Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Risk Matrix
Site Risk Assessment
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Does team have all required PPEs to complete Job safely?
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Does team have relevant training ticket and qualification to carry out the job? (Streetwork / PIA trainings)
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Is team is fully equipped with required tools?
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Is there stud detector available on with team?
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Do you have enough gate guards to guard worksite / pole / chamber properly?
Overhead work
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Have you checked pole label and conducted hammer test?
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Is ladder tied with pole properly?
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Harness and lanyards are in good condition? Without any wear and tear/ damage?
COSHH Assessment
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Is there fully stocked first aid box available on site ?
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Portable fire extinguisher available ?
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Is Working GDU available for Hazardous gas testing before operating in BT Chamber ?
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Are there SDS (Safety Data Sheets available on site) ? For fibre cleaning chemical.
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Does team have fibre bin available to ensure safe disposal of fiber shards?
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Have you taken pedestrians and road users safety into account?
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Have you assessed all potential hazards and have adequate safety control measures in place to complete the job safely?
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Sign and submit