SAT/Rope Access Log Book VIP Only

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

This form assumes that the job cannot be completed by DTH or DAT Engineer. A form must be completed for each SAT job before it is undertaken. SAT jobs require two persons on site at all times With rope accessed jobs three people required 2 x level 1 trained and one Level 2 trained engineer at all times otherwise they postpone job.

Visit details

• Address
  Address

• Date and Time

  Date

• Start time

  Date

• True Job type

  Select DAT SAT ROPE ACCESS

  • DAT
  • SAT
  • ROPE ACCESS

• If job is DTH,SAT,ROPE ACCESS or impossible state why here

Access to height will be by

• Ladder - Sky's fall arrest systems, eye bolting, ML and LM or equipment from the ladder hierarchy,etc.

  Select Yes No

  • Yes
  • No

• Via a Dormer - Sky SAT procedures as trained with roped access techniques in use.

  Select Yes No

  • Yes
  • No

• Via a velum window or rooflight - Sky SAT procedures as trained with roped access techniques in use.

  Select Yes No

  • Yes
  • No

• Other means give details- Specify minimum control measures required.

  Select Yes No

  • Yes
  • No

Ladders used

• 8 rung ladder - PPE microlite + eyebolt if necessary to ensure security

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Single section ladder- PPE microlite ladder mate full arrest + eyebolt

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Double section ladder- PPE microlite ladder mate full arrest + eyebolt

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Triple section ladder ( excluding full extension ) -PPE microlite ladder mate full arrest + eyebolt

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Triple 17's ladder -PPE microlite ladder mate full arrest + eyebolt (three man required)

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Triple 19s ladder -PPE microlite ladder mate full arrest + 2 x eyebolt ( three man team required)

  Yes

  No

  N/A

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Extended Cat ladder- PPE microlite ladder mate full arrest + eyebolt

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

• Combi ladder- PPE other equipment and fall arrest as necessary eyebolt at all times

  Select Yes No

  • Yes
  • No

• If a ML or LM cannot be used state what alternative is to be used. An eyebolt or other attachment point must be used for all dish installs and all service work.

  Media

If Anchor points are needed for roped access are they

• Existing and fixed ( in date and permission granted to use)

• Add media

  Media

• Temporary - eg 20mm eyebolt, primary plus back- up

• Add media

  Media

• Part of the building structure - checked and verified by both Engineers

• Add media

  Media

On - site identified hazards

• Adverse weather

  Select Yes No cannot be controlled controlled or minimised

  • Yes
  • No
  • cannot be controlled
  • controlled or minimised

• Third parties

  Select Yes No cannot be controlled controlled or minimised

  • Yes
  • No
  • cannot be controlled
  • controlled or minimised

• Traffic

  Select Yes No cannot be controlled controlled or minimised

  • Yes
  • No
  • cannot be controlled
  • controlled or minimised

• Existing equipment

  Select Yes No cannot be controlled controlled or minimised

  • Yes
  • No
  • cannot be controlled
  • controlled or minimised

• Garden hazards

  Select Yes No cannot be controlled controlled or minimised

  • Yes
  • No
  • cannot be controlled
  • controlled or minimised

• Ground hazards

  Select Yes No cannot be controlled controlled or minimised

  • Yes
  • No
  • cannot be controlled
  • controlled or minimised

• Any other hazards - state what they are

  Yes

  No

  cannot be controlled

  controlled or minimised

RE ACCESS SECTION VIP ONLY

Personnel on Site

• Level 2 trained Supervisor on site

  Yes

  No

  N/A

• John Ware

  Yes

  No

  N/A

• Bob Loew

  Yes

  No

  N/A

VIP Team on site

• Robert Mangar

  Yes

  No

  N/A

• Matt Phillip

  Yes

  No

  N/A

• Martin Dowdy

  Yes

  No

  N/A

• Dane Thomas

  Yes

  No

  N/A

• Nick. Pover

  Yes

  No

  N/A

• Shaun Lucan

  Yes

  No

  N/A

Health and Safety advisor/s

• Mick McCarthy

  Yes

  No

  N/A

• Robert Hudgall

  Yes

  No

  N/A

Equipment check

• Kit number

  Kit 1

  Kit 2

  Kit 3

• Kit Number

  Kit 1

  Kit 2

  Kit 3

• Kit Number

  Kit 1

  Kit 2

  Kit 3

• 11mm Dynamic Ropes- 50 mtr each x 2

  Yes

  No

  N/A

• Neveho Harness c/w Chest Harness and Croll

  Yes

  No

  N/A

• Rocker

  Yes

  No

  N/A

• Hand Ascender

  Yes

  No

  N/A

• ID Descender Unit

  Yes

  No

  N/A

• 10mm Delta Maillon Rapide

  Yes

  No

  N/A

• 10mm Semi-Circular Maillon

  Yes

  No

  N/A

• 10mm Screwgate Karabiners (assorted)

  Yes

  No

  N/A

• Set of Cowstails 11mm Dynamic Rope

  Yes

  No

  N/A

• 7mm Plastic Covered Wire Anchor Strop - 375mm Long

  Yes

  No

  N/A

• 60cm Long Sewn Endless Webbing Slings

  Yes

  No

  N/A

• 1.2mtr Long Sewn Endless Webbing Slings

  Yes

  No

  N/A

• Petzl Helmet

  Yes

  No

  N/A

• Twin Leg Lanyards

  Yes

  No

  N/A

• Single Pulley Blocks

  Yes

  No

  N/A

• Double Pulley Blocks

  Yes

  No

  N/A

• Foot Loop Lanyard

  Yes

  No

  N/A

• 1mtr Canvas Rope Protector

  Yes

  No

  N/A

• Kite bag

  Yes

  No

  N/A

• Rope Bags

  Yes

  No

  N/A

Team Communication

• Visual (hand signals)

  Yes

  No

  N/A

• Verbal (unassisted )

  Yes

  No

  N/A

• Verbal (assisted)

  Yes

  No

  N/A

• Radio ( note channel)

  Yes

  No

  N/A

Management

• Equipment / Tool<br>

  Safe

  At Risk

  N/A

• Access zone

  Safe

  At Risk

  N/A

• Hazard Zone

  Safe

  At Risk

  N/A

• Anchors

  Yes

  No

  N/A

• Rescue and Retrieval

  Yes

  No

  N/A

Post visit Debrief

• Safety Considerations- Where adequate safety measures taken to insure the safety of personnel and public

  Yes

  No

  N/A

• Anchorages used - Describe set up and any special techniques used

  Yes

  No

  N/A

• All equipment checked back into correct Kit bags

  Yes

  No

  N/A

Work Log

• Detail of task

• Hours worked

• Height Worked

• Supervisor name

  Sign

• VIP Engineer name

  Sign