Information
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Quarterly Health and Safety Equipment check
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NOTE: it is the responsibility of the team manager to complete this document and return a copy to HR @ Admin.Laserfiche@bskyb.com
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Engineer name:
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Quarter:
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Engineer tech No:
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Team:
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Select date
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Note it is the responsibility of the engineer to ensure all items are kept on the vehicle and to report immediately any item that has been lost or damaged to the team manager.
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Triple ladders Size
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Witnessed on van
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Fit for use?
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Catt ladder
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Witnessed on van
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Fit for use?
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Ladder clamps QTY
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Witnessed on van
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Fit for use?
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Combi/steps available?
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Witnessed on van
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Fit for use?
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8 rung ladder EXT piece x2 QTY
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Witnessed on van
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Fit for use?
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Harness QTY
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Witnessed on van
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Fit for use?
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Twistlock Karabiners QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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Rope grab QTY
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Witnessed on van
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Fit for use?
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15m rope QTY
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Witnessed on van
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Fit for use?
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10m rope QTY
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Witnessed on van
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Fit for use?
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5m rope QTY
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Witnessed on van
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Fit for use?
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Cows tail & karabiner QTY
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Witnessed on van
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Fit for use?
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Retractable safety line Available?
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Witnessed on van
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Fit for use?
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10m blue web strap Available?
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Witnessed on van
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Fit for use?
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Blue ratchet strap for 10m Available?
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Witnessed on van
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Fit for use?
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Chimney wire strop Available?
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Witnessed on van
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Fit for use?
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Soft slings - part of chimney kit QTY
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Witnessed on van
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Fit for use?
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Throwing line & bean bag Available?
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Witnessed on van
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Fit for use?
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Ratchet strap 4m QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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Ratchet strap 2m QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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Ratchet strap 1m QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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Safety gravel bag Available?
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Witnessed on van
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Fit for use?
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10m screw eye bolt QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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12m expandable eye bolts QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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20m expandable eye bolts QTY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9+
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Witnessed on van
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Fit for use?
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20m drill bit Available?
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Witnessed on van
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Fit for use?
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Ladder mate QTY
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Witnessed on van
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Fit for use?
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Microlite QTY
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Witnessed on van
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Fit for use?
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Conservatory bearer bars QTY
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Witnessed on van
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Fit for use?
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Ladder locks x2 QTY
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Witnessed on van
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Fit for use?
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Hilti Hit Kit: inc glue, anchor rods & nitrile gloves Available?
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Witnessed on van
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Fit for use?
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Cable rods QTY
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Witnessed on van
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Fit for use?
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Adjustable ladder foot spike Available?
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Witnessed on van
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Fit for use?
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Crawl boards x2 QTY
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Witnessed on van
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Fit for use?
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Cones x2 QTY
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Witnessed on van
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Fit for use?
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Voltage/metal/stud detector Available?
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Witnessed on van
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Fit for use?
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Drill harness Available?
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Witnessed on van
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Fit for use?
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Hard hat (check date) QTY
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Witnessed on van
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Fit for use?
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Head torch Available?
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Witnessed on van
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Fit for use?
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Safety goggles Available?
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Witnessed on van
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Fit for use?
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Ear plugs Available?
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Witnessed on van
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Fit for use?
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Dust mask Available?
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Witnessed on van
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Fit for use?
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Hi-vis vest Available?
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Witnessed on van
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Fit for use?
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Gloves Orange available?
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Witnessed on van
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Fit for use?
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Manual handling gloves available?
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Witnessed on van
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Fit for use?
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Knee pads Available?
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Witnessed on van
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Fit for use?
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Safety boots Available?
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Witnessed on van
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Fit for use?
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First aid kit Available (items in date) ?
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Witnessed on van
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Fit for use?
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Power breaker ELCB Available?
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Witnessed on van
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Fit for use?
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Extension reel (pat tested) Available?
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Witnessed on van
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Fit for use?
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Drill charger (pat tested) Available?
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Witnessed on van
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Fit for use?
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Ground area lighting (pat tested) Available?
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Witnessed on van
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Fit for use?
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Hazard analysis forms Available?
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Witnessed on van
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Fit for use?
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Sat kit (in accordance with kit list) Available?
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Witnessed on van
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Fit for use?
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Additional items Available?
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Witnessed on van
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Fit for use?
Sign off
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Items to order:
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Add media scan of equipment inspection record if required.
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NOTE: when signing you are confirming that you have witnessed all the items and. Their condition.
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Sign manager
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NOTE: when you are signing you are confirming that you are in receipt of the items listed and accept responsibility to maintain these items and immediately report any defects to your line manager.
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Sign engineer
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A copy must be sent to :
Engineer named for personal road file to be kept for 1 year min.
HR admin @ Admin.Laserfiche@bskyb.com please insert engineers payroll No in subject line of email.
Team manager of engineer for file.
