Information

Before starting any new document ensure to refer to previous visits/interactions to identify any outstanding actions that may need to be carried forward. Any progress should be recognised and praised.

  • Employee ID (payroll number)

  • Employee Name

  • Prepared by

  • Conducted on

  • Visit Type

TM RISK ASSESSMENT

TM RISK ASSESSMENT

  • Are there any hazards?

  • Hazard type

  • Are hazards controllable?

  • Details

  • Visit type

HOMESAFE

  • Job No

  • Job type

  • Observation

  • Is the Engineer working safely on arrival?

  • Risk Assessment

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Manual Handling

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • PPE

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Damage Awareness

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Working at Height

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Ladder type

  • How was Combi- ladder used?

  • Additional record of findings (Equipment set up and description of job as was carried out. Highlight positive aspects of work witnessed)

  • Add pictures to support observation (inc RAMS forms if applicable)

  • Additional HomeSafe on this visit

  • Job No

  • Job type

  • Risk Assessment

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Manual Handling

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • PPE

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Damage Awareness

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Working at Height

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Ladder type

  • How was Combi- ladder used?

  • Additional record of findings (Equipment set up and description of job as was carried out. Highlight positive aspects of work witnessed)

  • Add pictures to support observation (inc RAMS forms if applicable)

  • Additional HomeSafe on this visit

  • Job No

  • Job type

  • Risk Assessment

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Manual Handling

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • PPE

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Damage Awareness

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Working at Height

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Ladder type

  • How was Combi- ladder used?

  • Additional record of findings (Equipment set up and description of job as was carried out. Highlight positive aspects of work witnessed)

  • Add pictures to support observation (inc RAMS forms if applicable)

  • Additional HomeSafe on this visit

  • Job No

  • Job type

  • Risk Assessment

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Manual Handling

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • PPE

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Damage Awareness

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Working at Height

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Ladder type

  • How was Combi- ladder used?

  • Additional record of findings (Equipment set up and description of job as was carried out. Highlight positive aspects of work witnessed)

  • Add pictures to support observation (inc RAMS forms if applicable)

  • Additional HomeSafe on this visit

  • Job No

  • Job type

  • Risk Assessment

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Manual Handling

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • PPE

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Damage Awareness

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Working at Height

  • WHAT? (what was Safe/ Unsafe?)

  • WHY? (why did the Engineer do it this way?)

  • HOW? (how was this recognised/ refined/ rectified?)

  • Ladder type

  • How was Combi- ladder used?

  • Additional record of findings (Equipment set up and description of job as was carried out. Highlight positive aspects of work witnessed)

  • Add pictures to support observation (inc RAMS forms if applicable)

Please ensure to upload a copy of this HomeSafe document to the relevant team folder on the designated Office365 site.

RTW

  • Type of absence

  • First day of absence

  • Last day of absence

  • Absence reason

  • Please state reasons

  • Is the absence work related?

  • Details

  • Was this a linked absence?

  • Details

  • Did Engineer visit a GP during their absence?

  • Is this absence over 7 days?

  • In line with the company absence policy if the absence is over 7 days the employee must provide a 'Fit to Work' certificate in order for a full return to work.

  • Has a 'Fit to Work' note been provided?

  • Add any pictures of 'Fit To Work' certificates

  • Is this absence over 7 days?

  • In line with the company absence policy if the absence is over 7 days the employee must provide a 'Fit to Work' certificate in order for a full return to work.

  • Is the Engineer currently on any medication?

  • Details of medication

  • Number of absences in rolling 12 months?

  • How many?

  • Percentage absence in rolling 12 months?

  • Has this absence triggered further action?

  • Process Triggered?

  • Absence Ref Guide

    no label
  • Occupational Heath referral required?

  • Date of referral/ planned referral

  • Additional information

  • If the returning Engineer has been off 28 days or more please refer to the RTWL in the first instance before a full return to work

  • Reason for Absence

  • Any follow up considerations?

