Title Page

  • Pack name

  • Pack ID

  • Site conducted
  • Conducted on

  • Prepared by

Check List

  • Has PIA been presented?

  • Please seek advise from Civil team

  • Block wiring able to be complete?

  • Please attach photo and description on reason why

  • Can we reach all levels of the building ?

  • Please attach photo and description on reason why

  • Ground conditions okay?

  • Please attach photo and description on reason why

  • Safe to use ladders ?

  • Please attach photo and description on reason why

  • Is a MEWP required ?

  • MEWP survey required?

  • Is abseilers required ?

  • Please attach photo and description on reason why

  • Do we require special access ? (I.E Keys or fobs)

  • Please attach photo and description on reason why

  • Parking

  • Has this site been carded?

  • Additional labour required?

  • Short description of what is needed

  • Has CPP & RAMS been sent

  • Please ask to be sent them

  • Cable colour

  • Access problems (gardens, fences, etc)

  • Build type

  • Meterage of span

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.