Title Page
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Engineer
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Conducted on
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Prepared by
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Location
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1- Epix work sheet completed, RAMS book present & referred to?
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2 - Is the work equipment list present, completed, appropriate used?
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2.1 - Is the work equipment sheet on the server?
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2.2 - Vibration and noise controls held, understood and adhered to?
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3 - Tools PAT tested and / or calibrated within the last 12months?
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3.1 - Do the PAT test labels match the certificate?
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3.2 - Is the PAT test certificate on the server?
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4 - Steps and ladders, tagged, matching ID, inspection sheet on person?
- Compliant
- Non-compliant
- Not Applicable.
- Advisory
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4.1- Is the ladder inspection sheet on the server?
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4.2 - Working At Height - safe, edge protection in place?
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5 - Is the operative clean shaven with tested/suitable RPE in place?
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6 - Are suitable controls in place for asbestos? Is the asbestos emergency kit present?
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6.1 - Has the engineer read the asbestos survey report and can they accurately identify where it is located?
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7 - Has the engineer suitably controlled all risks from the task / workplace? Are barriers present?
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7.1 - Is the engineer working safely?
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8 - Does the operative have current company ID card with him?
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9 - Is the engineer suitably competent for the works being undertaken?
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9.1 - Is the competency assessment form on the server, in date?
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10 - Is the first aid kit present and in date?
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10.1 - Is the engineer well presented and courteous? Is the correct PPE being worn incl. task specific PPE, such as hard hat, gloves, RPE etc.
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11 - Tower scaffold, PASMA, used appropriately?
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12 - MEWP, IPAF, 6 month check, harness?
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13 - Any reports of Near Miss submitted by engineer?
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Signature