Sky UK South TM Companion VR 16/04/18

Before starting any new document ensure to refer to previous visits/interactions to identify any outstanding actions that may need to be carried forward. Any progress should be recognised and praised.

• Document No.Employee ID (payroll number)

• Employee Name

• Prepared by

• Conducted on

  Date

• Visit Type

  Select HomeSafe Post Check IDD Damaged Claim Coaching Health & Safety Accident/Incident Report Form Equipment Inspection RTW TM Proof of understanding TM Generic risk assessment Probation Discussion Investigation Parking Fine Form Bskyb Sky Vehicle Appraisal Form New start Check list

  • HomeSafe
  • Post Check
  • IDD
  • Damaged Claim
  • Coaching
  • Health & Safety Accident/Incident Report Form
  • Equipment Inspection
  • RTW
  • TM Proof of understanding
  • TM Generic risk assessment
  • Probation Discussion
  • Investigation
  • Parking Fine Form Bskyb
  • Sky Vehicle Appraisal Form
  • New start Check list

TM RISK ASSESSMENT

• What EXTERNAL hazards have you identified on this visit? please select from the list.

  Select Strong Winds Garden Manual Handling Traffic / Parking Animals / Pets Scaffolding Uneven Ground Working at Height Ice / Snow / Wet Hazardous Substances Decking Third Party Failing Light Gas / Electric

  • Strong Winds
  • Garden
  • Manual Handling
  • Traffic / Parking
  • Animals / Pets
  • Scaffolding
  • Uneven Ground
  • Working at Height
  • Ice / Snow / Wet
  • Hazardous Substances
  • Decking
  • Third Party
  • Failing Light
  • Gas / Electric

• What INTERNAL hazards have you identified on this visit? please select from the list.

  Select Furniture Stairs Manual Handling Animals / Pets Gas / Electric Hazardous Substances Loft Working Working at Height Non-Carpeted Flooring Third Party

  • Furniture
  • Stairs
  • Manual Handling
  • Animals / Pets
  • Gas / Electric
  • Hazardous Substances
  • Loft Working
  • Working at Height
  • Non-Carpeted Flooring
  • Third Party

• Are hazards Removable or Controllable

  Yes

  No

• Details

• Details

• Document Type

  Select HomeSafe Post Check IDD Damaged Claim Coaching Health & Safety Accident/Incident Report Form Equipment Inspection RTW TM Proof of understanding TM Generic risk assessment Probation Discussion Investigation Parking Fine Form Bskyb Sky Vehicle Appraisal Form New start Check list

  • HomeSafe
  • Post Check
  • IDD
  • Damaged Claim
  • Coaching
  • Health & Safety Accident/Incident Report Form
  • Equipment Inspection
  • RTW
  • TM Proof of understanding
  • TM Generic risk assessment
  • Probation Discussion
  • Investigation
  • Parking Fine Form Bskyb
  • Sky Vehicle Appraisal Form
  • New start Check list

HOMESAFE

• Visit Number

• Visit Type

  Select Service Install Install (multi-screen) MHO MHO (multi-screen) Other

  • Service
  • Install
  • Install (multi-screen)
  • MHO
  • MHO (multi-screen)
  • Other

• Product Type

  SKY +

  SKY Q

• Observation

  Announced

  Unannounced

• Is the engineer working safely on arrival?

  Yes

  No

• Risk Assessment

  Safe

  Unsafe

• Engineer has completed a dynamic risk assessment with all relevant hazards identified. They have demonstrated a good understanding of removing, controlling or escalating the relevant hazards.

• Coaching Conversation

• Additional Comments

• Add Photos

  Media

• Unsafe Conversation

• Add Photos

  Media

• Tick box for Risk Assessment Tool box Talk

Risk Assessment and Hazard Awareness Tool Box Talk

• An important part of your daily work is a formal risk assessment. Comprehensive training for Risk Assessment on-site was given in training. If you require any more information on Risk Assessment it can be found in the training manual .PAGES 25 to 33
  
  
  It is your responsibility to ensure that you do not expose yourself or others to unnecessary hazards whilst at work.
  To do this we must perform a Risk Assessment before we start ANY work.
  
  Carrying out a risk assessment allows the correct control measures to be put into place.
  
  Definitions within Risk Assessment:
  HAZARD: A Hazard is something with the potential to cause harm, even if it is not presently doing so.
  HARM: Harm is the physical injury or ill health or damage suffered by those exposed to a hazard.
  RISK: Risk is the likelihood that the harm from a particular hazard is realised and how much harm occurs.
  
  RISK = LIKELIHOOD X SEVERITY
  The basic approach to the assessment of risks can be summed up in the following steps.
  

Stages of Risk Assessment:

• 1. Identify The hazards involved
  
  2. Decide Who may be harmed and how
  
  3. Evaluate The risks and decide on the controls needed
  
  4. Record Your findings and implement them
  
  5. Review Your assessment and update if necessary
  

Types of Hazard

• Wherever possible hazards must be removed rather than controlled.
  
  The following category is a list of hazards likely to be encountered but the list is not exhaustive -
  
  • Adverse Weather.
  
  • Third Parties.
  
  • Traffic.
  
  • Existing External Equipment.
  
  • Property Hazards
  
  • Garden Hazards.
  
  • Ground Hazards.
  
  • Other Hazards.
  
  N.B. For a more detailed breakdown of these Hazard Categories, please refer to The Risk Assessment Module in your Safety Manual.
  
  Hazard Awareness Procedure and Form
  
  An important aspect of the Health and Safety procedure is the empowerment given to you to determine what H&S equipment to use in addition to the minimum requirements. On every installation or service call, the full hazard awareness procedure (i.e., a Risk Assessment) must be carried out in order to identify any hazards that are present. This is completed on your I Pad (paper form if I Pad is not available) and is a vital part of your role. This must be completed before any on-site activity is started.
  
  • You must determine what hazards are present when parking or working internally/externally on every occasion.
  
  • Wherever possible, hazards must be removed.
  
  • If a hazard cannot be removed, then it must be adequately controlled.
  
  If hazard cannot be removed or controlled it must be escalated to your manager.
  You must ensure at all times that you are working in the safest manner possible considering the hazards that are present.
  

Consider all tasks and situations and explain what you would do in these scenarios How would you control remove the risk

• You arrive at the customer’s door and as he opens the door a dog appears he is not aggressive but is a little boisterous.

• You complete risk assessment and have stated that dish will go low level with no ladder work needed but after trying to get signal it becomes clear that dish needs to be put on the chimney.

• While you are doing your risk assessment you come across damp decking

Please sign the appropriate statement

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Manual Handling

  Safe

  Unsafe

• Engineer has demonstrated good manual handling techniques to help reduce any potential injuries
  

• Additional Comments

• Add Photos

  Media

• Unsafe Conversation

• Add Photos

  Media

• Tick the box for the Manual Handling Tool Box Talk

Manual Handling Tool Box Talk

• Manual Handling includes the Lifting, Lowering, Push-ing, Pulling, Turning, Transporting and Throwing of ANY load.
  Manual Handling Operations Regulations are made under the Health & Safety at Work Act and are in place to try and reduce the amount of accidents caused by manual handling activities.
  Manual Handling accidents account for approximately 20% of all accidents reported by Installation Engineers.
  Some common injuries are:
  • Bruises
  • Sprains
  • Muscle Strain
  • Back Ache
  • Arm and Shoulder Pain
  It is YOUR responsibility to carry out a Risk Assessment before attempting to move ANY load to prevent potential injuries.
  

• 

• All manual handling activities should be carried out as smoothly as possible; this will help to reduce the strain on your body. Wherever possible, face in the direction you need to move and perform the lifting and moving as one smooth movement. If you need to turn then move your feet rather than rotate your body. This will help prevent back injuries.
  In the event of an injury you should escalate immediately to your duty TM and seek medical advice if required.
  

THINK LITE

Knowledge check questions

• Name 2 common injuries from poor manual handling?

• What should you do before attempting to move any load?

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• PPE

  Safe

  Unsafe

• All relevant personal protective equipment has been used to complete the listed activity’s which demonstrates the engineers awareness to their own personal safety
  

• Additional Comments

• Unsafe Conversation

• Tick the box to show PPE Tool Box Talk

PPE Tool Box Talk

• Engineer has followed the Safe System Of Work using all necessary equipment in line with the relevant hierarchy to complete all working at height activities

PPE Supplied The correct use and routine daily checks for PPE can be found in your safety manual from page 7.

Knowledge check questions

• 1. Who is responsible for checking and maintaining your PPE?

• 2. What is the main reason for wearing your manual handling gloves?

• 3. Who is responsible for providing you with PPE?

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Activity

  Select Cable Cliping Drilling Moving Equipment Stock Collection Working at Height Working in lofts working near roads / Low Visibility Other

  • Cable Cliping
  • Drilling
  • Moving Equipment
  • Stock Collection
  • Working at Height
  • Working in lofts
  • working near roads / Low Visibility
  • Other

• PPE Used

  Select Boots Dust mask Ear defenders / Plugs Gloves Goggles Hard Hat High Viz Knee Pads Safety Specs

  • Boots
  • Dust mask
  • Ear defenders / Plugs
  • Gloves
  • Goggles
  • Hard Hat
  • High Viz
  • Knee Pads
  • Safety Specs

• Add Photos

  Media

• Damage Awareness Property

  Safe

  Unsafe

• Engineer followed the correct process and procedures to minimize the risk of damage to property.
  

