Page 1: Initial questions
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Document Number
Client
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Client Site
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Visit Type
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Account Executive
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Inspector
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Conducted on
Service specialist
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Name of service specialist
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Is the service specialist a contractor
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Contractor company name
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Convergint ID in Date
Site Inductions
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Sub contractor/employee site induction
Wellbeing of Embedded service specialist
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Does the engineer feel supported
COSHH
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Are Chemicals being used
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Are they stored correctly and engineer has access to SDS
RAMS
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Have RAMS been reviewed
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Are PTW requirements in place
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Are the RAMS signed/ has service specialist received general service RAMS through MyCompliance
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Does Service Specialist Know how to access Point of Work Risk Assessment in PowerApps - POWRA
Competency levels
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Service Specialist has conducted health and safety training
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What training has been completed
- work at height
- Manual handling
- Asbestos
- Behavioural safety
- DSE
- Driving for work
- Electrical Safety Principles For Maintenance Work
- Formal ladder inspection
- IPAF
- PASMA
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Service specialist training is relevant to their job
PPE
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suitable and sufficient for task
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Operative complying with PPE requirements for site
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PPE in good condition
Working Environment
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Asbestos in working area
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Is excess noise being produced that exceeds the EAL
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Is task lighting being used where necessary
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Is there dust and fumes being generated by any activity
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Is the temperature reasonable at the work area
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Are there any aspects of the work or the environment that you feel are a safety concern
Work at Height
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Scaffold /mobile towers in use
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Erected/dismantle by a competent person
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MEWPS: Are they in use
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Has it been inspected
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Has the operative got the right competency for the plant
Ladders & Podiums
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Are they in use
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Are they Inspected and tagged and in good condition
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What are the tag numbers
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Is there a suitable storage area allocated on site
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Is the ladder on the register held on Sharepoint
Extendable Pole
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Has a pole been issued to the Service Specialist
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Is the pole in good condition and working well
Signage & Barriers
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Are they available and in use where required
Housekeeping
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Do the engineers have a storage area to ensure tools equipment etc can be secured at the end of the day
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Are high standards of housekeeping being implemented
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Are all tools & equipment being stored appropriately
Calibration & PAT testing
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Are both up to date
Harness & Lanyard
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Has harness been inspected and being stored appropriately
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Is the harness on the register
Welfare facilities
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Are there adequate sanitary faclities
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Is there somewhere that the service specialist can make hot food and drink
Service Vehicle
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Does the service specialist have a vehicle they drive for work purposes to carry equipment and tools
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Is the vehicle in good condition and has a recent vehicle check been carried out
Page 2: Follow up checklist
Corrective Actions
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Are Corrective Actions required
- Corrective Actions are Required
- No actions were identified during the visit
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What Corrective Actions are required?
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Close out Deadline
Completion
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I have read the report and will complete any outstanding action