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 - H&S

  • H&S Survey carried out?

Health & Safety File

  • Winters Induction signed?

  • Toolbox talks carried out and schedule up to date & signed?

  • Winters sign in register up to date and signed?

  • Please list names of all Winters operatives at the time of the visit

  • Safe Isolation Procedure included in Site H&S File?

  • Carry out toolbox talk about Safe Isolation Procedure

  • Is the Safe Isolation Procedure followed on site?

  • Carry out toolbox talk about Safe Isolation Procedure

  • Details:

  • RAMS included in the file and signed by operatives?

Site Survey

  • Winters PPE used?

  • Is there any new live circuits?

  • 'Dead' test results available and kept in H&S File on site?

Site Survey - Equipment, Plant & Tools

  • Equipment

  • Equipment Register up to date

  • Comments

  • Equipment used on site

  • 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

Quality & Snagging - Previous Visit

  • Is this first visit?

  • Go to next section...

  • Remedial actions completed from previous visit?

  • Items not completed

  • Cable supports

  • Segregation of conductors

  • Cables installation method

  • Cable routing

  • Mechanical protection

  • Other

  • Fixings

  • Edge protection against abrasion

  • Bonding

  • Trunking lid

  • Other

  • Fixings

  • Cable entry holes

  • Fly leads

  • Other

  • Installation method

  • Size

  • Labels

  • Other

  • Fixings

  • Cable entry holes

  • Circuit Protective Devices

  • Cable terminations

  • Sleeving

  • Cable identification (ferrules)

  • Labelling

  • Phase sequencing

  • Other

  • Fixing method

  • Sleeving

  • Cable termination

  • Labels

  • Other

  • Date of the previous visit

Quality Snagging - Current Visit

  • Scope of Works

  • Cable type used?

  • Cabling

  • Cable supports correct?

  • Segregation of circuits correct?

  • Cables installed & clipped correctly?<br>

  • Cable routing correct?

  • Mechanical protection installed?

  • Other?

  • Containment

  • Fixings adequate?

  • Edges protected?

  • Bonded?

  • Trunking lid fitted & secured?

  • Other?

  • Back Boxes

  • Fixing adequate?

  • Cable entry holes protected agains abrasion?

  • Fly leads installed?

  • Other?

  • Earthing & Bonding

  • Correctly Installed?

  • Adequately Sized?

  • Correctly Labelled?

  • Other?

  • Distribution Boards

  • Fixing Adequate?

  • Cable entry holes protected against abrasion?

  • Circuit Protective Devices (CPD's) correct?

  • Cables correctly terminated? (i.e.: copper not showing on termination)

  • Cables sleeved?

  • Cable circuit identification in place?

  • Required DB labelling in place?

  • Phase sequencing correct?

  • Other?

  • Face Plates

  • Secure and level?

  • Cables sleeved?

  • Fixings adequate?

  • No copper showing on terminations?

  • Labelled?

  • Other?

  • Any Repair/Remedial Work Required?

  • Any deviations from Specification

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

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.