• Add Photos

  Media

• Additional Comments

• Add Photos

  Media

• Unsafe Conversation

• Tick box for Damage Awareness Tool Box Talk

Damage Awareness Tool Box Talk

• The following guidelines have been put in place to support our customers and yourself. During our working day we may come across situations whereby actions we take could result in unnecessary damage and critical hits.
  Through our investigations that have taken place it has been found that if you follow these guidelines we are laying out below will significantly reduce damage, critical hits and injury during your daily activities.
  1) Risk Assessment
  • Carry out a thorough risk assessment before starting any activity onsite, please refer to health and safety manual (pages 25-33)
  2) Safe Drilling Practices
  • Carry out visual inspection inside and out of drilling location before starting
  • At all times use stud detector is to be used to ensure location is safe to drill (Health and safety manual pages 33-38)
  • Usage of dust pan or reasonable precautions are to be taken to reduce dust/dirt on customers flooring (page 48)
  • All relevant PPE for drilling must be used (Health and safety manual pages 7-10)
  • Follow safe drilling practices as set out in Health safety manual (pages 43-48)
  • all cable entry and eyebolt holes are sealed
  • Sealing holes
  3) Handling equipment and customers personal possessions
  • Always take care when moving equipment around customer premises, if possible use external access in the first instance
  • Ask customer to move own possessions, if help is required then assist taking care at all times
  • Ensure manual handling guidelines are followed at all times (page 49-56)
  4) Cleanliness
  • All uniform is to be at a good standard of cleanliness and serviceable
  • Overshoes to be worn at all times inside customers property, care should be taken at all times when overshoes are worn
  • Working area must be left clean and tidy once all works are complete (page 48)
  • All old equipment must be removed from customers property and returned through standard stock return process
  • Once work is complete carry out inspection with customer and explain and clarify works completed

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Damage Awareness Van

  Safe

  Unsafe

• Engineer followed the correct process and procedures to minimize
  the risk of damage to the van.

• Add Photos

  Media

• Additional Comments

• Add Photos

  Media

• Unsafe Conversation

• Tick box for Van Damaged Awareness Guiedlines Tool Box Talk

Van Damage Awareness guidelines

• The following guidelines have been put in place to support you. During your working day we may come across situations whereby actions you take could result in unnecessary van damage resulting in unnecessary costs and potential injuries.
  Through Observations that have taken place it has been found that if you follow these guidelines we are laying out below will significantly reduce damage and injury risk.
  

• 1) Risk Assessment
  • Before commencing use of your van ‘HS&S vehicle checks’ must be completed as per fleet guidelines, any issues must be escalated to your TM.
  • Suitable and lawful parking must be considered at all times, follow UTL fleet ‘parking process’
  • Wing mirrors must be turned in or up when parked in any location
  • Observe and adhere to all height restrictions for your type of van
  
  

• 2) Equipment and Stock storage
  • All tools and equipment must be stored in a safe manner reducing the risk of damage.
  • All stock must be stored on shelving and racking provided, no stock or tools to be carried in cab area of van
  • Cab area must be kept clean and tidy at all times, all loose items secured
  • Rubbish/faulty stock must be cleared on a daily basis, following correct returns process
  • Ladders must be checked for security before making any journey, all relevant locks and straps must be in place
  
  

• 3) Handling equipment
  Refer to manual handling toolbox talk
  
  

• 4) Cleanliness
  • All branded vehicles are used as a marketing tool and therefore should be cleaned and presentable at all times, this includes dash area
  
  

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Add Photos

  Media

• Working at Height

  Safe

  Unsafe

• Engineer has followed the Safe System Of Work using all necessary equipment in line with the relevant hierarchy to complete all working at height activities

• Additional Comments

• Unsafe Conversation

• Ladder Type

  Select No Ladder Step/ Combi Single Section Double Section Triple Section CAT DAT SAT (inc rope access) Access Ladder (inc flat roof working) 10 Rung Rope Assisted 15 Rung Rope Assisted 19 Rung

  • No Ladder
  • Step/ Combi
  • Single Section
  • Double Section
  • Triple Section
  • CAT
  • DAT
  • SAT (inc rope access)
  • Access Ladder (inc flat roof working)
  • 10 Rung
  • Rope Assisted 15 Rung
  • Rope Assisted 19 Rung

• How was Combi-Ladder Used?

  A Frame (0 extension)

  A Frame (2 rung extension)

  A Frame (3 rung extension)

  A Frame (4 rung extension)

  Triple extension ladder

• Equipment Used

  Select 10mm Eye bolt 20mm Eye Bolt Chimney Strop Cow's Tail Cable Rod's Crawl Boards Gravel Bag Harness Karabiners Ladder Mate Ladder Spike Microlight Ratchet Strap Ropes Rope Grab Soft Slings Y Hang Other

  • 10mm Eye bolt
  • 20mm Eye Bolt
  • Chimney Strop
  • Cow's Tail
  • Cable Rod's
  • Crawl Boards
  • Gravel Bag
  • Harness
  • Karabiners
  • Ladder Mate
  • Ladder Spike
  • Microlight
  • Ratchet Strap
  • Ropes
  • Rope Grab
  • Soft Slings
  • Y Hang
  • Other

• Add pictures to support observation (inc RAMS forms if applicable)

  Media

• Additional visit notes

• Tick For IDD

IDD

• Reason for IDD

• Time and Date of incident

  Date

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

If more text boxes are needed please start a new IDD Form

• Tick for Additional HomeSafe Observations on the same day.

HOMESAFE

• Visit Type

  Select Service Install Install (multi-screen) MHO MHO (multi-screen) Other

  • Service
  • Install
  • Install (multi-screen)
  • MHO
  • MHO (multi-screen)
  • Other

• Product Type

  SKY +

  SKY Q

• Risk Assessment

  Safe

  Unsafe

• Visit Number

• Engineer has completed a dynamic risk assessment with all relevant hazards identified. They have demonstrated a good understanding of removing, controlling or escalating the relevant hazards.

• Coaching Conversation

• Additional Comments

• Add Photos

  Media

• Visit Number

• Unsafe Conversation

• Add Photos

  Media

• Tick box for Risk Assessment Tool box Talk

Risk Assessment and Hazard Awareness Tool Box Talk

• An important part of your daily work is a formal risk assessment. Comprehensive training for Risk Assessment on-site was given in training. If you require any more information on Risk Assessment it can be found in the training manual .PAGES 25 to 33
  
  
  It is your responsibility to ensure that you do not expose yourself or others to unnecessary hazards whilst at work.
  To do this we must perform a Risk Assessment before we start ANY work.
  
  Carrying out a risk assessment allows the correct control measures to be put into place.
  
  Definitions within Risk Assessment:
  HAZARD: A Hazard is something with the potential to cause harm, even if it is not presently doing so.
  HARM: Harm is the physical injury or ill health or damage suffered by those exposed to a hazard.
  RISK: Risk is the likelihood that the harm from a particular hazard is realised and how much harm occurs.
  
  RISK = LIKELIHOOD X SEVERITY
  The basic approach to the assessment of risks can be summed up in the following steps.
  

Stages of Risk Assessment:

• 1. Identify The hazards involved
  
  2. Decide Who may be harmed and how
  
  3. Evaluate The risks and decide on the controls needed
  
  4. Record Your findings and implement them
  
  5. Review Your assessment and update if necessary
  

Types of Hazard

• Wherever possible hazards must be removed rather than controlled.
  
  The following category is a list of hazards likely to be encountered but the list is not exhaustive -
  
  • Adverse Weather.
  
  • Third Parties.
  
  • Traffic.
  
  • Existing External Equipment.
  
  • Property Hazards
  
  • Garden Hazards.
  
  • Ground Hazards.
  
  • Other Hazards.
  
  N.B. For a more detailed breakdown of these Hazard Categories, please refer to The Risk Assessment Module in your Safety Manual.
  
  Hazard Awareness Procedure and Form
  
  An important aspect of the Health and Safety procedure is the empowerment given to you to determine what H&S equipment to use in addition to the minimum requirements. On every installation or service call, the full hazard awareness procedure (i.e., a Risk Assessment) must be carried out in order to identify any hazards that are present. This is completed on your I Pad (paper form if I Pad is not available) and is a vital part of your role. This must be completed before any on-site activity is started.
  
  • You must determine what hazards are present when parking or working internally/externally on every occasion.
  
  • Wherever possible, hazards must be removed.
  
  • If a hazard cannot be removed, then it must be adequately controlled.
  
  If hazard cannot be removed or controlled it must be escalated to your manager.
  You must ensure at all times that you are working in the safest manner possible considering the hazards that are present.
  

Consider all tasks and situations and explain what you would do in these scenarios How would you control remove the risk

• You arrive at the customer’s door and as he opens the door a dog appears he is not aggressive but is a little boisterous.

• You complete risk assessment and have stated that dish will go low level with no ladder work needed but after trying to get signal it becomes clear that dish needs to be put on the chimney.

• While you are doing your risk assessment you come across damp decking

Please sign the appropriate statement

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Manual Handling

  Safe

  Unsafe

• Visit Number

• Engineer has demonstrated good manual handling techniques to help reduce any potential injuries
  

• Additional Comments

• Add Photos

  Media

• Visit Number

• Unsafe Conversation

• Add Photos

  Media

• Tick the box for the Manual Handling Tool Box Talk

Manual Handling Tool Box Talk

• Manual Handling includes the Lifting, Lowering, Push-ing, Pulling, Turning, Transporting and Throwing of ANY load.
  Manual Handling Operations Regulations are made under the Health & Safety at Work Act and are in place to try and reduce the amount of accidents caused by manual handling activities.
  Manual Handling accidents account for approximately 20% of all accidents reported by Installation Engineers.
  Some common injuries are:
  • Bruises
  • Sprains
  • Muscle Strain
  • Back Ache
  • Arm and Shoulder Pain
  It is YOUR responsibility to carry out a Risk Assessment before attempting to move ANY load to prevent potential injuries.
  

• 

• All manual handling activities should be carried out as smoothly as possible; this will help to reduce the strain on your body. Wherever possible, face in the direction you need to move and perform the lifting and moving as one smooth movement. If you need to turn then move your feet rather than rotate your body. This will help prevent back injuries.
  In the event of an injury you should escalate immediately to your duty TM and seek medical advice if required.
  

THINK LITE

Knowledge check questions

• Name 2 common injuries from poor manual handling?

• What should you do before attempting to move any load?