  • Add any pictures of doctors notes

Please ensure to email a copy of this document to: admin.laserfiche@bskyb.com

Reopen Visit Type and include 'IDD' if required

QUALITY & COMPLIANCE VISIT

  • Job Number

  • Type of Quality & Compliance Visit

  • Is the Engineer working safely?<br>(This does not replace HomeSafe Visit)

  • Capture any highlights/ adjustments/ coaching

  • Add media to support

CONNECTIONS & SET UP

  • Check all relevant boxes indicating compliance

  • Dish

  • Cable

  • F-Connections

  • Data Logger

  • HDMI Leads

  • Power Leads

  • STB Software (Check using Model Lookup Tool on iKnow2)

  • Mesh

  • Additional information

  • Add media to support

CUSTOMER EXPERIENCE

  • Your assessment of Engineer’s interaction and customer experience

  • Is there evidence of a safe visit?

CONNECTIONS & SET UP

  • Check all relevant boxes indicating compliance

  • Dish

  • Cable

  • F-Connections

  • Data Loggers

  • HDMI Leads

  • Power Leads

  • STB Software (Check using Model Lookup Tool on iKnow2)

  • Mesh

  • Additional information

  • Add media to support

CUSTOMER EXPERIENCE

  • Talk through the customers experience of their visit as a whole, cover ETA, appearance, attitude, workmanship etc. Capture highlights of conversation

ACE COMPLIANCE

  • Did the engineer recommend a product/service that suited you after discussing your current package?

  • If you completed a sale/upgrade with the engineer, did they leave you a sales information booklet confirming what you had bought?

  • If you completed an upgrade/sale with the engineer, did they run through Key Information with you before leaving?

CUSTOMER EXPERIENCE

  • Talk through the customers experience of their visit as a whole, cover ETA, appearance, attitude, workmanship etc. Capture highlights of conversation

ACE COMPLIANCE

  • Did the engineer recommend a product/service that suited you after discussing your current package?

  • If you completed a sale/upgrade with the engineer, did they leave you a sales information booklet confirming what you had bought?

  • If you completed an upgrade/sale with the engineer, did they run through Key Information with you before leaving?

DAMAGE CLAIM

THIS IS A STAND ALONE FORM AND SHOULD NOT BE USED ALONG SIDE ANY OTHER SECTION OF THIS DOCUMENT

Job Details

  • Incident Number

  • Date of Incident

  • Location of Incident

  • Add signature

  • Customer Details

Engineer Details

  • Engineer

  • Tech Number

  • Team Number

Person completing report

  • Prepared by

  • Date of TM site visit

Liability

  • In my opinion was this caused by a Sky visit or install?

  • Record Of Findings Full details giving reason for denying or accepting liability with photographic evidence including report and clearly stating liability accepted/ denied

  • Were there any witnesses?

  • Witness details if not the person reporting the incident (only required if not the customer)

Photographs & Drawings

  • Add pictures to support findings

  • Add drawing to support findings (if required)

  • Add drawing to support findings (if required)

Corrective Actions

  • Has the person reported been made aware of the incident?

  • H&S Dept notified?

  • Is further investigation required?

  • Who will carry out further investigation?

  • Has incident report been completed on SOLARS?

  • What corrective action has been taken to prevent a recurrence?

Customer

  • What action has been agreed with customer?

  • Customer Signature

Email completed document to claimshandling@bskyb.com

INVESTIGATION

  • Explanation of investigation (Reasons and findings)

  • Add pictures to support investigation

  • Is the Engineer present?

I certify that I attended an investigation meeting and will not disclose to any third party the information discussed at this meeting (other than for the purposes of seeking legal advice). Please note that any breach of this agreement may result in action under the company's disciplinary procedure.

  • Engineer

  • Firstly, thank you for meeting me. Before we go any further you've signed the confidentiality agreement which I remind you means that you cannot discuss the content of this meeting with anyone. Do you understand?

    I am currently conducting an investigation and I would like to ask you some questions.
    Please be as open and honest as you can because it's important to me that I am able to gather all the facts.
    You should be aware that the notes from this discussion we have today may be used going forward in any formal process. This means that these notes may be provided to other employees who have been involved in the situation, if necessary to do so.

