HSEQ Overhead Inspection - Shared

• Site conducted

  Select

• PIA NOI:

• Select Gigaclear Region:

  Select East Region Central Region North Central Region South Central Region South West Region West Region North East Region

  • East Region
  • Central Region
  • North Central Region
  • South Central Region
  • South West Region
  • West Region
  • North East Region

• Gigaclear Community I.D:

• Select Location:
  Address

• Works Description/GC Plant Reference location

• Date & Time

  Date

• In Build/Post Build

  In Build

  Post Build

• Gang/Team

• Supervisor

• Name(s) of Personnel on site (If Applicable)

• Do works have a Live Street Works Permit

  Yes

  No

• Permit Number

• DNO Authority:

  Select WPD SSE UKPN Privately owned Other N/A

  • WPD
  • SSE
  • UKPN
  • Privately owned
  • Other
  • N/A

• State DNO License No:

• Contractor / Sub Contractor

  Select

• Inspected by

• Inspection I.D

• Definitions (For Reference when Scoring an Audit Question)

• N/A - Not Applicable - Item is not applicable or relevant to the works/project.
  

• N/R - Not Reviewed - Item has not been reviewed. The item may exist but during the inspection was not assessed.

• N/C - Non Compliant - Item has not been provided, utilised or utilised correctly or does not meet the requirements or standards as determined by the Contractor,
  Gigaclear, Contract/Order, Asset Owner or Legislative requirements. Breach may have the potential to cause harm or injury or risk of notices or
  prosecution from Local Authorities, the HSE or OR. Item must be rectified and Inspector informed when complete.

• I/R - Improvement Required - Item does not meet the required standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements.

• C - Compliant - Item meets or exceeds the required standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative
  requirements.

• O - Observation - Where an item may still be in build/not yet complete but is noted as requiring action. Observation may also be positive for good/excellent work practices

• Select section(s) to complete

  Select HSEQ Safety Signing, Lighting and Guarding Openreach/DNO Compliance Gigaclear Overhead Closure Inspection Items Gigaclear Dropwire Fixing Inspection Item Gigaclear Pole Installation

  • HSEQ Safety
  • Signing, Lighting and Guarding
  • Openreach/DNO Compliance
  • Gigaclear Overhead Closure Inspection Items
  • Gigaclear Dropwire Fixing Inspection Item
  • Gigaclear Pole Installation

HSEQ Safety Items

• H2 - Site induction completed

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H3 - Site specific risk assessment

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H4 - Welfare facilities/arrangements

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H5 - A&E location map

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H6 - Training / Accreditation / NOPS cards

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H7 - CoSHH/control of haz substances

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H8a - First Aid Kit

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H9 - Fire Extinguisher

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H10 - Spill Kit

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H11 - PPE/PFPE

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H12 - Lone Worker controls

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H13 - Noise/Dust controls

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H14 - Plant/Equipment/Hand tools condition

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H15 - GDU/valid calibration

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H16 - Manual Handling (ie, pit lifters, roll bars, LMC's, cable drums)

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• H17 - Work Area/Drop Zone guarded

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• HO18 - MEWP LOLER inspection (6 month validity)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• HO18A - MEWP outrigger placement/stability boards

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• LA19 - Ladder inspections ( 6 month validity)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• HA20 - Harness and Lanyard inspections ( 6 month validity)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• HA21 - Lift Plan in place and communicated

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

Openreach/DNO/GC compliance

• OH1 - NOI (Order/Notice of Intent is valid and acknowledged)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH2 - DNO Licence is valid and acknowledged

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH3 - Apparatus fitted within correct envelope of space

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH4 - Pole mounted apparatus securely fixed to the pole

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH5 - GC Apparatus legibly labelled as per spec

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH6 - Gigaclear branded "caution overhead fibre" warning labels

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH7 - Any cut cable ties cut flush with no sharp edges

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH8 - Hazardous fibre waste cleared from site

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH9 - Upper Bass Step correctly repositioned and is compliant with specification

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH10 - Are creosote plugs inserted into the existing holes created by the removal of the coach screws

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH11 - Cables securely fixed at specified intervals and routed away from climbing steps

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH12 - Cable(s) attached to pole top using spiral/wedge clamp

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH13 - Use of approved aerial cable

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH14 - Newly provided OH cables compliant with minimum height requirements

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH15 - Any existing wires/cables below 5.2m reported

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH16 - Newly provided OH cables, correct power separation distances maintained

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH17 - Pole capping replaced/provided where GC cables shares existing duct

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH18 - Overhead cable loadings not exceeded (DILOR)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH19 - Cables routed through underground structure/on pole which will obstruct access to existing apparatus

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• O23 - Is there a blockage and has it been correctly cleared

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OH20 - Any observed safety defects not reported (A1024)