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• PPE

  Safe

  Unsafe

• Visit Number

• All relevant personal protective equipment has been used to complete the listed activity’s which demonstrates the engineers awareness to their own personal safety
  

• Additional Comments

• Visit Number

• Unsafe Conversation

• Tick the box to show PPE Tool Box Talk

PPE Tool Box Talk

• Engineer has followed the Safe System Of Work using all necessary equipment in line with the relevant hierarchy to complete all working at height activities

PPE Supplied The correct use and routine daily checks for PPE can be found in your safety manual from page 7.

Knowledge check questions

• 1. Who is responsible for checking and maintaining your PPE?

• 2. What is the main reason for wearing your manual handling gloves?

• 3. Who is responsible for providing you with PPE?

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Activity

  Select Cable Cliping Drilling Moving Equipment Stock Collection Working at Height Working in lofts working near roads / Low Visibility Other

  • Cable Cliping
  • Drilling
  • Moving Equipment
  • Stock Collection
  • Working at Height
  • Working in lofts
  • working near roads / Low Visibility
  • Other

• PPE Used

  Select Boots Dust mask Ear defenders / Plugs Gloves Goggles Hard Hat High Viz Knee Pads Safety Specs

  • Boots
  • Dust mask
  • Ear defenders / Plugs
  • Gloves
  • Goggles
  • Hard Hat
  • High Viz
  • Knee Pads
  • Safety Specs

• Add Photos

  Media

• Damage Awareness Property

  Safe

  Unsafe

• Visit Number

• Engineer followed the correct process and procedures to minimize the risk of damage to property.
  

• Add Photos

  Media

• Additional Comments

• Visit Number

• Add Photos

  Media

• Unsafe Conversation

• Tick box for Damage Awareness Tool Box Talk

Damage Awareness Tool Box Talk

• The following guidelines have been put in place to support our customers and yourself. During our working day we may come across situations whereby actions we take could result in unnecessary damage and critical hits.
  Through our investigations that have taken place it has been found that if you follow these guidelines we are laying out below will significantly reduce damage, critical hits and injury during your daily activities.
  1) Risk Assessment
  • Carry out a thorough risk assessment before starting any activity onsite, please refer to health and safety manual (pages 25-33)
  2) Safe Drilling Practices
  • Carry out visual inspection inside and out of drilling location before starting
  • At all times use stud detector is to be used to ensure location is safe to drill (Health and safety manual pages 33-38)
  • Usage of dust pan or reasonable precautions are to be taken to reduce dust/dirt on customers flooring (page 48)
  • All relevant PPE for drilling must be used (Health and safety manual pages 7-10)
  • Follow safe drilling practices as set out in Health safety manual (pages 43-48)
  • all cable entry and eyebolt holes are sealed
  • Sealing holes
  3) Handling equipment and customers personal possessions
  • Always take care when moving equipment around customer premises, if possible use external access in the first instance
  • Ask customer to move own possessions, if help is required then assist taking care at all times
  • Ensure manual handling guidelines are followed at all times (page 49-56)
  4) Cleanliness
  • All uniform is to be at a good standard of cleanliness and serviceable
  • Overshoes to be worn at all times inside customers property, care should be taken at all times when overshoes are worn
  • Working area must be left clean and tidy once all works are complete (page 48)
  • All old equipment must be removed from customers property and returned through standard stock return process
  • Once work is complete carry out inspection with customer and explain and clarify works completed

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Damage Awareness Van

  Safe

  Unsafe

• Visit Number

• Engineer followed the correct process and procedures to minimize
  the risk of damage to the van.

• Add Photos

  Media

• Additional Comments

• Visit Number

• Add Photos

  Media

• Unsafe Conversation

• Tick box for Damage Awareness Tool Box Talk

Van Damage Awareness guidelines

• The following guidelines have been put in place to support you. During your working day we may come across situations whereby actions you take could result in unnecessary van damage resulting in unnecessary costs and potential injuries.
  Through Observations that have taken place it has been found that if you follow these guidelines we are laying out below will significantly reduce damage and injury risk.
  

• 1) Risk Assessment
  • Before commencing use of your van ‘HS&S vehicle checks’ must be completed as per fleet guidelines, any issues must be escalated to your TM.
  • Suitable and lawful parking must be considered at all times, follow UTL fleet ‘parking process’
  • Wing mirrors must be turned in or up when parked in any location
  • Observe and adhere to all height restrictions for your type of van
  
  

• 2) Equipment and Stock storage
  • All tools and equipment must be stored in a safe manner reducing the risk of damage.
  • All stock must be stored on shelving and racking provided, no stock or tools to be carried in cab area of van
  • Cab area must be kept clean and tidy at all times, all loose items secured
  • Rubbish/faulty stock must be cleared on a daily basis, following correct returns process
  • Ladders must be checked for security before making any journey, all relevant locks and straps must be in place
  
  

• 3) Handling equipment
  Refer to manual handling toolbox talk
  
  

• 4) Cleanliness
  • All branded vehicles are used as a marketing tool and therefore should be cleaned and presentable at all times, this includes dash area
  
  

Please sign the appropriate statement.

• I have read and understood this tool box talk and I understand my responsibilities. I am aware that failure to comply with the risk Assessment process could result in disciplinary action being taken.

  Sign

• I have read and do not fully understand this tool box talk and i need further refresher training.

  Sign

• Add Photos

  Media

• Working at Height

  Safe

  Unsafe

• Visit Number

• Engineer has followed the Safe System Of Work using all necessary equipment in line with the relevant hierarchy to complete all working at height activities

• Additional Comments

• Visit Number

• Unsafe Convesation

• Ladder Type

  Select No Ladder Step/ Combi Single Section Double Section Triple Section CAT DAT SAT (inc rope access) Access Ladder (inc flat roof working) 10 Rung Rope Assisted 15 Rung Rope Assisted 19 Rung

  • No Ladder
  • Step/ Combi
  • Single Section
  • Double Section
  • Triple Section
  • CAT
  • DAT
  • SAT (inc rope access)
  • Access Ladder (inc flat roof working)
  • 10 Rung
  • Rope Assisted 15 Rung
  • Rope Assisted 19 Rung

• How was Combi-Ladder Used?

  A Frame (0 extension)

  A Frame (2 rung extension)

  A Frame (3 rung extension)

  A Frame (4 rung extension)

  Triple extension ladder

• Equipment Used

  Select 10mm Eye bolt 20mm Eye Bolt Chimney Strop Cow's Tail Cable Rod's Crawl Boards Gravel Bag Harness Karabiners Ladder Mate Ladder Spike Microlight Ratchet Strap Ropes Rope Grab Soft Slings Y Hang Other

  • 10mm Eye bolt
  • 20mm Eye Bolt
  • Chimney Strop
  • Cow's Tail
  • Cable Rod's
  • Crawl Boards
  • Gravel Bag
  • Harness
  • Karabiners
  • Ladder Mate
  • Ladder Spike
  • Microlight
  • Ratchet Strap
  • Ropes
  • Rope Grab
  • Soft Slings
  • Y Hang
  • Other

• Add pictures to support observation (inc RAMS forms if applicable)

  Media

• Additional visit notes

• Tick For IDD

IDD

• Reason for IDD

• Time and Date of incident

  Date

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

If more text boxes are needed please start a new IDD Form

Please ensure to upload a copy of this HomeSafe document to the relevant team folder on the designated Office365 site.

POST CHECK

• Job No

• Date of Visit

  Date

• Product Type<br>

  SKY +

  SKY Q

• Job Type

  Select Service Install Install (multi-screen) MHO MHO (multi-screen) Other

  • Service
  • Install
  • Install (multi-screen)
  • MHO
  • MHO (multi-screen)
  • Other

• Reason for post Check

H&S

• Is there evidence of H&S?

  Yes

  No

• Do you have the Engineer's Risk Assessment for this job?

  Yes

  No

• Is the Risk Assessment an accurate representation of work carried out?

  YES

  NO

• Record Findings

• Add pictures to support findings

  Media

• Record Findings

• Add pictures to support findings

  Media

QUALITY & COMPLIANCE

• In YOUR opinion, has the work been carried out to high standard?

  Yes

  No

• F-Connectors<br>

  Compliant

  Non Compliant

• Power lead<br>

  Compliant

  Non Compliant

• HDMI lead<br>

  Compliant

  Non Compliant

• Dish <br>

  Compliant

  Non Compliant

• Cable<br>

  Compliant

  Non Compliant

• Is the Q on the correct software? <br>(Use iKnow2 Model Look Up Tool)

  YES

  NO

  UNCERTAIN

• Add picture of screen to show Powerline setting

  Media

• Is the remote control paired to TV? <br>

  Yes

  No

• Is the picture resolution optimised? <br>

  YES

  NO

  UNCERTAIN

• Is the Q box connected to the internet?<br>

  Yes

  No

• Does the customer have the correct router<br>

  Yes

  No

• Check the mesh and using Chrome and add picture

  Media

• Has the engineer left the property tidy? <br>

  YES

  NO

  UNCERTAIN

• Record of findings

• Add pictures to support findings

  Media

CUSTOMER

• Having a conversation with the customer highlight any areas that were covered.

  Select ETA Engineer Attitude On Demand Showcase Sky Apps Pre/Post job Walkthrough Engineer Appearance

  • ETA
  • Engineer Attitude
  • On Demand
  • Showcase
  • Sky Apps
  • Pre/Post job Walkthrough
  • Engineer Appearance

• Record any findings to support conversation

• Add media

  Media

• Customer Statement (Tick to add statement)

• Customer

• Engineer Rating - What rating would the customer give the visit?

  Select 0 - 😡 1 - 😡 2 - 😡 3 - ☹️ 4 - ☹️ 5 - ☹️ 6 - ☹️ 7 - 😕 8 - 😕 9 - 😀 10 - 😀

  • 0 - 😡
  • 1 - 😡
  • 2 - 😡
  • 3 - ☹️
  • 4 - ☹️
  • 5 - ☹️
  • 6 - ☹️
  • 7 - 😕
  • 8 - 😕
  • 9 - 😀
  • 10 - 😀

• Job Type

  Select Service Install Install (multi-screen) MHO MHO (multi-screen) Other

  • Service
  • Install
  • Install (multi-screen)
  • MHO
  • MHO (multi-screen)
  • Other

• Reason for post Check

H&S

• Is there evidence of H&S?

