Monthly Access Equipment Inspection Sheet

• LoveDigitalTV Monthly Access Equipment Inspection.

• Document No.

• Engineer.

• Conducted on

  Date
• Location
  Address

• Inspected by.

Fall Arrest Kit.

• Harness.<br>Date code<br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Cows tail<br>Date code<br>Issue date<br>En number<br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Rope 1<br>Date code<br>Issue date<br>En number <br>Serial number<br>

  Safe

  At Risk

  N/A

• Add media

  Media

• Rope 2<br>Date code<br>Issue date <br>En number serial number<br>

  Safe

  At Risk

  N/A

• Add media

  Media

• Rope grab<br>Date code <br>Issue date<br>En number <br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Eye bolts<br>Qty of ?

  Safe

  At Risk

  N/A

• Add media

  Media

• Karabiners <br>En number <br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Safety Glasses

  Safe

  At Risk

  N/A

• Add media

  Media

• Ear Defenders

  Safe

  At Risk

  N/A

• Add media

  Media

• Safety Helmet

  Safe

  At Risk

  N/A

• Add media

  Media

Access Equipment

• Roof Ladders<br>En number <br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• T14 Ladders<br>En number <br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Ladder Stand Off (micro lite)<br>En number<br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Ladder Stabiliser<br>En number <br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

• Step/Extendable Ladder<br>En number <br>Serial number

  Safe

  At Risk

  N/A

• Add media

  Media

Test Equipment.

• Multi Detector.

  Yes

  No

  N/A

• Add media

  Media

• Multi Detector test carried out.

  Safe

  At Risk

  N/A

• Fully Functioning Satellite Meter.

  Yes

  No

  N/A

Engineers Bible

• Relevant Paperwork Present.

  Yes

  No

  N/A

• Missing Documents

  Select Risk Assessment Method Statement

  • Risk Assessment
  • Method Statement

Advisory, comments.

• Engineer.

  Sign

• Supervisor.

  Sign