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  • Is there anything else regarding the incident that I have not asked which you feel may be relevant or that I need to look into?

  • Engineer

  • I have no further questions at this time however I may need to speak to you again.
    I will finish my investigation as quickly as possible and let you know where we go from here.

  • Has this investigation resulted in a suspension from duty?

  • For the reasons discussed today you are now suspended from the work place on full pay until these matters can be fully investigated. In the first instance you will be suspended until -

  • This matter will be kept confidential. If necessary your colleagues will be informed that your absence is for personal reasons.

    In the meantime we may need to talk to you about this issue during your suspension so you should be available for contact and to attend meetings if necessary during your normal working hours. You will be advised of the outcome of the investigation as soon as possible.

    Should you for any reason need to speak to one of your work colleagues or to come into your place of work you should contact me in the first instance for prior authorisation.

    If you would like any advice or guidance in relation to company polices or processes during your period of suspension please contact ER.

Reopen Visit Type and include 'IDD' if required substituting 'Engineer' with customer, witness etc.

COACHING

  • Reason for coaching

  • Coach on site observations/ comments

  • Engineer comments - What will you take away from today's session?

  • Follow up details (if required)

  • Review date

  • Add pictures to support

EQUIPMENT INSPECTION (All inspections are carried out in accordance with the current HS&S Maintenance Schedules)

THIS IS A STAND ALONE FORM AND SHOULD NOT BE USED ALONG SIDE ANY OTHER SECTION OF THIS DOCUMENT

  • Maintenance Schedule
    https://docs.google.com/forms/d/e/1FAIpQLSfaK7jEwfgWiIDWevZXkORmCUFsyg2VmIKJAoqEbveKxNXdbQ/viewform?usp=sf_link

  • Engineer Type

Hard Hat - This item have a working life (refer to ref guide)

  • Hard Hat

  • Hard Hat Date/ Serial no

  • Hop Up

  • Ear Protection

  • Ear Protection Type

  • Eye Protection

  • Eye Protection Type

  • Head Torch

  • Hi-Viz Vest

  • Knee Pads

  • Dust Masks

  • Boots

  • Rubber Mat

  • Antiseptic Wipes

  • Hazard Analysis Form

  • Tyre Weld (Puncture Repair)

  • First Aid Kit Expiry Date

Harness/ Cows Tail - These items have a working life (refer to ref guide)

  • Harness

  • Harness Serial no/ Date of manufacture

  • Cows Tail

  • Cows Tail Serial no/ Date

Kernmantle Rope/ Retractable Safety Line - These items have a working life (refer to ref guide)

  • 15M Rope

  • 15M Rope Serial no/ Date

  • 10M Rope

  • 10M Serial no/ Date

  • 5M Rope

  • 5M Serial no/ Date

  • Rope Grab

Continuous Loop Webbing Sling Life - These items have a working life (refer to ref guide)

  • Continuous Loop Webbing Sling

  • Continuous Loop Webbing Sling Quantity

  • Continuous Loop Webbing Sling Dates

  • Adjustable (ratchet) Webbing Strap

  • Adjustable (ratchet) Webbing Straps Quantity

  • 10M Strap with Ratchet

  • Karabiners

  • Karabiner Quantity

Chimney Strop Life - These items have a working life (refer to ref guide)

  • Chimney Strop

  • Chimney Strop Serial no/ Date

Soft Sling Life - These items have a working life (refer to ref guide)

  • Soft Slings (part of chimney kit)

  • Soft Slings Dates

  • Microlite

  • Ladder Mate

  • Ladder Spike

  • Gravel Bag

  • Cones X2

  • Crawl Boards X2

  • 10mm Eyebolts

  • 10mm Eyebolt Quantity

  • 20mm Eyebolt

  • 20mm Eyebolt Quantity

Hard Hat - This item have a working life (refer to ref guide)

