Information
-
Title
-
Document No.
-
Job No/Site
-
Conducted on
-
Prepared by
General Information
-
General Information
-
Visit
-
Site Supervisor
-
Include DB quantity and/or details?
-
Estimated no DB's
-
Estimated No of Circuits
-
Emergency Lighting Certificate Required?
-
Fire Alarm Certificate Required?
-
Electrical Installation Certificate Required?
-
Job to be Part P Registered?
-
Program
-
Project Programmed Completion Date
-
Next Visit Date agreed
-
Programmed Testing Start Date
-
Programmed Testing End Date
-
Testing carried out by?
-
Dead Testing
-
Final Testing
-
Certification
-
Progress Notes:
-
Site Issues
-
Details:
-
Progress Notes
-
Details
-
Retained Circuits/Equipment?
-
Circuits
-
Number of Retained Circuits
-
Distribution Boards
-
Number od DB's
-
Switchgear
-
Number and Details of the Switchgear
-
Current ECR Avilable?
-
ECR No
-
ECR Date
-
Kept by:
-
Winters Instructed to complete ECR?
-
Details:
Site Survey
-
Equipment
-
Equipment Register up to date
-
Comments
-
Equipment used on site
- Steps
- Podiums
- Mobile Towers
- Chop Saw
- Test Equipment
- Power tools
-
Number of Steps used
-
Number of Power Tools used on site
-
Number of Podiums used on site
-
Number of Test Equipment used on site
-
Test Equipment
Item
-
Model
-
Serial Number
-
Calibration Date
-
Calibration Certificate Number
-
Next Calibration due date
-
Tested against 'Check Box'
-
Details:
-
Number of Mobile Towers used on site
-
Number of Chop Saws used on site
-
Resources Condition
-
Ladders used on site satisfactory condition and adequately used
-
Details:
-
Photo:
-
Podiums used on site satisfactory condition and adequately used ?
-
Details:
-
Photo:
-
Scaff Tag present and up to date?
-
PLEASE UPDATE SCAFF TAG
-
Towers used on site satisfactory condition and adequately used?
-
Details:
-
Photo:
-
Scaff Tag present and up to date?
-
PLEASE UPDATE SCAFF TAG
-
Details:
-
Photo:
-
Power Tools in good working order and adequately used?
-
Details:
-
Photo:
-
Test Equipment in good working order and adequately used ?
-
Details
-
Photo
Recommendations
-
Recommendations
-
Access Equipment
-
Details:
-
Plant on Hire
-
Details:
-
Training
-
Details:
-
Test Equipment
-
Details:
-
Power Tools
-
Details:
-
Other
-
Recommendation
Item
-
Details:
Sign Off
-
Sign Off
-
Sign Off
-
Engineer Comments:
-
By signing I agree all the above is correct
-
Sign off by auditor
