Pacifica - Field Safety & Quality Assessment

• Date Of Inspection

  Date

• Inspector

• Engineer Name

• Employment Type (PAS/Partner/Service Centre)

  Select PAS Direct Employed PAS Partner NWAS Autowash Capital Highland Service 87

  • PAS Direct Employed
  • PAS Partner
  • NWAS
  • Autowash
  • Capital
  • Highland
  • Service 87
• Location
  Address

• To ensure that all engineers have the correct tools, equipment and PPE to perform their job safely

  I Understood the objectives

  Further information required

• To ensure that all engineers can perform all mandatory electrical safety tests and understand the sequence of tests as well as the reasons for the safety procedures. This is achieved by monitoring, coaching and training. Photos of the engineer performing the tests are required

  I Understood the objectives

  Further information required

• Please refer to Pacifica Appliance Services - Safe Isolation Process located on LearnUpon

  Yes

  No

  N/A

• To confirm that the engineer is competent and safe to work

  I Understood the objectives

  Further information required

Vehicle Inspection

• Is the works vehicle parked safely?

  Yes

  No

• Photograph all four sides of the vehicle, highlighting any visible damage

  Media

• Photograph the inside of the vehicle

  Media

• Is the rear of the vehicle free of excess toteboxes?

  Yes

  No

• Are the tyres road legal?

  Yes

  No

Safety and The Perfect Service Visit

• Have you completed the Dynamic Risk Assessment?

  Yes

  No

• Have hazards identified in the Dynamic Risk Assessment been controlled by you?

  Yes

  No

• Have you noticed any hazard trends whilst completing the Dynamic Risk Assessment?

  Yes

  No

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

  Yes

  No

  N/A

• Before entering the property did the operative ask the customer to move any children from your work area and safely secure all animals?

  Yes

  No

  N/A

• Upon entering the property did the operative put on over overshoes to protect the customers property?

  Yes

  No

  N/A

• Evidence Site Safety Set-Up: Has the Operative set up the work area in an orderly fashion, keeping access/ egress routes free from obstruction utilising the Health and Safety A-Frame provided?

  Yes

  No

  N/A

• Has the customer been suitably advised on the repair process and potential hazards associated, including the safe zone, work zone locations and able to carry out a dynamic risk assessment?

  Yes

  No

  N/A

• Does the operatives have access and use the correct floor protection?

  Yes

  No

  N/A

• Does the Operative have access to current RAMS? (via the LearnUpon)

  Yes

  No

• RAMS

Electrical Equipment Checklist (Please photograph the serial number & Calibration date)

• Earth Loop Impedance Meter / Capture photo of serial number & calibration date

  Media

• Insulation Resistance & Continuity / Capture photo of serial number & calibration date

  Media

• 2-Pole Indicator condition

  Media

• Personal RCD condition

  Media

• All Lock Off Equipment & Devices Condition

  Media

Electrical - Safe Isolation Process (Please photograph the engineer performing each test)

• REQUIRED - Engineer MUST Demonstrate Safe Electrical Isolation Process

• Can the Operative make correct use of the non-contact Volt Detector (Volt Stick x2 available)? Photos of the engineer carrying out the test required.

  Pass

  Fail

• 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

  Sign

• Yes

  No

  N/A

• Can the Operative perform an Earth Loop Impedance Test (ELI)? Photos of the engineer carrying out the test required.

  Pass

  Fail

• 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

  Sign

• Can the Operative perform an Earth Continuity Test? Photos of the engineer carrying out the test required.

  Pass

  Fail

• 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

  Sign

• Can the Operative perform an Insulation Resistance Test? Photos of the engineer carrying out the test required.

  Pass

  Fail

• 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

  Sign

• Can the Operative make use of the 2-Pole Indicator to prove dead? Photos of the engineer carrying out the test required.

  Pass

  Fail

• 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

  Sign

PPE & Work Equipment

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• PPE / Equipment Checklist

  Select Test Socket Adaptor FFP3 Face Masks Socket & See [Earth Loop Tester] Voltage Detector / Volt Pen RCD Electrical Lock Off Equipment Kneepads Safety Glasses Bump Cap First Aid Kit Including Eyewash Floor Protection Board x2 Cut Safe Gloves x2 Non-slip Overshoe Hi-Viz Safety Footwear Kevlar Sleeves

  • Test Socket Adaptor
  • FFP3 Face Masks
  • Socket & See [Earth Loop Tester]
  • Voltage Detector / Volt Pen
  • RCD
  • Electrical Lock Off Equipment
  • Kneepads
  • Safety Glasses
  • Bump Cap
  • First Aid Kit Including Eyewash
  • Floor Protection Board x2
  • Cut Safe Gloves x2
  • Non-slip Overshoe
  • Hi-Viz
  • Safety Footwear
  • Kevlar Sleeves

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

  Pass

  Low Risk Defect

  High Risk Defect

  Severe Risk Defect

• Operatives Gloves & Work Clothing

  Media

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

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

• Extinguisher Condition

  Media

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

  Yes

  No

  N/A

• Photograph the sole/tread of the footwear

  Media

• Is the operative aware of the correct PPE for the tasks they are trained to perform?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Observations (Please detail your observations and any coaching provided to engineer)

• How did you find the operatives approach to diagnosing the faulty?

• How did the operative deal with the customer whilst in there home?

• Did the operative explain to the customer the fault with the appliance and the work that has been carried out?

• Did the operative understand MC3 and all its functions?

• Did the operative carryout all electrical safety sets before and after the repair and understand the purpose of the tests?

• Did the operative remove all parts and packaging from the customers home?

  Yes

  No

Sign Off

• Auditor Sign

• Engineer Sign