  • Hard Hat

  • Hard Hat Date/ Serial no

  • Ladders

  • Combi Ladder

  • CAT Ladder

  • Ear Protection

  • Ear Protection Type

  • Eye Protection

  • Eye Protection Type

  • Draper Floodlight (Ground mounted)

  • Draper Floodlight (Tripod mounted)

  • Peli Floodlight

  • Knee Pads

  • Manual Handling Gloves

  • Hi-Viz Vest

  • Dust Masks

  • Boots

  • Drill Harness

  • Bosch Detector

  • First Aid Kit Expiry Date

  • Portable Appliance Testing (PAT) Date

  • SPECIALIST ENGINEER

  • Maintenance Schedule (SAT/DAT EQUIPMENT)
    https://docs.google.com/forms/d/e/1FAIpQLSdpc3DTStS2yYUM2a-fjIGXac1Bxeoc9Y9zmoUaxBZm15dGZQ/viewform?usp=sf_link

DAT/ SAT Only

  • 50M Rope

  • 50M Rope Serial no/ Date

  • Rocker

  • Rocker Serial no

  • Safety Ascender/Descender Device (AXCEL Belay Device)

  • 30M x 7mm Static ACC. Cord

  • Wire Rope Slings

  • Wire Rope Slings Serial nos

  • Delta Mailon

  • Rope Protecters

  • Pulley Blocks (fixed sheave)

  • RGH16 Harness (life same as DTH)

  • RGH16 Serial no/ Date

  • Silverstar Helmet

  • JSP Helmet Serial no/ Date

  • 8 Rung Extension Ladder

  • Ladder Clamp

  • Bearer Bar X2

  • Big Fish Safety Knife

  • Hop Up

  • CAMP 30ltr Kit Bag

  • NOTE - If any items are found to be defective they are to be isolated and replaced as soon as possible.

Engineers Van Safety Check

  • Engineers are required to carry out daily and weekly safety checks on their vehicles. From September 2013, to ensure that the engineer is clear about how to carry out these checks, Team Managers should carry out the following as part of the six monthly safety checks.

  • Van Registration

  • Ask the Engineer to demonstrate how they carry out their daily and weekly checks, using the HS&S Vehicle checklist PDF on their iPads

  • Visually check the items alongside the Engineer. If any defects are found record them in the comments section.

  • Discuss any items, as appropriate, to test the Engineers understanding.

  • Ask the Engineer if they have had any issues in the past six months, and whether these issues have been dealt with. If any issues are outstanding, record in the comments section.

  • Where the Engineer shows any areas for improvement, coach accordingly and comment accordingly.

  • Is Vehicle Height Sticker clearly visible on the dash board?

  • Comments

  • HS&S Vehicle Checks Reference Guide (tick box to view)

  • no label

ENGINEER DECLARATION: I confirm that by signing below the listed equipment has been issued to and is used by me. That no other equipment is used without authorisation, and a full inspection has been carried out by the HS&S - PPE & Equipment Examiner. I also confirm that I have carried out the vehicle checks in accordance with the Fleet directives.

Please ensure to upload a copy of this Equipment Inspection to the relevant team folder on the designated Office365 site

121

  • Reason for 121

  • Current NPS YTD

  • Current revisit KPI % YTD

  • Details

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  • Agreed actions (if any to be reviewed)

IDD

  • Who is the IDD with?

  • Hi, thanks for agreeing to meet with me.

    The statement you are giving is voluntary and for the purposes of an internal process at Sky. We would ask that you keep the discussion confidential and are as open as you can be as it’s important to me that I am able to gather all the facts.

  • Non Member Of Staff name (NMOS)

  • Reason for IDD

  • Time and date of incident

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  • Non Member Of Staff

  • Reason for IDD

  • Time and date of incident

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If more text boxes are needed please start a new IDD form

  • Is further action required? (Last IDD page only)

If this is a breach of H&S the incident is required to be reported on SOLARS as a 'Near Miss'

  • Has this IDD resulted in a suspension from duty?

  • For the reasons discussed today you are now suspended from the work place on full pay until these matters can be fully investigated. In the first instance you will be suspended until -

  • This matter will be kept confidential. If necessary your colleagues will be informed that your absence is for personal reasons.