  Yes

  No

• Do you have the Engineer's Risk Assessment for this job?

  Yes

  No

• Is the Risk Assessment an accurate representation of work carried out?

  YES

  NO

• Record Findings

• Add pictures to support findings

  Media

• Record Findings

• Add pictures to support findings

  Media

QUALITY

• In YOUR opinion, has the work been carried out to high standard?

  Yes

  No

• Record Findings

• Has the engineer left the property tidy? <br>

  YES

  NO

  UNCERTAIN

• Add pictures to support findings

  Media

CUSTOMER

• Having a conversation with the customer highlight any areas that were covered.

  Select ETA Engineer Attitude On Demand Showcase Sky Apps Pre/Post job Walkthrough Engineer Appearance

  • ETA
  • Engineer Attitude
  • On Demand
  • Showcase
  • Sky Apps
  • Pre/Post job Walkthrough
  • Engineer Appearance

• Record any findings to support conversation

• Customer Statement (Tick to add statement)

• Customer

• Engineer Rating - What rating would the customer give the visit?

  Select 0 - 😡 1 - 😡 2 - 😡 3 - ☹️ 4 - ☹️ 5 - ☹️ 6 - ☹️ 7 - 😕 8 - 😕 9 - 😀 10 - 😀

  • 0 - 😡
  • 1 - 😡
  • 2 - 😡
  • 3 - ☹️
  • 4 - ☹️
  • 5 - ☹️
  • 6 - ☹️
  • 7 - 😕
  • 8 - 😕
  • 9 - 😀
  • 10 - 😀

IDD

• Reason for IDD

• Time and Date of incident

  Date

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• Tick for more text boxes

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

• TM

• Engineer

If more text boxes are needed please start a new IDD Form

• Add media to support IDD

  Media

• Is further action required? (Last IDD page only)

If this is a breach of H&S the incident is required to be reported on SOLARS as a 'Near Miss'

• Has this IDD resulted in a suspension from duty?

  YES

  NO

• For the reasons discussed today you are now suspended from the work place on full pay until these matters can be fully investigated. In the first instance you will be suspended until -

  Date

• This matter will be kept confidential. If necessary your colleagues will be informed that your absence is for personal reasons.
  
  In the meantime we may need to talk to you about this issue during your suspension so you should be available for contact and to attend meetings if necessary during your normal working hours. You will be advised of the outcome of the investigation as soon as possible.
  
  Should you for any reason need to speak to one of your work colleagues or to come into your place of work you should contact me in the first instance for prior authorisation.
  
  If you would like any advice or guidance in relation to company polices or processes during your period of suspension please contact ER.

• Case Justification Form

• Please note to ensure we are operating efficiently there are mandatory parts of this form that need to be completed before submitting.
  Please review all information has been provided before submitting.

• Employee Business Area/ Dept

• Investigation Manager

• Investigation Manager Contact Number

• Details of reason for investigation (please detail the reason you started an investigation, summarise the discussion of each meeting and other findings)

• Summary of findings and recommendations (please detail the specific reason why you believe there is a cases to answer)

• FOR HEALTH AND SAFETY CASES

• Photographs (eg - Photograph for job number xxxxxxxxx. Point of interest ie - The eyebolt has not been drilled (explain what the photograph refers to). Please write job numbers on the photographs)

• MFT print out/ paper risk assessment (If information is required from the risk assessment)

• HomeSafe Records (Please ensure records are dated, page numbers on each page and job numbers)

• Post Checks (Please ensure all have job numbers and dates on pages)

• Training Records (Detailing H&S training. This can be obtained by emailing Training Planning and providing employee name and ID number)

• FOR DRILLING CASES

• Relevant Policy (Please detail the policy which the investigation relates to eg - Disciplinary Policy)

• Current Sanction Details (If applicable, please detail any current sanction)

• Suspension Start Date or Extension Date

  Date

• Disciplinary Details

• Venue

• Date and Time

  Date

• Chair Name and Contact Number

DAMAGE CLAIM

THIS IS A STAND ALONE FORM AND SHOULD NOT BE USED ALONG SIDE ANY OTHER SECTION OF THIS DOCUMENT

Job Details

• Job/Incident Number

• Date incident occurred

  Date

• Location of Incident

• Customer Details

Engineer Details

• Engineer

• Tech Number

• Team Number

Person completing report

• Prepared by

• Date of TM site visit

  Date

Liability

• In my opinion was this caused by a Sky visit or install?<br>

  YES

  NO

  UNCERTAIN

• Record Of Findings Full details giving reason for denying or accepting liability with photographic evidence including report and clearly stating liability accepted/ denied

• Were there any witnesses?

  Yes

  No

• Witness details if not the person reporting the incident (only required if not the customer)

Photographs and drawings

• Add pictures to support findings

  Media

• Add drawing to support findings (if required)

  Drawing

• Add drawing to support findings (if required)

  Drawing

Corrective Action

• Has the person reported been made adware of the incident

  Yes

  No

  N/A

• H&S Dept notified?

  Yes

  No

  N/A

• Is further investigation required?

  Yes

  No

  N/A

• Who will carry out further investigation?

• Has an incident report been completed on Solars

  Yes

  No

  N/A

• What corrective action has been taken to prevent a recurrence?

Customer

• What action has been agreed with customer?

• Customer Signature

  Sign

Email completed document to claimshandling@bskyb.com

Health & Safety Accident/Incident Report Form

Section 1.

• Details Of Incident (Please make sure all section of this form are completed)
  

• Date and Time of Incident:

  Date

• Full Name of Involved Person (AF):

• Address the Incident Occurred:

• Exact Location:
  Address

• Job title of person who had the incident:

• Contact number of involved person:

• AF Line manager + Location + tel No:

• Check the box for the next section

Section 2.

• About You.

• Your Name

• Your Occupation

• Your Contact details (Email+Tel)

• Your Relationship to the AF

• Check the box for the next section

Section 3.

• Details Of Incident If Reported At A Later Date
  

• Date and Time of Incident:

  Date

• Name of person reporting it:

• Check the box for the next section.

Section 4.

• About The Incident
  

• Explain what happened (short version)?

• What injury was sustained? (cut, bruise, strain, scald, etc)

• What is the nature of the incident: (slip, trip, or fail, Manual handling, moving object, falling object, spillage, electrical, mechanical?)

• Was first aid necessary? if so what?

• Status of person: (back to work, received first aid, went home, sent to A&E, sent to gp ect)

• Check the box for the next section.

Section 5.

• Health And Safety Adviser To Complete
  

• Risk assessment necessary<br>

  Yes

  No

• Where is it Held?

• Reportable under RIDDOR

  Yes

  No

• If reportable Why?

• Where is the investigation form kept?

• Check the box for the next section.

Incident Investigation Form

• 6. Indirect Causes (please select all relevant options)

  Select Lack of job skill Lack of Knowledge Lack of Awareness Saving time of effort Normal wear through use Mental/Physical incapability Avoiding discomfort Attracting attention Seeking peer apprroval Expressing resentment Asserting independence Lack of maintenance Abnormal wear Design fault Outside contractors Normal practice Other

  • Lack of job skill
  • Lack of Knowledge
  • Lack of Awareness
  • Saving time of effort
  • Normal wear through use
  • Mental/Physical incapability
  • Avoiding discomfort
  • Attracting attention
  • Seeking peer apprroval
  • Expressing resentment
  • Asserting independence
  • Lack of maintenance
  • Abnormal wear
  • Design fault
  • Outside contractors
  • Normal practice
  • Other

• Please Describe

• 7. Direct causes (please select all relevant options)

  Select Unsafe Act/Omission/Condition Failure to make secure Failure of equipment Working in an unsafe position Hazardous atmospheric conditions Hazardous placment/storage Hazardous personal attire Horseplay Illumination/noise Inadequate safety device inadequate warning systems Operating at unsafe speed Operating without authority Poor housekeeping protruding hazards Repair/servicing/energised equipment Hazardous equipment Taking unsafe actions Unexpected movement Unsafe/defective equipment Using defective equipment Using equipment unsafely Other

  • Unsafe Act/Omission/Condition
  • Failure to make secure
  • Failure of equipment
  • Working in an unsafe position
  • Hazardous atmospheric conditions
  • Hazardous placment/storage
  • Hazardous personal attire
  • Horseplay
  • Illumination/noise
  • Inadequate safety device
  • inadequate warning systems
  • Operating at unsafe speed
  • Operating without authority
  • Poor housekeeping
  • protruding hazards
  • Repair/servicing/energised equipment
  • Hazardous equipment
  • Taking unsafe actions
  • Unexpected movement
  • Unsafe/defective equipment
  • Using defective equipment
  • Using equipment unsafely
  • Other

• Please Describe

• 8. Type of hazard

  Select Hot Surfaces Collided with (not vehicle) Chemicals Dust Electrical Equipmnet failure Explosion Falling (not ladders/stairs) Fire Gas Falling from ladders/steps Lighting Manual handling - lifting Manual handling - Pushing Manual handling - Pulling Noise general Other persons Repetitive movement Radiation (Incl Sun) Road trafic accident Soldering Stairs Steam/hot Temperature Surface (floor, ground etc) Suspect package Trip/slip (ex ladders or stairs) Weather Water Other

  • Hot Surfaces
  • Collided with (not vehicle)
  • Chemicals
  • Dust
  • Electrical
  • Equipmnet failure
  • Explosion
  • Falling (not ladders/stairs)
  • Fire
  • Gas
  • Falling from ladders/steps
  • Lighting
  • Manual handling - lifting
  • Manual handling - Pushing
  • Manual handling - Pulling
  • Noise general
  • Other persons
  • Repetitive movement
  • Radiation (Incl Sun)
  • Road trafic accident
  • Soldering
  • Stairs
  • Steam/hot Temperature
  • Surface (floor, ground etc)
  • Suspect package
  • Trip/slip (ex ladders or stairs)
  • Weather
  • Water
  • Other

