Information

  • Date Conducted

  • Number of Airco employees on site

  • Names of Airco employees on site

  • Name of site contact

  • Site:

  • Work Area

  • Brief description of work

  • Is there any issues that need reporting to the supervisor

Airco Refrigeration, Air Conditioning, Heating, Plumbing and Electrical 12 Henry Boot Way, Priory Park, Hull, HU4 7DY

Job

  • Does job require any work permits?

  • If "Yes", have correct permits been obtained?

  • Will job involve 'Hot Works'?

  • If 'Yes', does job require fire alarm isolation?

  • If 'Yes', are engineer / apprentice aware of fire watch procedure?

  • If 'Yes', is fire extinguisher present and in good condition / been tested?

  • Is work area cordoned off and warning signs displayed?

  • If 'No', stop work immediately and ensure work area is cordoned off and warning signs are displayed.

  • Are there any access restrictions?

  • Has a site specific risk assessment been carried out and checked to be suitable and sufficient?

  • Risk Assesment

  • If 'No' all works must stop immediately until a risk assessment has been completed and checked.

  • Could adverse weather affect safety during the job?

  • If "Yes", has all practicable measures been put into place to reduce this?

  • Is any additional lighting required?

  • Is any of the work to be undertaken of a roof?

  • If "Yes", are engineer / apprentice aware of restrictions when working on a roof? I.e edge protection or access

Personal Protective Equipment (PPE)

  • What PPE is required to complete the job safely?

  • Is engineer / apprentice wearing the appropriate PPE?

  • Is PPE in good condition / fit for purpose?

  • If 'No', please explain

  • Does engineer / apprentice require any new / additional PPE?

  • If 'Yes', please explain

  • Has engineer / apprentice highlighted any issues with PPE

  • If 'Yes', please explain

Job Access

  • Are ladders used for access to work area?

  • If "Yes", are engineer / apprentice competent in using them?

  • If "Yes" could a scaffold provide a safer access route?

  • Are any mechanical aids required for lifting / moving of equipment

  • If 'Yes' which aids are required?

  • Is a M.E.W.P required?

  • If 'Yes', please explain

  • If "Yes" is engineer trained and competent in operation?

Tools & Equipment

  • Are all tools / work equipment in good condition / fit for purpose?

  • If "No", please explain

  • Are refrigerant gauges / lines / quick couplers in good condition / fit for purpose?

  • If "No", please explain

  • If Oxygen / Acetylene is used, are gauges / lines / mixer / nozzles / flashback arresters in good condition / fit for purpose?

  • If "No", please explain

  • Is Nitrogen gauge in good condition / fit for purpose?

  • Are ladders in good condition / fit for purpose

  • When was electrical equipment last PAT tested?

  • If no PAT testing sticker is visible, or electrical equipment is no longer in good condition, stop use of equipment immediately.

General

  • Has engineer / apprentice highlighted any safety issues regarding working environment or job?

  • If "Yes", please explain

  • Could job be carried out in a safer manner?

  • If "Yes", please explain

  • Any issues to be reported to Supervisor / Manager?

  • If "Yes", please explain

  • Any additional information?

  • If "Yes", please explain

  • Does engineer have a first aid kit (fully stocked)?

Training

  • When does F-Gas qualification expire?

  • When does CSCS qualification expire?

  • Does engineer hold IPAF qualification?

  • When does IPAF qualification expire?

  • Engineers Signature

  • Apprentices Signature

  • Reviewers Signature

  • Date

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