    In the meantime we may need to talk to you about this issue during your suspension so you should be available for contact and to attend meetings if necessary during your normal working hours. You will be advised of the outcome of the investigation as soon as possible.

    Should you for any reason need to speak to one of your work colleagues or to come into your place of work you should contact me in the first instance for prior authorisation.

    If you would like any advice or guidance in relation to company polices or processes during your period of suspension please contact ER.

  • Case Justification Form

  • Please note to ensure we are operating efficiently there are mandatory parts of this form that need to be completed before submitting.
    Please review all information has been provided before submitting.

  • Employee Business Area/ Dept

  • Investigation Manager

  • Investigation Manager Contact Number

  • Details of reason for investigation (please detail the reason you started an investigation, summarise the discussion of each meeting and other findings)

  • Summary of findings and recommendations (please detail the specific reason why you believe there is a cases to answer)

  • CHECKLIST OF DOCUMENTATION

    MANDATORY DOCUMENTATION REQUIRED

  • Investigation notes and relevant witness statements (Please ensure all customer details including names and addresses are removed before submitting. *It is preferable to use job numbers as a reference

  • FOR HEALTH AND SAFETY CASES

  • Photographs (eg - Photograph for job number xxxxxxxxx. Point of interest ie - The eyebolt has not been drilled (explain what the photograph refers to). Please write job numbers on the photographs)

  • MFT print out/ paper risk assessment (If information is required from the risk assessment)

  • HomeSafe Records (Please ensure records are dated, page numbers on each page and job numbers)

  • Post Checks (Please ensure all have job numbers and dates on pages)

  • Training Records (Detailing H&S training. This can be obtained by emailing Training Planning and providing employee name and ID number)

  • FOR DRILLING CASES

  • Relevant Policy (Please detail the policy which the investigation relates to eg - Disciplinary Policy)

  • Current Sanction Details (If applicable, please detail any current sanction)

  • Suspension Start Date or Extension Date

  • Disciplinary Details

  • Venue

  • Date and Time

  • Chair Name and Contact Number

PROBATION DISCUSSION DOCUMENT

  • Week of Probation

  • Type Of Meeting

  • Welcome & Specific Team Information

  • Add media to support

  • Expectations for Performance, Attendance & Conduct

  • Add media to support

  • Targets/ Objectives

  • Add media to support

  • Support Measures or Adjustments

  • Add media to support

  • Dates & Times of Weekly 121's & Interim Review

  • Add media to support

  • Additional Comments

  • Add media to support

  • What's gone well? - Encourage & praise good performance/ behaviours

  • Add media to support

  • Progress against targets/ objectives set in Introductory Meeting

  • Add media to support

  • Any concerns around Attendance, Performance or Conduct?

  • Add media to support

  • Expectations moving forward

  • Add media to support

  • Support Measures or Adjustments

  • Add media to support

  • Additional Comments

  • Add media to support

  • What's gone well? - Encourage & praise good performance/ behaviours

  • Add media to support

  • Progress against Targets/ Objectives set in Introductory Meeting & 121's

  • Add media to support

  • Any concerns around Attendance, Performance or Conduct?

  • Add media to support

  • Expectations moving forward - Set expectations if improvement(s) not met

  • Add media to support

  • Support Measures or Adjustments

  • Add media to support

  • Date of Final Probation Review Meeting

  • Additional Comments

  • Add media to support

  • Discuss overall Attendance, Performance & Behaviours

  • Outcome

  • Congratulate on successfully completing probation period & celebrate success!

  • Set expectations moving forward

  • Add media to support

  • Explain reason for extension

  • Expected End Date -Duration of extension (no less than 4 weeks & no longer than 13)

  • Agreed improvements expected

  • Add media to support

  • Agreed support required if appropriate

  • Add media to support

  • Set expectation that if improvement not made this could result in non-confirmation of probation.

  • Additional Comments

  • Add media to support

  • TM

  • Engineer

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.