Title Page
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Location
-
Auditor
-
Others Present
-
Date
Documentation
-
RAMS
- Yes
- No
- N/A
-
Drawings
- Yes
- No
- N/A
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Perrmits
- Yes
- No
- N/A
-
Isolations
- Yes
- No
- N/A
-
PICER
- Yes
- No
- N/A
-
TSW035
- Yes
- No
- N/A
-
Space App -
- Yes
- No
- N/A
Access & Egress
-
Point of Entry
-
Distance from Van to works location
-
Staircase
-
Escalators
- Yes
- No
- N/A
-
Lifts
- Yes
- No
- N/A
-
Ladders
- Yes
- No
- N/A
-
Evacuation Muster point
- Yes
- No
- N/A
-
First Aid & Hospital details
- Yes
- No
- N/A
Survey Information
-
Route
- Yes
- No
- N/A
-
Hole Size
- Yes
- No
- N/A
-
Substrate Material
- Yes
- No
- N/A
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Substrate Thickness
- Yes
- No
- N/A
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Marked location
- Yes
- No
- N/A
-
Scan Images
- Yes
- No
- N/A
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Acceptable Location
- Yes
- No
- N/A
-
Reason for not feasible
-
Proposed Location 1
- Yes
- No
- N/A
-
Proposed Route 1
- Yes
- No
- N/A
-
Proposed location 2
- Yes
- No
- N/A
-
Proposed Route 2
- Yes
- No
- N/A
Works
-
Pre Works Pictures
-
Initial Setup
-
Access Equipment
- Yes
- No
- N/A
-
Pre Cut Image
- Yes
- No
- N/A
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Water Prevention
-
Area Protected
- Yes
- No
- N/A
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During Cut
-
Complete Cut
-
Through Image
-
Fire Stopped
-
Site Cleared
-
Post Works Pictures
Completion
-
Person Completed Audit
-
Comments
-
Date & Time
