Title Page

  • Project Name : Site

  • Prepared by

  • Site Name (Facility ID / Name)

  • Location / Address
  • WO number

  • Install team

SAFETY / RISK

  • If Site Crew is onsite working; ensure JSEA/JHA and Permit to Work are being used.

  • Are all risks being controlled as specified in JSEA/JHA?

  • Identify the level of traffic risk involved by accessing this chamber?

  • Are you aware of the manual handling risks involved and have they been addressed?

  • Is there a possibility of exposure to sharps?

  • Is the chamber lid(s) / cabinet easily lifted

  • Pre start completed?

Audit Scope

  • Inspection covers: Full install; Civil install only; IoT/Sensor/Comms install only

  • Pillar Box and or Pole installed - concreted in place / bolted adequately?

  • Conduits installed correctly; sealed; backfilled; draw wire; shielded above ground.

  • Solar panel fixed? (photo evidence required: picture of solar panel serial # and make / model number.

  • IoT comms installed neatly within cabinet (photo evidence required: photo of IoT comms device, including serial # and make / model number.

  • Pressure Sensor is installed with no leaks visible; cable management/neat (photo evidence required: Include photo showing closeup of make/model and serial #)

  • Please advise why. ie: to be installed

  • Aerial is installed neatly and connected to grounded structure?

COMMUNICATIONS (IoT)

  • Have the communications been commissioned, or tested for connectivity?

  • Any other final comments / photos - INSERT HERE

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.