Information
Return to Work knowledge check questionnaire
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Engineer name:
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Team:
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Prepared by:
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Location
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Conducted on
Health & Safety Knowledge Check
Vehicle
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Name 3 of the daily checks that you carry out on your van?
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Who is responsible to ensure your van is safe for the road?
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What is the max speed limit of your van on a dual carriageway that has a national speed limit?
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Where would you locate the correct tyre pressure for your van?
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When is it safe to make a phone call whilst driving?
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What does telematics record on your van? Have you got access to the telematics App?
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If your van is involved in an accident/incident or you notice a dent on the body work of your van, what should you do first?
Risk Assessment
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When should a risk assessment be carried out?
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What are the three steps you should take to deal with a hazard?
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If a part of your ladder equipment can't be used for any reason, what should you do?
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What PPE do you have to control drilling hazards?
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What is a near miss?
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If you encounter a near miss what should you do?
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What should you do if your iPad fails during your working day?
Ladder Working
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When connecting a cable to a dish does your ladder need to be eye bolted?
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Where should your cowstail be placed on the ladder when working at height?
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When on soft ground, what additional item should be used with your ladder?
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Can your gravel bag be used as a replacement for your ladder mate?
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How many points of contact should your ladder mate have with the ladder?
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What should you do if you can't secure the ladder with an eyebolt?
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In addition to PPE, List 3 items of equipment that must be used when working on a ladder?
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How do you set up your combi ladders to use as a triple section combi ladder?
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Where would you eyebolt an A frame combi ladder set up face on and side on to a wall?
Roof Working
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What rungs of the ladder should the microlite be fitted to, when accessing a flat roof?
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How many eye bolts are required when accessing a pitched roof?
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At what angle does a flat roof become a pitched roof?
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What additional equipment is required to access a dormer roof?
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You are about to work on a flat roof that is only 1.5m wide, what piece of equipment is required to get to the area where work will be carried out?
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What is the minimum distance between your working point and any edge, when working on a pitched roof?
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How would you secure your CAT ladder after it has been installed safely on a roof?
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When working on a flat roof, how close can you be to an un-protected edge before fall arrest equipment is required?
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You are about to access a roof, you have completed a Risk Assessment. Before starting ANY work what should you do?
Manual Handling
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What is Manual Handling?
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What should be carried out prior to moving any load?
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List three common injuries caused by manual handling?
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Which way should you face prior to lifting and moving a load?
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How many hands should be used when carrying ladders?
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What PPE should be used at all times when carrying ladders or equipment?
Briefs and procedures
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Where would you find all the current Health and Safety briefs and processes?
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Where would you find the ladder, combi ladder and cable clipping hierarchy and understand how to use it?
Summary:
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Reason for engineer being Absent from work? Any professional recommendations from medical experts to consider before completing practical observation or to support engineers return to work?<br><br>
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Engineer Wellbeing and support? Is there any support the engineer requires that we can provide? I.e. Financial support, counselling etc.
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Engineer Practical observation: What have you gone through with the engineer? <br><br>
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Overall outcome & recommendations:
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Engineer:
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RTW Lead Signature:
