PHQC06 - Pickerings Hire Site Visit Form

• Client/Customer

• Site Name

• Contract No

• Conducted on

  Date

• Prepared by

• Location
  Address

• Purpose of Visit

  Installation

  Demobilisation

  Site Move

• Product Type

  Anti - Vandal

  Prima 8 (CTX)

  Prima 10 (Trimo)

  Principle Range (Trimo)

  Welfare Unit

• Does site have a COVID-19 Risk Assesment

  Yes

  No

  N/A

• Vehicle Access & Egress

  Rigids Only

  Wagon & Drags

  Artics

  No Vehicle restrictions

• Are site approach roads clear of low bridges

  Yes

  No

  N/A

• Is there a designated traffic route allocated by site

  Yes

  No

  N/A

• Are there any time restrictions on delivery/collection vehicles

  Yes

  No

  N/A

• Is site clear of over head cables

  Yes

  No

  N/A

• Is vehicle route to lift area clear of overhanging trees

  Yes

  No

  N/A

• Is vehicle route and lifting area clear of underground services and voids

  Yes

  No

  N/A

• Is the lifting area clear from water courses and reservoirs

  Yes

  No

  N/A

• Is the lifting area clear from Network Rail tracks or airports

  Yes

  No

  N/A

• Have site applied for any road closures or parking bay restrictions

  Full Road Closure

  Partial Road Closure

  Parking Bay Suspensions

  None

• Is there parking onsite for fit out crews and lifting team vehicles

  Yes

  No

  N/A

Lift Details

• Site access width

• Site access height

• Ground conditions

  Select Concrete Tarmac Crane base (TWD) Type 2 Crush Trackway Other

  • Concrete
  • Tarmac
  • Crane base (TWD)
  • Type 2 Crush
  • Trackway
  • Other

• Foundation type

  Concrete

  Paving Slabs

  Wysebase

  Jackpads

  Other

• Temporary works designed provided by client for foundations

  Yes

  No

  N/A

• Photograph landing Area for cabins

• Maximum Radius of Lift

• Lifting Equipment Required

  Select Mobile Crane Lorry Loader Tower Crane Fork Lift Tracked crane other

  • Mobile Crane
  • Lorry Loader
  • Tower Crane
  • Fork Lift
  • Tracked crane
  • other

Project Information

• Site Contact Name

• Site Contact number

• Site Contact Email

• Requested date of installation/collection

  Date

• Signed off Drawing available

  Yes

  No

  N/A

• How long Site Induction

• PPE Requirements

  Select Hard Hat Chin Strap Hi Vis waist coat Hi - Vis full length sleeve top Orange trouser Safety Glasses Safety Boots Safety Gloves Task Specific Other

  • Hard Hat
  • Chin Strap
  • Hi Vis waist coat
  • Hi - Vis full length sleeve top
  • Orange trouser
  • Safety Glasses
  • Safety Boots
  • Safety Gloves
  • Task Specific
  • Other

Customer Information

• Customer Responsibilites