• Please Describe

• 9. Body Area

  Select Abdomen Ankle Arm Back (lower) Back (upper) Chest Elbow Eye Face Finger Foot Groin Hand Head Hearing Internal Knee Leg Mouth/Teeth Neck Nose Pelvis Shoulder Skin Wrist Other

  • Abdomen
  • Ankle
  • Arm
  • Back (lower)
  • Back (upper)
  • Chest
  • Elbow
  • Eye
  • Face
  • Finger
  • Foot
  • Groin
  • Hand
  • Head
  • Hearing
  • Internal
  • Knee
  • Leg
  • Mouth/Teeth
  • Neck
  • Nose
  • Pelvis
  • Shoulder
  • Skin
  • Wrist
  • Other

• Please Describe

• 10. Injury Type

  Select Arc Eye Burns & Scalds Bites Bruise Concussion Crushing Cuts / Abrasoins Deafness Death Electric Shock Eye Injury-General Dislocation/Slipped Discs Fracture Infection Internal bleeding Multiple injurys penetrating injury Poison Repetitive strain RTA Sprains/Strains Unconsciousness Other

  • Arc Eye
  • Burns & Scalds
  • Bites
  • Bruise
  • Concussion
  • Crushing
  • Cuts / Abrasoins
  • Deafness
  • Death
  • Electric Shock
  • Eye Injury-General
  • Dislocation/Slipped Discs
  • Fracture
  • Infection
  • Internal bleeding
  • Multiple injurys
  • penetrating injury
  • Poison
  • Repetitive strain
  • RTA
  • Sprains/Strains
  • Unconsciousness
  • Other

• Please Describe

• Please Describe

• 11. Cause of incident (Using descriptions of the choices above will assist)

• Has a similar incident occurred before?<br>

  Yes

  No

• If so When, to whom, report kept where

• 12. Equipment (State the equipment used and the condition of it at time of incident)

13. Prevention/Training (What action have been taken to prevent a repetition of this incident?) Please include dates carried out

• 1.

• 2.

• 3.

• 4.

14. Control measures (what control measures, other than in a risk assessment. where implemented?) Please include dates carried out.

• 1.

• 2.

• 3.

• 4.

15. Risk assessment/Safe system of work/Method statement

• Has/Had a RA been conducted?

  Yes

  No

• Location of RA?

• Date RA conducted

  Date

• Who conducted the RA?

• Has/Had a SSOW/MS been conducted/produced?

  Yes

  No

• Location of SSOW/MS?

• Date SSOW/MS Conducted/Produced?

  Date

• Where is it located?

• 16. Person investigating the incident

  Sign

• Date

  Date

• Job Title.

17. Attachments

• Are there additional reports/statements/photos?

  Yes

  No

• Are they attached

  YES

  NO

• Number of photos?

• Add media

  Media

• Number of statements?

• Where are they kept?

• Where are they?

• If necessary, Individual HS advisers have the responsibility to inform the HSE

• On completion of this form please send hard copy to: Christopher.jones@sky.uk
  

• Date reported to HSE

  Date

• RIDDOR No:

• Name of HS advisor (Block Caps)

COACHING

• Reason for coaching

  Select NPS Technical Customer Service Quality Safety Sale Through Service Q Install/Service Other

  • NPS
  • Technical
  • Customer Service
  • Quality
  • Safety
  • Sale Through Service
  • Q Install/Service
  • Other

• Please Describe.

• Pre visit comments - What outcome is hoping to be achieved?

• Coach on site observations/ comments

• Engineer comments - What will you take away from today's session?

• Follow up details (if required)

• Review date

  Date

• Add pictures to support

  Media

EQUIPMENT INSPECTION (All inspections are carried out in accordance with the current HS&S Maintenance Schedules)

THIS IS A STAND ALONE FORM AND SHOULD NOT BE USED ALONG SIDE ANY OTHER SECTION OF THIS DOCUMENT

• Maintenance Schedule
  https://docs.google.com/forms/d/e/1FAIpQLSfaK7jEwfgWiIDWevZXkORmCUFsyg2VmIKJAoqEbveKxNXdbQ/viewform?usp=sf_link

• Engineer Type

  Home Service

  BB Tech

Hard Hat - This item have a working life (refer to ref guide)

• Hard Hat

  Fit For Use

  Not Fit For Use

• Hard Hat Date/ Serial no

• Hop Up

  Fit For Use

  Not Fit For Use

• Ear Protection

• Ear Protection Type<br>

  In Ear

  Over Ear Cup

  Both

• Eye Protection

  Fit For Use

  Not Fit For Use

• Eye Protection Type

  Goggles

  Over Spectacles

  Both

• Head Torch

  Fit For Use

  Not Fit For Use

• Hi-Viz Vest

  Fit For Use

  Not Fit For Use

• Knee Pads

  Fit For Use

  Not Fit For Use

• Dust Masks

  Fit For Use

  Not Fit For Use

• Boots

  Fit For Use

  Not Fit For Use

• Rubber Mat

  Fit For Use

  Not Fit For Use

• Antiseptic Wipes

  Fit For Use

  Not Fit For Use

• Hazard Analysis Form

  Fit For Use

  Not Fit For Use

• Tyre Weld (Puncture Repair)

  Fit For Use

  Not Fit For Use

• First Aid Kit Expiry Date

  Date

Harness/ Cows Tail - These items have a working life (refer to ref guide)

• Harness<br>

  Fit For Use

  Not Fit For Use

• Harness Serial no/ Date of manufacture

• Cows Tail<br>

  Fit For Use

  Not Fit For Use

• Cows Tail Serial no/ Date

Kernmantle Rope/ Retractable Safety Line - These items have a working life (refer to ref guide)

• 15M Rope

  Fit For Use

  Not Fit For Use

• 15M Rope Serial no/ Date

• 10M Rope

  Fit For Use

  Not Fit For Use

• 10M Rope Serial no/ Date

• 5M Rope

  Fit For Use

  Not Fit For Use

• 5M Rope Serial no/ Date

• Rope Grab

  Fit For Use

  Not Fit For Use

Continuous Loop Webbing Sling Life - These items have a working life (refer to ref guide)

• Continuous Loop Webbing Sling

  Fit For Use

  Not Fit For Use

• Continuous Loop Webbing Sling Quantity

• Continuous Loop Webbing Sling Dates

• Adjustable (ratchet) Webbing Strap

  Fit For Use

  Not Fit For Use

• Adjustable (ratchet) Webbing Straps Quantity

• 10M Strap with Ratchet

  Fit For Use

  Not Fit For Use

• Karabiners

  Fit For Use

  Not Fit For Use

• Karabiner Quantity

Chimney Strop Life - These items have a working life (refer to ref guide)

• Chimney Strop

  Fit For Use

  Not Fit For Use

• Chimney Strop Serial no/ Date

Soft Sling Life - These items have a working life (refer to ref guide)

• Soft Slings (part of chimney kit)

  Fit For Use

  Not Fit For Use

• Soft Slings Dates

• Microlite

  Fit For Use

  Not Fit For Use

• Ladder Mate

  Fit For Use

  Not Fit For Use

• Ladder Spike

  Fit For Use

  Not Fit For Use

• Gravel Bag

  Fit For Use

  Not Fit For Use

• Cones X2

  Fit For Use

  Not Fit For Use

• Crawl Boards X2

  Fit For Use

  Not Fit For Use

• 10mm Eyebolts

  Fit For Use

  Not Fit For Use

• 10mm Eyebolt Quantity

• 20mm Eyebolt

  Fit For Use

  Not Fit For Use

• 20mm Eyebolt Quantity

Hard Hat - This item have a working life (refer to ref guide)

• Hard Hat

  Fit For Use

  Not Fit For Use

• Hard Hat Date/ Serial no

• Ladders

  Fit For Use

  Not Fit For Use

• Combi Ladder

  Fit For Use

  Not Fit For Use

• CAT Ladder

  Fit For Use

  Not Fit For Use

• Eye Protection

  Fit For Use

  Not Fit For Use

• Eye Protection Type

  Goggles

  Over Spectacles

  Both

• Ear Protection

  Fit For Use

  Not Fit For Use

• Ear Protection Type

  In Ear

  Over Ear Cup

  Both

• Draper Floodlight (Ground mounted)

  Fit For Use

  Not Fit For Use

• Draper Floodlight (Tripod mounted)

  Fit For Use

  Not Fit For Use

• Peli Floodlight

  Fit For Use

  Not Fit For Use

• Knee Pads

  Fit For Use

  Not Fit For Use

• Manual Handling Gloves

  Fit For Use

  Not Fit For Use

• Hi-Viz Vest

  Fit For Use

  Not Fit For Use

• Dust Masks

  Fit For Use

  Not Fit For Use

• Boots

  Fit For Use

  Not Fit For Use

• Drill Harness

  Fit For Use

  Not Fit For Use

• Bosch Detector

  Fit For Use

  Not Fit For Use

• First Aid Kit Expiry Date

  Date

• Portable Appliance Testing (PAT) Date

  Date

• SPECIALIST ENGINEER

• Maintenance Schedule (SAT/DAT EQUIPMENT)
  https://docs.google.com/forms/d/e/1FAIpQLSdpc3DTStS2yYUM2a-fjIGXac1Bxeoc9Y9zmoUaxBZm15dGZQ/viewform?usp=sf_link

DAT/ SAT Only

• 50M Rope

  Fit For Use

  Not Fit For Use

• 50M Rope Serial no/ Date

• Rocker

  Fit For Use

  Not Fit For Use

• Rocker Serial no

• Safety Ascender/Descender Device

  Fit For Use

  Not Fit For Use

• 30M x 7mm Static ACC. Cord

  Fit For Use

  Not Fit For Use

• Axel Belay Device

  Fit For Use

  Not Fit For Use

• Wire Rope Slings

  Fit For Use

  Not Fit For Use

• Wire Rope Slings Serial nos

• Delta Mailon

  Fit For Use

  Not Fit For Use

• Rope Protecters

  Fit For Use

  Not Fit For Use

• Pulley Blocks (fixed sheave)

  Fit For Use

  Not Fit For Use

• RGH16 Harness (life same as DTH)

  Fit For Use

  Not Fit For Use

• RGH16 Serial no/ Date

• Silverstar Helmet

  Fit For Use

  Not Fit For Use

• Silverstar Helmet Serial no/ Date

• 8 Rung Extension Ladder

  Fit For Use

  Not Fit For Use

• Ladder Clamp

  Fit For Use

  Not Fit For Use

• Bearer Bar X2

  Fit For Use

  Not Fit For Use

• Big Fish Safety Knife

  Fit For Use

  Not Fit For Use

• Hop Up

  Fit For Use

  Not Fit For Use

• CAMP 30ltr Kit Bag

  Fit For Use

  Not Fit For Use

• NOTE - If any items are found to be defective they are to be isolated and replaced as soon as possible.