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

Overhead Closure Inspection Items – Commscope OTE/OFDC/MST/FST-R/BUDI/Mini RDT

• OHCL40 - Is the closure in good condition, clamped shut and securely attached to the pole with the correct fixings?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL41 - (OTE/OFDC) Are blanking plugs fitted into unused ports?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL42 - Are all cables entering the closure secured (cable ties/clips)?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL43 - (OTE/OFDC/BUDI) Have fibres been routed correctly to and around the splice trays (no sharp bends or excessive tension)?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL44 - (MST/FST-R/BUDI/Mini RDT) Are the threaded dust caps sealed on all unused ports?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL45 - Are the fibres slack at entry/exit points or either side of splice protectors (no excessive tension on fibres)?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL46 - (BUDI/Mini RDT) Has the closure been installed in a suitable location (e.g. in a riser cupboard or at height on wall)?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL47 - (Mini-RDT) Has the spool lock screw been tightened and cover fitted to keep spool in place?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL48 (OTE) Have all cable strength members been securely clamped into CTUs?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL49 - (OFDC) Are cables secured in closure with hose clamps?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL50 - (MST/FST-R)Have all hardened connectors on the drop cables been fitted correctly?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL51 - (BUDI) Are the pigtails stripped at the correct location before entering the splice tray?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHCL52- Is the closure securely attached to the pole with the appropriate bracket?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

Dropwire Fixing Inspection Item

• OHDW58 - Has the fixing been installed in a position agreed with the customer?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHDW59 - Is an Eyebolt 1A type fixing used for exposed brick walls

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHDW60 - For rendered walls or where crossing a road is required has an Eyebolt 2A type fixing been used ?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHDW61 - If there is an existing (structurally sound) BT dropwire mounting bracket has it been used?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHDW62 - Has the Eyebolt 1A been installed in the correct position on the wall (4 bricks down and 2 bricks in)?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• OHDW63 - Has the correct fixing been used for the type of material it is installed on?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

Signing, Lighting and Guarding

• SW1 - Permit Conditions

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW2 - Permit Information Board

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW3 - Footway boards/Road Plates

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW4 - Pedestrian Provisions (Kerb Ramp etc.)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW5 - Barriers

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW6 - Signs

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW7 - Cones

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW8 - Safety Zone

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW9 - Distances/widths

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW10 - Diversion

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• SW11 - Existing Provisions (bus stops, pedestrian crossings etc)

  Select HRF N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant HRF IR - Improvement Required C - Compliant O - Observation

  • HRF N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant HRF
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

GC Pole Installation

• GCP01 - Is the pole complete as per design and survey?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Has the correct pole size and gauge been used and sited at the correct location.

• GCP02 - Is the Pole correctly aligned?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Check the pole is straight with a plumb line and ensure its within the tolerances set out in the Poling Process Manual.

• GCP03 - Is the Pole depth within tolerances?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Check the distance from ground level to the 3m line. Use a probe in the depth tube. Reference the Poling Process Manual for tolerances

• GCP04 - Is the Pole stable in the ground?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Wearing gloves apply pressure to the pole at 90-degree angles. Does the pole move easily in the ground?

• GCP05 - Is the Pole in a good visible condition?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Check for any physical damage caused by a vehicle strike or vandalism. Check for large cracks (shakes)

• GCP06 - Is a Depth tube fitted and useable?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• 150mm of tube should be visible above ground level and secured with one 65mm staple being plugged at the top. The measuring probe should easily slide down the full length of the tube.

• GCP07 - Is the Pole correctly dressed?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Pole dressed in accordance with the Poling Process Manual

• GCP08 - Are all climbing steps aligned so the pole can be safely accessed?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Steps should either be in line with the road or at right angles.

• GCP09 - Is the Pole a Minimum of 500mm from the C/W with 1 metre of F/W left available?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Ensure the pole is at least 500mm from the C/W kerb edge and there is at least 1m of usable footway/footpath left for pedestrians

• GCP10 - Gigaclear banded Caution Fibre Overhead label attached?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• Label to be at head height but should not be placed within 300mm of uppermost / lowermost lettering of
  the Poles 3 Metre mark

• GCP11 - Reinstatement specification

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• All reinstatement must be completed as per the SROH

• GCP12 - Has the site been left in a clean and tidy condition?

  Select N/A - Not Applicable N/R - Item has not been reviewed NC - Non Compliant IR - Improvement Required C - Compliant O - Observation

  • N/A - Not Applicable
  • N/R - Item has not been reviewed
  • NC - Non Compliant
  • IR - Improvement Required
  • C - Compliant
  • O - Observation

• All excess spoil and rubbish must be removed from site and footways/footpaths brushed and tidied.

• Unsafe activities or situations that pose a significant risk of harm to workers or members of the public are to be ceased, rectified or made safe immediately. Any good actions or behaviours that should be recognised please report them via Intelex as a Good Observation. Sites that are Permitted should also be audited under Symology where access to this system is available. Please contact Gigaclear HSEQ for advice or support.