Title Page

  • Conducted on

  • Inspector

  • Location

Audit -

Resident Inspection Authorisation & COVID 19 Questions

  • Operative Name

  • [Pacifica Group Customer Declaration – Including COVID-19 Measures & Sign off]: [The Resident], confirm I authorised Pacifica to carry out an Audit / Inspection and gave my GDPR / Privacy consent to photos being taken during the visit I acknowledge which will be retained as evidences of the work done within the property. [Pacifica Group COVID-19 Statement]: I can also confirm that during the time of the Pacifica visit no-one in the household is showing any symptoms of Coronavirus. Pacifica carried out a Dynamic Risk Assessment prior to accessing my property. The appointment was screened to confirm no resident had symptoms of COVID-19 which was confirmed again prior to Pacifica staff entering the property. Pacifica staff informed me that they have had enhanced Covid-19 training, in line with their Health & Safety Policy which includes the most up to date Government Advice. This ensured that all within the property maintained safe distances and used Covid-safe working practices at all times. To ensure safety for all, I agreed to maintain Social Distancing measures by adopting the required distancing and by staying in a separate room while Pacifica staff were present. Pacifica staff used PPE during the visit which included; Anti-Bacterial Wipes, Surgical Face Masks, Disposable Gloves, Hand Sanitizer and Full Face Visors were available for use. The hand-held was wiped before and after I added my signature to minimise any Covid-19 cross contamination. Copyright © Pacifica Group 2020 | Pacifica Group Limited company number 05541667, Pacifica Home Services Limited company number 04966472, Pacifica Appliance Services Limited company number 05288361, UK Warranty Limited company number 07728040 and Oakes Energy Services Limited company number 06434382 are Registered in England and Wales, Registered Office address Pacifica House, Venter Building, 3 Mandarin Road, Rainton Bridge Business Park, Houghton Le Spring, County Durham, DH4 5RA

  • Does the Operative have COVID RAMS, present, signed and in-date?

  • Can the Operative clearly outline the procedure to prevent the spread of COVID?

  • Is the Operative aware of the COVID symptoms?

  • Does the Operative have all COVID PPE available as supplied by the Company (Sanitizer, wipes, disposable gloves, face visor, masks)?

  • Select weather conditions at time of inspection..

Site Safety and Customer Service

  • Do Operatives carry valid ID Cards [I.E Company ID, Gas Safe, OFTEC, NICEIC]

  • Is the works vehicle parked safely?

  • Is the works vehicle tidy?

  • Does the Operative have access to current RAMS, COSHH and Method Statements?

  • Evidence Site Safety Set-Up: Have Operatives set up the work area in an orderly fashion, keeping access/ egress routes free from obstruction?

  • Are the Operatives using the correct floor coverings? (Dust sheets/ Roll and stroll/ Rubber matting)

  • Have provisions been made to protect the existing furnishings?

  • Has the customer been suitably advised on the repair process and potential hazards associated, including the safe zone and work zone locations?

Electrical Equipment Checklist

  • Earth Loop Impedance Meter / Tester Condition

  • Any equipment in poor condition - arrange replacement

  • Insulation Resistance & Continuity Test Meters Condition

  • Any equipment in poor condition - arrange replacement

  • RCD Response Time Test Meter (BG Only)

  • Any equipment in poor condition - arrange replacement

  • 2-Pole Indicator Condition

  • Any equipment in poor condition - arrange replacement

  • Any Other Meters

  • Any / All Lock Off Equipment & Devices Condition

  • Any equipment in poor condition - arrange replacement

Electrical - Safe Isolation Process

  • REQUIRED - Engineer MUST Demonstrate Safe Electrical Isolation Process

  • Can the Operative make correct use of the non-contact Volt Detector (Volt Stick)?

  • Inspector - refer to attached Electrical Safety Training Presentation & Provide Training

  • Following training given, I "The Operative" can confirm I have read, received and will adhere to all information provided

  • Can the Operative perform an Earth Loop Impedance Test (ELI)?

  • Inspector - refer to attached Electrical Safety Training Presentation & Provide Training

  • Following training given, I "The Operative" can confirm I have read, received and will adhere to all information provided

  • Can the Operative perform an RCD Response Time Test (BG Only)?

  • Inspector - refer to attached Electrical Safety Training Presentation & Provide Training

  • Can the Operative perform an Earth Continuity Test?

  • Inspector - refer to attached Electrical Safety Training Presentation & Provide Training

  • Can the Operative perform an Insulation Resistance Test?

  • Inspector - refer to attached Electrical Safety Training Presentation & Provide Training

  • Can the Operative make use of the 2-Pole Indicator to prove dead?

  • Inspector - refer to attached Electrical Safety Training Presentation & Provide Training

PPE & Work Equipment

  • Picture of full PPE / Equipment Bag [Empty Contents and Check Equipment Stock Levels]

  • Does the Operative have the correct PPE /Work Equipment in order to undertake the work safely? [Including COVID PPE]

  • Does the Operative have a fully stocked, in date First Aid Kit including eyewash?

  • Any items missing from First Aid Kit - arrange replenishment

  • PPE / Equipment Checklist

  • Any equipment damaged or missing - arrange replacement

  • Work being carried out in a safe manner using appropriate, serviceable PPE?

  • Operatives Gloves & Work Clothing

  • Socket & See Available (RCD and PDL)

  • Volt Pen Available [VOLT PEN]

  • Is all hand tools / field equipment free from damage?<br>(if at risk, remove from use immediately and replace)

  • Has the defective equipment been immediately removed from site?

  • RCD available **where applicable

  • Does the Operative have X1 1KG Powder Fire Extinguisher Available? [Fully Pressurised and Maintained]

  • Extinguisher and Condition

  • Is a stocked first aid kit available complete with eye wash, (in date)?

  • Is safety footwear in good condition and of the correct type?

  • Are staff aware of the correct PPE for the tasks they are trained to perform?

  • Is there a system/ register in place for access and lifting equipment for inspections? (Van file)

  • List system / register missing for replenishment

  • Access Equipment / Lifting Equipment in good condition and free from any defects? (Check feet, platforms and rungs **where applicable)

  • Remove from use immediately and arrange replacements

  • 3 Tier Ladder

  • CAT Ladder

  • Telescopic Ladder / Steps

  • Hop-Up

  • Does the Operative have adequate continuity clamps?

  • Does the Operative have correct paperwork [Warning Labels, Electrical and Gas]

Sign Off

  • Auditor Feedback

  • Auditor Sign

  • Operative Sign

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