Title Page
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Conducted by:
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Contract Name:
- LFFN
- OGI
- SLOTS
- OTHER
- ITS
- CIVILS
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Date conducted:
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Location:
Pre-works Inspection
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Signature of the person completing the form:
Visitors
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Visitors Details
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Visit From
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Reason for the visit and contact details (name, company, phone number)
Gang members
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Name and signature:
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On arrival to site:<br>Are works safe to proceed?
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Please take photos of the surrounding area.
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Weather conditions on site: (tick applicable)
- Dry
- Wet
- Windy
- Cold
- Raining
- Sunny
- Hot
- Cloudy
- Light
- Dark
- Fog
- Snow
- Overcast
- Other
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Other weather
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Have you identified any pre-existing defects or issues before you start?
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RAMS: <br>You agree that you have read, understood, had access to / or can obtain a copy of the RAMS before undertaking the works?<br><br>https://erhcomms.sharepoint.com/:f:/s/iAuditor/ElK9u6NKOhdLrz45Dqdwr00B-RHwksgh_vmMvxCvH6U4Ww?e=FoRJbj
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DO NOT START WORKS, please contact your Line Manager before you proceed
once you have obtained the RAMs via line manager you can then continue -
RAMS send via other means
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Close the site
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When all requirements are met and rams are obtained please carry on
Safety Inspection/ Documents
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You know where to find HSE safety boards/documents where relevant, and regularly check for updates?
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https://resources.hse.gov.uk/notices/
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You agree, you and/or your team hold the necessary:<br>• Skillset (Deemed Competent)<br>• Qualifications / Accreditations <br>to carry out and complete any works assigned, to the correct specification, and in a safe and timely manner?<br>
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STOP WORKS contact your Line Manager for a resolution.
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If you have answered 'No' to having the correct qualifications/accreditation, training or competency please contact your line manager for a resolution.
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ID cards carried?<br>
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ID cards
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PPE used? (Personal Protective Equipment)
- Head protection (e.g. safety helmets)
- Body protection (e.g. high-visibility clothing)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Fall protection (e.g. safety harnesses).
- Other
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PPE Condition
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Items in question
- Head protection (e.g. safety helmets)
- Body protection (e.g. high-visibility clothing)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Fall protection (e.g. safety harnesses).
- Other
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Please consider renewing the item/s before it becomes poor
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Items in question
- Head protection (e.g. safety helmets)
- Body protection (e.g. high-visibility clothing)
- Ear protection (e.g. earplugs)
- Eye protection (e.g. goggles)
- Hand and arm protection (e.g. gloves)
- Foot protection (e.g. steel toecap boots)
- Skin protection (e.g. protective clothing)
- Respiratory Protective Equipment (RPE)
- Fall protection (e.g. safety harnesses).
- Other
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Manual handling practices understood and adhered to?<br><br>(i.e. correct lifting/carrying techniques, two person lifts or mechanical lifting equipment)
Welfare Inspection
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First Aid Kit: <br>In date and complete?
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If you are aware your First Aid kit is defective or needs replacing, whether in its entirety or just items in it, it is your responsibility to collect/replace after entering a "No" response.
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Have adequate welfare facilities been provided, or do you have access to welfare facilities locally?
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There are apps that can help you locate toilets and other welfare facilities available on your mobile device e.g. Google maps.
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Have you considered adequate means of hydration during the tasks?
Environment / Surroundings
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Have you identified any spills?
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Do you have Spill Kits?
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If you encounter any spills, contact the ERH Health & Safety Manager, or your line manager, immediately. They will advise you of the course of action.
Departments
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Please select your work discipline (only complete the department(s) relevant to your role)
- Civils
- TM
- Slots
- ITS
- Maintenance
- Fibre
- Surveying
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Are you working under TM?
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Do you require the use of a CAT & Genny?
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Is the cable avoidance equipment serviceable and calibrated?<br>Photos to include:<br>* CAT<br>* Genny<br>* Serial number and calibration tag
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Show markings as evidence before breaking ground
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Is plant used serviceable and in good working order?
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Are mechanical tools and equipment used serviceable and in good working order?
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Are safety guards and emergency stop functionalities all present and fully working?
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Hand/Arm Vibration Syndrome (HAVS) recording:<br>Operatives are required to log all time spent using the equipment and provide details to their line manager / Health & Safety Manager
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Are you working under TM?
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Please select what work sheet/s you will be using
- SI001 Electrical Testing.
- SI002 Transmission Buildings.
- SI003 IT Equipment.
- SI004 Tunnels.
- SI005 ETS.
- SI006 CCTV.
- SI007 Signs.
- SI008 Signals.
- SI009 TCL and Midas.
- SI010 MET.
- SI011 MVMS.
- SI013 JTC.
- SI014 TRT.
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Marker post (MP) locations
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Asset type
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Any Issues?
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DO NOT CONTINUE: Contact your Supervisor / Line Manager and seek advice.
Post Works Inspection
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Once any site is closed down for any period of time the site MUST be made safe with 'SITE CLEAR' photos to provide evidence.
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'SITE CLEAR' photos must clearly show and evidence all aspects of the site. It should be clearly visible that the site has been left SAFE! This includes, but is not limited to:
* Showing the site is clear from any debris.
* All tools and equipment have been collected.
* Any open excavations are suitably covered/barriered off .
Take photos of the site/work area on completion of the work
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Post work photo:
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Photo:
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Photographic evidence:
* the overall view of the area
* Showing the site clear from debris
* Showing site safe
* Showing site clean
Site clear photo's :
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Picture
Reference Material
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Documents
https://erhcomms.sharepoint.com/:f:/s/iAuditor/EnpSeS4bSjhCr0MZ2ZjR6uMBJi_tnQsxXOUCyWYtDF1PwA?e=l9xP4U