons falling into excavations (barriers)
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Have excavations been inspected and report issued upon being dug at 7 day intervals thereafter or following inclement weather
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Are certificates of test & thorough examination available for Lifting appliances (excavators, etc.)
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Have plant operators daily inspection sheets been completed
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Traffic management plan implemented
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Air compressors & hoses inspected tested and records available
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Anti whip connectors in use on hoses
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HAV Vibration controlled
Working at Height
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Is this section applicable?
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Are Rope Access Technicians Trained.
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Are Rope Access Technicians Trained.
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Are Advanced Climbers Trained
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Are Advanced Climbers Trained
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Have WaH Operatives received Tower/Structural Rescue Training
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Have WaH Operatives received Tower/Structural Rescue Training
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Have Operatives Received RF Safety Training
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Have Operatives Received Rooftop Safety Training
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Have Operatives Received Rooftop Safety Training
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Are safe climbing techniques in use
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Are safe climbing techniques in use
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Is inspected WAH PPE & equipment in use
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Are safe techniques in use for the raising/lowering of loads
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Are safe techniques in use for the raising/lowering of loads
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Is an adequate & suitable exclusion zone established
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Is an adequate & suitable exclusion zone established
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RF exclusion zones observed or RF sources isolated (check outage ref)
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Are hand tool tethers in use
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Are hand tool tethers in use
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Is structural integrity certificate available & in date
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Is structural integrity certificate available & in date
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Is fall arrest system "tagged" in date
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Is fall arrest system "tagged" in date
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Are records of operatives in date WAH medical available
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Are records of operatives in date WAH medical available
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Are lifting equipment inspection records available & in date (6 months)
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Are lifting equipment inspection records available & in date (6 months)
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Is lifting equipment marked with its SWL
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Is lifting equipment marked with its SWL
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Are any unprotected fragile materials present
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Are any unprotected fragile materials present
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Are significant risks presented by any flues controlled
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Are significant risks presented by any flues controlled
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Arrangements for rescuing WAH personnel adequate, suitable and known
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Adequate & suitable tower rescue kit on site
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Adequate & suitable tower rescue kit on site
Scaffolding
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Is this section applicable?
Are the scfolders present
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Are the scaffolders present
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Engineers name and company
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are persons wearing PPE
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Evidence of Industry training certs
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Evidence of First aid training
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Evidence of RF training
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Evidence of rooftop training
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Evidence of Manual Handling
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Evidence of asbestos awareness
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Evidence of MBNL cert
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Evidence of Ericsson card
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Is a first aid kit present
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Is Access safe and suitable for materials?
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Are there any exposed areas where items could fall?
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Are the foundations suitable for scaffold erection?
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Are there suitable points to tie the scaffold too?
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Are scaffolds within footprint of the building? If not, are exclusions zones or fans in use?
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Have additional works been completed outside the scope?
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Has scaffolding been inspected and report issued on first erection and at 7 day intervals thereafter or following inclement weather
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Has the temporary structure been inspected and a copy of the inspection report available on site.
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Photo's of completed job
Electrical
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Is this section applicable?
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Has a permit to work on or near an electrical system been issued.
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Engineers name and company
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Is PPE worn
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Evidence of First aid training
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Evidence of RF training
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Evidence of Rooftop training
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Evidence of Asbestos awareness training
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Evidence of Manual Handling training
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Correct certification? (18th edition, C&G 2391, JIB Card)
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DC Competency?
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Evidence of training for those issuing permit to work
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Has secure isolation been established & proven
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Has a Lock Out Kit been provided and is it in use.
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Are PAT records available
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Electrical tools running at 110v or protected by RCD
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Is electrical test equipment calibrated in date? (Tester and Voltage Tester)
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Is there a first aid kit present
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is there a fire extinguisher present
Environmental
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Is this section applicable?
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Is waste correctly segregated
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Are waste receptacles adequate & suitable for the type of waste being disposed off.
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Are waste receptacles adequate & suitable for the type of waste being disposed off.
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Are diesel generators positioned away from water courses/drainage
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Are diesel generators positioned away from water courses/drainage
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Is fuel oil being stored in double bunded tanks
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Is fuel oil being stored in double bunded tanks
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Spill kit available on site
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Spill kit available on site
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Evidence of training in the use of spill kit
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Evidence of training in the use of spill kit
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Evidence of waste carriers license
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Evidence of waste carriers license
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Evidence of waste transfer note
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Evidence of waste transfer note