Information
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Document No.
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Contractor Name
- Welch Civils
- T1
- MS3
- AUS
- EDEN
- BOYANT-C
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Date and Time
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Name of person completing this report
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Location
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Project / Site Name (i.e HUL117)
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Supervisor / Foreman at time of this inspection
GENERAL
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Has the vehicle been parked / positioned in an approate location for the works?
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Has a pre works check been completed and submitted?
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Does the operatave have correct PPE for the task ahead?
SITE SETUP
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Has the chapter 8 signage been placed out in the correct order and in approiate locations?
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Has the opertive have enough gate guards for the task ahead (minimum x2 gate guards)?
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Please add photos of the site set up.
PRE CLIMB
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Has the pole been checked for test date and that all identifiers are present?
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Has a line height check been performed and any issues recored and actioned correctly?
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Has the pole been tested for decay and a visual check completed on the pole?
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Has a pre climb label been fitted to the pole with all of the relevent and correct information?
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Has the ladder been inspected prior to use?
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Has the harness, working belt and fall arrest been inspected prior to use?
EQUIPMENT CHECKS
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Is the PPE been used is good condition, free from defects and correct for the work ahead?
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Is the ladder been used in good condition, free from defect, fit for purpose and within test date?
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What is the test date on the ladder?
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Is the harness, working belt and fall arrest device in good condition, free from defects, fit for purpose and within test date?
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What is the test date on the harness?
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Is the signing and guarding that is been used in good working order and fit for purpose?
Sign Off
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Have the MS3 / BTOR safety, spec and quality documents been adhered too throughout the works?
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Do you wish to add in any notes or observations from this live audit?
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Has qualification of the gangs been seen and is it in date?
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Name of MS3 Supervisor
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Name of Site Supervisor / Foreman