Engineers Van Safety Check

• Engineers are required to carry out daily and weekly safety checks on their vehicles. From September 2013, to ensure that the engineer is clear about how to carry out these checks, Team Managers should carry out the following as part of the six monthly safety checks.

• Van Registration

• Ask the Engineer to demonstrate how they carry out their daily and weekly checks, using the HS&S Vehicle checklist PDF on their iPads

  Satisfactory

  Unsatisfactory

• Visually check the items alongside the Engineer. If any defects are found record them in the comments section.

  Satisfactory

  Unsatisfactory

• Discuss any items, as appropriate, to test the Engineers understanding.

  Satisfactory

  Unsatisfactory

• Ask the Engineer if they have had any issues in the past six months, and whether these issues have been dealt with. If any issues are outstanding, record in the comments section.

  Satisfactory

  Unsatisfactory

• Where the Engineer shows any areas for improvement, coach accordingly and comment accordingly.

  Satisfactory

  Unsatisfactory

• Is Vehicle Height Sticker clearly visible on the dash board?

  Satisfactory

  Unsatisfactory

• Comments

• HS&S Vehicle Checks Reference Guide (tick box to view)

• 

ENGINEER DECLARATION: I confirm that by signing below the listed equipment has been issued to and is used by me. That no other equipment is used without authorisation, and a full inspection has been carried out by the HS&S - PPE & Equipment Examiner. I also confirm that I have carried out the vehicle checks in accordance with the Fleet directives.

Please ensure to upload a copy of this Equipment Inspection to the relevant team folder on the designated Office365 site

RTW

• Type of absence

  Short Term Sickness

  Long Term Sickness

  Paid/Authorised Absence

  Unpaid/Unauthorised Absence

• First day of absence

  Date

• Last day of absence

  Date

• Absence reason

  Select Alcohol/ Drug addition Allergy Asthma (excl work related) Blood disorder Breast problems Cancer/ Tumors Chest/ Respiratory problems Cold/ Cough/ Flu/ Influenza Dental Diabetes/ Thyroid/ Endocrine Disease of nervous system Ear/ Nose/ Throat condition Epilepsy or Neurological Eye problem Gastrointestinal problems Gynae including period pains Headache/ Migraine Heart/ BP/ Cirulatory Infectious disease Kidney/ Bladder problem Non work Injury/ Burn/ Fracture/ RTA Non work Musculoskeletal problem Non work Back/ Disc problem Occupational Asthma Occupational Dermatitis Pregnancy related Scheduall Sickness code Stess/ Anxiety/ Depression (non work) Stess/ Anxiety/ Depression (work related) Swine flu Unknown cause Vertigo/ Dizziness/ Insomnia Virus Work Injury/ Burn/ Fracture/ RTA Work related Musculoskeletal problem Work related Back/ Disc problem Other

  • Alcohol/ Drug addition
  • Allergy
  • Asthma (excl work related)
  • Blood disorder
  • Breast problems
  • Cancer/ Tumors
  • Chest/ Respiratory problems
  • Cold/ Cough/ Flu/ Influenza
  • Dental
  • Diabetes/ Thyroid/ Endocrine
  • Disease of nervous system
  • Ear/ Nose/ Throat condition
  • Epilepsy or Neurological
  • Eye problem
  • Gastrointestinal problems
  • Gynae including period pains
  • Headache/ Migraine
  • Heart/ BP/ Cirulatory
  • Infectious disease
  • Kidney/ Bladder problem
  • Non work Injury/ Burn/ Fracture/ RTA
  • Non work Musculoskeletal problem
  • Non work Back/ Disc problem
  • Occupational Asthma
  • Occupational Dermatitis
  • Pregnancy related
  • Scheduall Sickness code
  • Stess/ Anxiety/ Depression (non work)
  • Stess/ Anxiety/ Depression (work related)
  • Swine flu
  • Unknown cause
  • Vertigo/ Dizziness/ Insomnia
  • Virus
  • Work Injury/ Burn/ Fracture/ RTA
  • Work related Musculoskeletal problem
  • Work related Back/ Disc problem
  • Other

• Please state reasons

• Is the absence work related?

  Yes

  No

• Details

• Was this a linked absence?

  Yes

  No

• Details

• Did Engineer visit a GP during their absence?

  Yes

  No

• Is this absence over 7 days?

  Yes

  No

• In line with the company absence policy if the absence is over 7 days the employee must provide a 'Fit to Work' certificate in order for a full return to work.

• Has a 'Fit to Work' note been provided?

  Yes

  No

• Add any pictures of 'Fit To Work' certificates

  Media

• Is this absence over 7 days?

  Yes

  No

• In line with the company absence policy if the absence is over 7 days the employee must provide a 'Fit to Work' certificate in order for a full return to work.

• Is the Engineer currently on any medication?

  Yes

  No

• Details of medication

• Number of absences in rolling 12 months?

  Select 0 (first absence) 1 2 3 4 5 6 7 8 9 10+

  • 0 (first absence)
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• How many?

• Percentage absence in rolling 12 months?

  0 - 1.59%

  1.6 - 3.59%

  3.6 - 5.59%

  5.6 - 8.49%

  8.5% +

• Has this absence triggered further action?

  Yes

  No

• Process Triggered?

  Informal Discussion

  Attendance Hearing

• Absence Ref Guide

  

• Occupational Heath referral required?

  Yes

  No

• Date of referral/ planned referral

  Date

• Additional information

• First day of absence

  Date

• Last day of absence

  Date

• Absence reason

  Select Alcohol/ Drug addition Allergy Asthma (excl work related) Blood disorder Breast problems Cancer/ Tumors Chest/ Respiratory problems Cold/ Cough/ Flu/ Influenza Dental Diabetes/ Thyroid/ Endocrine Disease of nervous system Ear/ Nose/ Throat condition Epilepsy or Neurological Eye problem Gastrointestinal problems Gynae including period pains Headache/ Migraine Heart/ BP/ Cirulatory Infectious disease Kidney/ Bladder problem Non work Injury/ Burn/ Fracture/ RTA Non work Musculoskeletal problem Non work Back/ Disc problem Occupational Asthma Occupational Dermatitis Pregnancy related Scheduall Sickness code Stess/ Anxiety/ Depression (non work) Stess/ Anxiety/ Depression (work related) Swine flu Unknown cause Vertigo/ Dizziness/ Insomnia Virus Work Injury/ Burn/ Fracture/ RTA Work related Musculoskeletal problem Work related Back/ Disc problem Other

  • Alcohol/ Drug addition
  • Allergy
  • Asthma (excl work related)
  • Blood disorder
  • Breast problems
  • Cancer/ Tumors
  • Chest/ Respiratory problems
  • Cold/ Cough/ Flu/ Influenza
  • Dental
  • Diabetes/ Thyroid/ Endocrine
  • Disease of nervous system
  • Ear/ Nose/ Throat condition
  • Epilepsy or Neurological
  • Eye problem
  • Gastrointestinal problems
  • Gynae including period pains
  • Headache/ Migraine
  • Heart/ BP/ Cirulatory
  • Infectious disease
  • Kidney/ Bladder problem
  • Non work Injury/ Burn/ Fracture/ RTA
  • Non work Musculoskeletal problem
  • Non work Back/ Disc problem
  • Occupational Asthma
  • Occupational Dermatitis
  • Pregnancy related
  • Scheduall Sickness code
  • Stess/ Anxiety/ Depression (non work)
  • Stess/ Anxiety/ Depression (work related)
  • Swine flu
  • Unknown cause
  • Vertigo/ Dizziness/ Insomnia
  • Virus
  • Work Injury/ Burn/ Fracture/ RTA
  • Work related Musculoskeletal problem
  • Work related Back/ Disc problem
  • Other

• Please state reasons

• Is the absence work related?

  Yes

  No

• Details

• Was this a linked absence?

  Yes

  No

• Details

• Did Engineer visit a GP during their absence?

  Yes

  No

• Is the Engineer currently on any medication?

  Yes

  No

• Details of medication

• Number of absences in rolling 12 months?

  Select 0 (first absence) 1 2 3 4 5 6 7 8 9 10+

  • 0 (first absence)
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• How many?

• Percentage absence in rolling 12 months?

  0 - 1.59%

  1.6 - 3.59%

  3.6 - 5.59%

  5.6 - 8.49%

  8.5% +

• Has this absence triggered further action?

  Yes

  No

• Process Triggered?

  Informal Discussion

  Attendance Hearing

• Absence Ref Guide

  

• Occupational Heath referral required?

  Yes

  No

• Date of referral/ planned referral

  Date

• Additional information

• If the returning Engineer has been off 28 days or more please refer to the RTWL in the first instance before a full return to work

• Reason for Absence

• Any follow up considerations?

