Title Page

  • Site Name

  • Address

  • Operator Ref

  • Date and Time

  • Company

  • Prepared by

Site Information

  • Any failed responses (highlighted in red) should be rectified on site where possible and detailed in the report. Any items that can not be rectified during the visit should be reported to the Shared Access Maintenance Team whilst on site. Photos and additional information are required for any failed responses.

  • Which operators have equipment on site?

  • Has the Lightning Protection System (LPS) been tested?

  • Date of LP Certificate

  • Did the LPS pass inspection?

  • Please provide details

  • Has the Fall Arrest System (FAS) been inspected and tested?

  • Date of FAS Certificate

  • Did the FAS pass inspection?

  • Please provide details

  • Has the buildings emergency lighting been tested?

  • When was it tested?

  • Are all fittings operational after 3 hours?

  • Please provide details

PPM Visit Report

  • INSTRUCTIONS

    1. Please answer all questions.
    2. Add photos and notes by clicking on the paperclip icon.
    3. Complete audit by providing digital signature.
    4. Share your report by exporting as PDF.

Site Access

  • Please include photos of the access route from the road to the site

  • 1.1 Can the site be accessed by following the access route shown on the drawings?

  • 1.2 Is there adequate lighting along the access route?

  • 1.3 Is the access route to site clear of obstacles?

  • 1.4 Is there adequate vehicle access and safe parking?

  • 1.5 General comments

Compound

  • Please provide photos of the compound

  • 2.1 Is the padlock on the gate installed and operational?

  • 2.2 Please provide the new padlock code (Note: the Access Team will provide a new code on the day of the visit, please call 0044 1590 670025 if no codes have been provided)

  • 2.3 Are the fence posts secure, stable and in good condition?

  • 2.4 Do the gate pins, bolt & socket allow the gate to operate smoothly?

  • 2.5 Is the fence in good condition?

  • 2.6 Is the site/compound free from waste, vegetation, vermin/pest infestations?

  • 2.7 General comments

Site

  • Please provide photos of the site

  • 3.1 Are all barriers/bollards/handrails in good condition?

  • 3.2 Is there any evidence of water ponding on concrete surfaces?

  • 3.3 Is the concrete damaged at any location?

  • 3.4 Is the site free from slips, trips and fall hazards?

  • 3.5 Has weed killer been applied where required?

  • 3.6 Is the ground based equipment installed as per the drawings?

  • 3.7 Are covers fitted to cable ladders / trays where cables are likely to be stepped across?

  • 3.8 Are there cable management systems installed and used correctly?

  • 3.9 Is the exterior of the cabinets/buildings free from dust, dirt, stickers, graffiti, bird droppings etc?

  • 3.10 Is there any rubbish, vegetation on site that requires clearance?

  • 3.11 General comments

Trees

  • 4.1 Are there localized trees within the 'Fall Zone' of the site?

  • 4.2 Please supply photos of the trees around the site and compound

  • 4.3 What is the approximate height of the trees?

  • 4.4 What is the distance of the trees from site?

  • 4.5 Are there any overhanging branches near the site?

  • 4.6 Are there any signs of damage to the tree trunk or main branches of trees near the site?

  • 4.7 Is there any remedial actions required?

  • 4.8 General comments

Buildings

  • Please provide photos of the building(s)

  • 5.1 Is the condition of the roof satisfactory?

  • 5.2 Are the doors securely lockable?

  • 5.3 Is the condition of the interior of the building satisfactory?

  • 5.4 Are the rooms free from waste and redundant equipment?

  • 5.5 Is the internal and external lightning in good working order?

  • 5.6 Is there a fire alarm on site?

  • 5.7 Is the fire alarm certification in date?

  • 5.9 Is the heating and AC operational?

  • 5.10 General Comments

Meter Cabinet/Electrical Installation

  • Please provide photos of the meter cabinet(s)/meter housing

  • 6.1 Are the doors of the EMC securely lockable with a padlock fitted?

  • 6.2 Please provide the new padlock code (Note: the Access Team will provide a new code on the day of the visit, please call 01590 670025 if no codes have been provided)

  • 6.3 Has Bitumen been applied to foundation of the cabinet?

  • 6.4 Are all ducts foamed and sealed?

  • 6.5 Are there any signs of water ingress?

  • 6.6 Is the DNO/REC equipment in good condition?

  • 6.7 Are all devices in the EMC labelled correctly?

  • 6.8 Are the sub-main supply cables installed with tags at both ends?

  • 6.9 Is the internal earth bar correctly installed and all connections labelled in a secure & permanent manner?

  • 6.10 What is the condition of the distribution board?

  • 6.11 Are all unused cable glands sealed?

  • 6.12 Are all covers fitted securely to all live parts?

  • 6.13 Is the external condition of the enclosure & finish acceptable with no signs of damage?

  • 6.14 General comments

Operator Cabinets

  • Please provide photos of the cabinets

  • 7.1 Are all cabinet doors & panels secure and locked?

  • 7.2 Are all cabinets the correct type & colour?

  • 7.3 Is the external condition of the enclosure & finish acceptable with no signs of damage?

  • 7.4 General comments

Lightning Protection System

  • Please provide photos of the LP installation

  • 8.1 Is there LP bonding to compound/MUGA fence?

  • 8.2 Is there LP bonding to the structure?

  • 8.3 Are all steelwork items bonded to the LPS?

  • 8.4 Is the LP surface mounted/visible?

  • 8.5 Are all exposed earthing tapes PVC coated?

  • 8.6 Are all earthing tape runs straight?

  • 8.7 Are all changes in direction 90deg with proprietary joints?

  • 8.8 Are earth tapes labelled in earth pits?

  • 8.9 Has denso tape/contact paste been applied to all external LP connections?

  • 8.10 General comments

Structure

  • Please provide photos of the structure

  • 9.1 Does the galvanising/painted finish appear in good condition?

  • 9.2 Are there any visible signs of damage on the structure?

  • 9.3 Is the foundation showing any signs of movement?

  • 9.4 Are all welds at the base of the structure free from cracks?

  • 9.5 Are the holding down bolts visible?

  • 9.6 Is there any damage/corrosion to the HDB?

  • 9.7 Are the HDB secure and tight?

  • 9.8 Is the structure designed to be climbable?

  • 9.9 Has the fall arrest system been installed as per the manufacturers recommendations?

  • 9.10 Is the system tagged & in date?

  • 9.11 Is the structure safe to climb?

  • 9.12 Is an anti-climb guard installed with padlock fitted & functional?

  • 9.13 Please provide the new padlock code (Note: the Access Team will provide a new code on the day of the visit, please call 01590 670025 if no codes have been provided)

  • 9.14 What is the condition of the system / cable?

  • 9.15 Has 10% of the structures nuts and bolts been torque checked?

  • 9.16 What is the condition of the working platforms?

  • 9.17 General comments

Tower Equipment

  • Please provide photos of the tower equipment

  • 10.1 Are all antennas, MHA's, RRU's and combiners correctly secured?

  • 10.2 Are all dish/GPS/CCTV brackets in good working order with no visible signs of corrosion?

  • 10.3 Based on a visual inspections, is the condition of the equipment installed ok?

  • 10.4 Is the aircraft warning light operational?

  • 10.5 Are lightning finials present and secure?

  • 10.6 General comments

Signage

  • 11. Please provide pictures of the signage

Other

  • 12.1 Have any padlocks been replaced?

  • 12.2 How many new padlocks has been installed?

  • 12.3 Have any signs been replaced?

  • 12.4 Please detail the signs that have been installed

  • 12.5 Please include any other information that needs highlighting here

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.