Information
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Date Conducted
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Names of Airco employees on site
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Name of site contact
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Site:
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Work Area
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Brief description of work
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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
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Does job require any work permits?
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If "Yes", have correct permits been obtained?
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Will job involve 'Hot Works'?
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If 'Yes', does job require fire alarm isolation?
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If 'Yes', are engineer / apprentice aware of fire watch procedure?
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If 'Yes', is fire extinguisher present and in good condition / been tested?
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Is work area cordoned off and warning signs displayed?
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If 'No', stop work immediately and ensure work area is cordoned off and warning signs are displayed.
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Are there any access restrictions?
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Has a site specific risk assessment been carried out and checked to be suitable and sufficient?
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Risk Assesment
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If 'No' all works must stop immediately until a risk assessment has been completed and checked.
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Could adverse weather affect safety during the job?
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If "Yes", has all practicable measures been put into place to reduce this?
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Is any additional lighting required?
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Is any of the work to be undertaken of a roof?
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If "Yes", are engineer / apprentice aware of restrictions when working on a roof? I.e edge protection or access
Personal Protective Equipment (PPE)
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What PPE is required to complete the job safely?
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Is engineer / apprentice wearing the appropriate PPE?
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Is PPE in good condition / fit for purpose?
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If 'No', please explain
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Does engineer / apprentice require any new / additional PPE?
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If 'Yes', please explain
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Has engineer / apprentice highlighted any issues with PPE
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If 'Yes', please explain
Job Access
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Are ladders used for access to work area?
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If "Yes", are engineer / apprentice competent in using them?
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If "Yes" could a scaffold provide a safer access route?
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Are any mechanical aids required for lifting / moving of equipment
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If 'Yes' which aids are required?
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Is a M.E.W.P required?
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If 'Yes', please explain
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If "Yes" is engineer trained and competent in operation?
Tools & Equipment
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Are all tools / work equipment in good condition / fit for purpose?
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If "No", please explain
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Are refrigerant gauges / lines / quick couplers in good condition / fit for purpose?
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If "No", please explain
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If Oxygen / Acetylene is used, are gauges / lines / mixer / nozzles / flashback arresters in good condition / fit for purpose?
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If "No", please explain
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Is Nitrogen gauge in good condition / fit for purpose?
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Are ladders in good condition / fit for purpose
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When was electrical equipment last PAT tested?
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If no PAT testing sticker is visible, or electrical equipment is no longer in good condition, stop use of equipment immediately.
General
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Has engineer / apprentice highlighted any safety issues regarding working environment or job?
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If "Yes", please explain
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Could job be carried out in a safer manner?
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If "Yes", please explain
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Any issues to be reported to Supervisor / Manager?
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If "Yes", please explain
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Any additional information?
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If "Yes", please explain
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Does engineer have a first aid kit (fully stocked)?
Training
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When does F-Gas qualification expire?
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When does CSCS qualification expire?
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Does engineer hold IPAF qualification?
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When does IPAF qualification expire?
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Engineers Signature
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Apprentices Signature
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Reviewers Signature
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Date