• Tick For IDD

IDD

• Reason for IDD

• Time and Date of incident

  Date

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If more text boxes are needed please start a new IDD Form

• Add any pictures of doctors notes

  Media

Please ensure to email a copy of this document to: admin.laserfiche@bskyb.com

TM Proof of Understanding

• Choose Document

  Select Escalation Manual Hazard Awareness Brief Generic risk assessments Safety Manual Combi ladder manual Lone working policy First aid policy Absence policy Fleet policy Drugs and alcohol policy PPE policy Statement of arrangements Cladded building brief Safe ladder access on public highways Summer manual Working in winter conditions Manual handling Brief PPE Documents Damage Awareness Brief Company car policy Critical Hit Brief

  • Escalation Manual
  • Hazard Awareness Brief
  • Generic risk assessments
  • Safety Manual
  • Combi ladder manual
  • Lone working policy
  • First aid policy
  • Absence policy
  • Fleet policy
  • Drugs and alcohol policy
  • PPE policy
  • Statement of arrangements
  • Cladded building brief
  • Safe ladder access on public highways
  • Summer manual
  • Working in winter conditions
  • Manual handling Brief
  • PPE Documents
  • Damage Awareness Brief
  • Company car policy
  • Critical Hit Brief

• • Escalation process
  • Pitched roof work
  • Dormer roof work
  • Flat roof work
  • Safe access through windows
  • Accessing skylights and roof hatches in tenement properties
  • Use of existing dish bracketry to secure ladders
  • Using anchors positioned at the base of a wall or ground level
  • Access to scaffolding at residential premises
  

• • Identifying fragile roof surfaces
  • Asbestos
  • Working around dogs
  • Hazard awareness
  • Health and safety: Awareness and principles
  • Hazardous substances
  • Internal RA & hazard awareness brief
  
  
  

• animal faeces . working in sunshine

• • Critical hit
  • Safe drilling practises
  • Damage Awareness Brief
  

• Have you read and fully understood all the above named document and do you understand your responsibilities

  Yes

  No

• Please inform your line manager of your further support/training requirements in understanding the above named document

• Please sign below to indicate that you have read and fully understood all the above named document(s) and you understand your responsibilities.

TM Risk Assessment

• Choice Document

  Select Manual Handling Risk Assessment PPE Surfaces Risk Assessment Aggressive People Risk Assessment Driving Risk Assessment Climbing Apparatus Risk Assessment Working at Height Risk Assessment Inclement-adverse weather RA Lone Working Zoonose Risk Assessment

  • Manual Handling Risk Assessment
  • PPE
  • Surfaces Risk Assessment
  • Aggressive People Risk Assessment
  • Driving Risk Assessment
  • Climbing Apparatus Risk Assessment
  • Working at Height Risk Assessment
  • Inclement-adverse weather RA
  • Lone Working
  • Zoonose Risk Assessment

• I have read all the generic risk assessments listed above and fully understand them and all the relevant control measures.<br>

  Yes

  No

• Please inform your line manager of your further support/training requirements in understanding these risk assessments

PROBATION DISCUSSION DOCUMENT

• Week of Probation

• Type Of Meeting

  Introductory Meeting

  121

  Interim Review Meeting

  Probation Review Meeting

• Welcome & Specific Team Information

• Add media to support

  Media

• Expectations for Performance, Attendance & Conduct

• Add media to support

  Media

• Targets/ Objectives

• Add media to support

  Media

• Support Measures or Adjustments

• Add media to support

  Media

• Dates & Times of Weekly 121's & Interim Review

• Add media to support

  Media

• Additional Comments

• Add media to support

  Media

• What's gone well? - Encourage & praise good performance/ behaviours

• Add media to support

  Media

• Progress against targets/ objectives set in Introductory Meeting

• Add media to support

  Media

• Any concerns around Attendance, Performance or Conduct?

• Add media to support

  Media

• Expectations moving forward

• Add media to support

  Media

• Support Measures or Adjustments

• Add media to support

  Media

• Additional Comments

• Add media to support

  Media

• What's gone well? - Encourage & praise good performance/ behaviours

• Add media to support

  Media

• Progress against Targets/ Objectives set in Introductory Meeting & 121's

• Add media to support

  Media

• Any concerns around Attendance, Performance or Conduct?

• Add media to support

  Media

• Expectations moving forward - Set expectations if improvement(s) not met

• Add media to support

  Media

• Support Measures or Adjustments

• Add media to support

  Media

• Date of Final Probation Review Meeting

  Date

• Additional Comments

• Add media to support

  Media

• Discuss overall Attendance, Performance & Behaviours

• Outcome

  Confirmation of Probation

  Extension of Probation

• Congratulate on successfully completing probation period & celebrate success!
  
  

• Set expectations moving forward

• Add media to support

  Media

• Explain reason for extension

• Expected End Date -Duration of extension (no less than 4 weeks & no longer than 13)

  Date

• Agreed improvements expected

• Add media to support

  Media

• Agreed support required if appropriate

• Add media to support

  Media

• Set expectation that if improvement not made this could result in non-confirmation of probation.

• Additional Comments

• Add media to support

  Media

INVESTIGATION

• Explanation of investigation (Reasons and findings)

• Add pictures to support investigation

  Media

• Is the Engineer present?

  Yes

  No

I certify that I attended an investigation meeting and will not disclose to any third party the information discussed at this meeting (other than for the purposes of seeking legal advice). Please note that any breach of this agreement may result in action under the company's disciplinary procedure.

• Engineer

  Sign

• Firstly, thank you for meeting me. Before we go any further you've signed the confidentiality agreement which I remind you means that you cannot discuss the content of this meeting with anyone. Do you understand?

  Yes

  No

• I am currently conducting an investigation and I would like to ask you some questions.
  Please be as open and honest as you can because it's important to me that I am able to gather all the facts.
  You should be aware that the notes from this discussion we have today may be used going forward in any formal process. This means that these notes may be provided to other employees who have been involved in the situation, if necessary to do so.

• Tick box to open dialogue

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• Is there anything else regarding the incident that I have not asked which you feel may be relevant or that I need to look into?
  

• Engineer

• I have no further questions at this time however I may need to speak to you again.
  I will finish my investigation as quickly as possible and let you know where we go from here.

• Has this investigation resulted in a suspension from duty?

  Yes

  No

• For the reasons discussed today you are now suspended from the work place on full pay until these matters can be fully investigated. In the first instance you will be suspended until -

  Date

• This matter will be kept confidential. If necessary your colleagues will be informed that your absence is for personal reasons.
  
  In the meantime we may need to talk to you about this issue during your suspension so you should be available for contact and to attend meetings if necessary during your normal working hours. You will be advised of the outcome of the investigation as soon as possible.
  
  Should you for any reason need to speak to one of your work colleagues or to come into your place of work you should contact me in the first instance for prior authorisation.
  
  If you would like any advice or guidance in relation to company polices or processes during your period of suspension please contact ER.

MANAGER’S CHECKLIST

• Ask employee for their ID badge

• Ensure you have current contact telephone number for employee

• Ask employee to sign confidentiality agreement

• Ensure the employee has transport home, and arrange a taxi if necessary

• Inform security that the employee has been suspended

• Record the absence on the portal. Absence Type is “Paid Leave” and Absence Code is “Suspension on Pay”

• Notify Incentive Team of suspension and that average incentive/bonus payment should be paid until further notice (calculated over previous 3 months)

• Raise a case via the case management system and generate the Suspension Letter to post to the employee confirming your discussions.

Reopen Visit Type and include 'IDD' if required substituting 'Engineer' with customer, witness etc.

PARKING FINE FORM BSKYB

• National parking Utl fleet

• Fine reference number

• Team Code

• Engineer Name

• Manager Name

• Engineer Number

• Van Registration

• Local Authority

• Cost

• Job Number

• Date fine occurred

  Date

• Road Name

• Team Manager submitting form

• Authorised to pay

  Yes

  No

• Authorised to recharge engineer

  No

  Yes

• Reason for not recharging engineer

• Photo of notification of parking issue before receiving fine

  Media

• Photo of fine, vehicle parked and signage displaying terms

  Media

• Date submitted and emailed to UTL utl.bskyb.fleet@unipart.com

  Date

About the Vehicle

• Vehicle Registration

• Vehicle Make and Model

• Individual handing vehicle over

Transfer Details

• Tech Number

• Team

• Individual receiving vehicle

• Tech Number

• Team

• Livery

• Date transfer took place

  Date

Vehicle Details

• Vehicle Mileage

• Is the spare wheel or tyre sealant present

  Yes

  No

  N/A

• Is the Fuel Card present

  Yes

  No

  N/A

• Is there an easi load pole?

  Yes

  No

  N/A

• Is the vehicle damage free?

  Yes

  No

  N/A

• Caddy Only - Are both ladder locks in working order with keys available?

  Yes

  No

  N/A

• Front Of Vehicle

  Media

• Driver's door and wing

  Media

• Driver's side sliding door and rear quarter panel

  Media

• Rear of vehicle

  Media

• Passenger side sliding door and rear quarter panel

  Media

• Passenger door and wing

  Media

• Cab - Driver's side

  Media

• Cab - Passenger's side

  Media

Vehicle Condition

• Signature of Individual 1

  Sign

• Date

  Date

• Please select all Health and Safety items the engineer has on the vehicle

  Select Microlite Ladder Attachment (UOM 1) Cones Standard 21 Inch (UOM 1) Drill Harness Kneepads External 6m Chimney Strop Standard Karabiner Gravel Bag 30cm Endless sling for seatbelt (RSL) Sling 150 cm (qty 1) 9m Ratchet Strap Kit 15mm x 11mmKernmantleRope(UOM = 1) 10m x 11m Kernmantle Rope (UOM = 1) 5m x 11mm Kernmantle Rope (UOM = 1) 1.5m Para Cord Para Cord Karabiner Y Hang Sling 4m Ratchet Strap 1.2M Endless Soft Sling DTH Harness Rope Grab (UOM 1) Cows Tail Re usable eyebolt anchor (UOM 1 = 1) 1m Ratchet strap 2 Mtr Ratchet Strap (UOM 1) Pipe Cutter UOM = 1 Silicon Cutter UOM = 1 Hazard Analysis Form (DTH & DAT) Skylite Crawl board (UOM = 1 Pair) Lashing Kit gloves Scanner Bosch GMS120 Ladder Spike 10mm x 75mm Screw Eye Bolt ( UOM1=1) Cable Rod Kit (Standard Issue) UOM = 1 K Ladder Mate (UOM 1) Draper working light Snow Gripper Size 11+ boot Snow Gripper Size 5-10 boot Snow Gripper Size 4 boot

  • Microlite Ladder Attachment (UOM 1)
  • Cones Standard 21 Inch (UOM 1)
  • Drill Harness
  • Kneepads External
  • 6m Chimney Strop
  • Standard Karabiner
  • Gravel Bag
  • 30cm Endless sling for seatbelt (RSL)
  • Sling 150 cm (qty 1)
  • 9m Ratchet Strap Kit
  • 15mm x 11mmKernmantleRope(UOM = 1)
  • 10m x 11m Kernmantle Rope (UOM = 1)
  • 5m x 11mm Kernmantle Rope (UOM = 1)
  • 1.5m Para Cord
  • Para Cord Karabiner
  • Y Hang Sling
  • 4m Ratchet Strap
  • 1.2M Endless Soft Sling
  • DTH Harness
  • Rope Grab (UOM 1)
  • Cows Tail
  • Re usable eyebolt anchor (UOM 1 = 1)
  • 1m Ratchet strap
  • 2 Mtr Ratchet Strap (UOM 1)
  • Pipe Cutter UOM = 1
  • Silicon Cutter UOM = 1
  • Hazard Analysis Form (DTH & DAT)
  • Skylite Crawl board (UOM = 1 Pair)
  • Lashing Kit gloves
  • Scanner Bosch GMS120
  • Ladder Spike
  • 10mm x 75mm Screw Eye Bolt ( UOM1=1)
  • Cable Rod Kit (Standard Issue) UOM = 1 K
  • Ladder Mate (UOM 1)
  • Draper working light
  • Snow Gripper Size 11+ boot
  • Snow Gripper Size 5-10 boot
  • Snow Gripper Size 4 boot

• How many cones are on the vehicle (Min 2)

• How many karabiner's are on the vehicle (Min 7)

• How many para cord karabiner's are on the vehicle (Min 2)

• How many Y hang sling's are on the vehicle (Min 2)

• How many soft slings are on the vehicle (Min 2)

• How many Re usable eyebolt's are on the vehicle (Min 2)

• How many 10mm eye bolts are on the vehicle (Min 2)

BRACKETS/MOUNTS

• Please select all Brackets/Mounts on the engineers has on the vehicle

  Select 1.25 Inch Patio Mount (Small)(UOM 1) New 1.4m S-Pole 1m S-Pole Single Lashing Kit including brackets ( Triax MK4 Exhaust Clamp (UOM =1 bag of 1

  • 1.25 Inch Patio Mount (Small)(UOM 1)
  • New 1.4m S-Pole
  • 1m S-Pole
  • Single Lashing Kit including brackets (
  • Triax MK4 Exhaust Clamp (UOM =1 bag of 1

CONSUMABLES

• Please select all Consumables the engineer has on the vehicle

  Select *Twin core clip ( Black )(1 pack of 1000 *Twin core clip ( White)(1 pack of 1000 *7mm White Clip(Bag of 1000) *4.5mm White Clip (Box 1000)UOM *4.5mm Black Clip (Box 1000)UOM *Cable Entry Cover (White)(1 bag of 50) *Cable Entry Cover (Black)(1 bag of 50) *7mm Black Clips(1 Box of 1000) Arco Branded Antiseptic Wipes (Tub of 20 5mm x 50mm S4 W/L SDS Drill Bit (UOM 1 = Multimeter (DT-9201A) (UOM 1) Sealant Clear (UOM = 1 box of 6) 14mm R Staples (Box 1000)UOM *White Insert Plug(1 bag of 100) *Black PVC Tape (UOM = 1 roll) 160mmx4.8mm Cable Tie black short (1bag) 160mm x 4.8mm Cable Tie natural short 160mm x 4.8mm Cable Tie natural short *7mm White Bushing (1 Bag of 100) M8 x 60 Coach Screws (1 box of 100) *Sky + Grommet (UOM 1 pack of 100) ADSL Filter Padlock (Class 6)(UOM 1) Disposable Gloves ( box of 100) *Disposable overshoes(1 pack of 100) Unigrip Adhesive (UOM = 1 Tube) Plasters (pack of 20) First aid kits (UOM 1) *Black insert plug ( Box of 100 ) *10mm Nylon Plug (1 Bag of 500) Compression F-Fit Connector Sky+ (1 =50) Compression F-Fit Connector 1 = bag 50 SDS Drill Bit 10mm x 160mm SDS Drill Bit 6mm x 450mm SDS Drill Bit 10mm x 460mm Drill Bit 16x460mm (UOM 1 = 1) 20/200 drill bit (UOM 1) 10mm x 1m Drill Bit (UOM 1)

  • *Twin core clip ( Black )(1 pack of 1000
  • *Twin core clip ( White)(1 pack of 1000
  • *7mm White Clip(Bag of 1000)
  • *4.5mm White Clip (Box 1000)UOM
  • *4.5mm Black Clip (Box 1000)UOM
  • *Cable Entry Cover (White)(1 bag of 50)
  • *Cable Entry Cover (Black)(1 bag of 50)
  • *7mm Black Clips(1 Box of 1000)
  • Arco Branded Antiseptic Wipes (Tub of 20
  • 5mm x 50mm S4 W/L SDS Drill Bit (UOM 1 =
  • Multimeter (DT-9201A) (UOM 1)
  • Sealant Clear (UOM = 1 box of 6)
  • 14mm R Staples (Box 1000)UOM
  • *White Insert Plug(1 bag of 100)
  • *Black PVC Tape (UOM = 1 roll)
  • 160mmx4.8mm Cable Tie black short (1bag)
  • 160mm x 4.8mm Cable Tie natural short
  • 160mm x 4.8mm Cable Tie natural short
  • *7mm White Bushing (1 Bag of 100)
  • M8 x 60 Coach Screws (1 box of 100)
  • *Sky + Grommet (UOM 1 pack of 100)
  • ADSL Filter
  • Padlock (Class 6)(UOM 1)
  • Disposable Gloves ( box of 100)
  • *Disposable overshoes(1 pack of 100)
  • Unigrip Adhesive (UOM = 1 Tube)
  • Plasters (pack of 20)
  • First aid kits (UOM 1)
  • *Black insert plug ( Box of 100 )
  • *10mm Nylon Plug (1 Bag of 500)
  • Compression F-Fit Connector Sky+ (1 =50)
  • Compression F-Fit Connector 1 = bag 50
  • SDS Drill Bit 10mm x 160mm
  • SDS Drill Bit 6mm x 450mm
  • SDS Drill Bit 10mm x 460mm
  • Drill Bit 16x460mm (UOM 1 = 1)
  • 20/200 drill bit (UOM 1)
  • 10mm x 1m Drill Bit (UOM 1)

CABLES/LEADS

• Please select all Cables/Leads the engineer has on the vehicle

  Select CT63 Dual Cable (Black) - 250m CT63 Dual Cable (White) - 250m CT100 Black 250M(1 reel of 250m) CT100 White 250M(1 reel of 250M) *Digi Pace Scart Lead(1 bag of 5)(UOM 1) Power Lead (1 Bag of 5)

  • CT63 Dual Cable (Black) - 250m
  • CT63 Dual Cable (White) - 250m
  • CT100 Black 250M(1 reel of 250m)
  • CT100 White 250M(1 reel of 250M)
  • *Digi Pace Scart Lead(1 bag of 5)(UOM 1)
  • Power Lead (1 Bag of 5)

TOOLS

• Please select all Tools the engineer has on the vehicle

  Select Cable Reel Stand (UOM 1) Draper 870PZB Expert Screwdriver (UOM 1 DraperH/D Diag Sidecutter (UOM 1 =1) Dustpan & Brush Set (1 Set) 15mm OE Spanner (UOM 1) Safety Cut Out Switches (UOM 1) Nightsearcher - HP910X LED Head Torch Tool Organiser (UOM 1) Rapid 36 Staple Gun (UOM 1) Tape Measure (3 Metre) 10mm Ratchet Spanner UOM 1 = 1 Telephone Test Engineer(UOM 1) Lashing Kit wire cutter Amtec Leather Tool Belt (UOM = 1) Sealant Gun Hammer Claw (UOM 1) Pliers Combination ( Heavy ) (UOM 1) Wrench 13x14mm Rachet Ring (UOM 1) Nut Spinner (UOM 1) Tool Bag (UOM 1) Drill(New)(UOM= 1 drill) Compression Fit F-Connector Tightener Cable Stripping Tool (UOM=1) 13mm 6 point Ratchet wrench Compression Tool (Plastic) (UOM=1)

  • Cable Reel Stand (UOM 1)
  • Draper 870PZB Expert Screwdriver (UOM 1
  • DraperH/D Diag Sidecutter (UOM 1 =1)
  • Dustpan & Brush Set (1 Set)
  • 15mm OE Spanner (UOM 1)
  • Safety Cut Out Switches (UOM 1)
  • Nightsearcher - HP910X LED Head Torch
  • Tool Organiser (UOM 1)
  • Rapid 36 Staple Gun (UOM 1)
  • Tape Measure (3 Metre)
  • 10mm Ratchet Spanner UOM 1 = 1
  • Telephone Test Engineer(UOM 1)
  • Lashing Kit wire cutter
  • Amtec Leather Tool Belt (UOM = 1)
  • Sealant Gun
  • Hammer Claw (UOM 1)
  • Pliers Combination ( Heavy ) (UOM 1)
  • Wrench 13x14mm Rachet Ring (UOM 1)
  • Nut Spinner (UOM 1)
  • Tool Bag (UOM 1)
  • Drill(New)(UOM= 1 drill)
  • Compression Fit F-Connector Tightener
  • Cable Stripping Tool (UOM=1)
  • 13mm 6 point Ratchet wrench
  • Compression Tool (Plastic) (UOM=1)

DISH/LNB

• Please select all Dish's/LNB's the engineer has on the Vehicle

  Select Generic - MK4 Quad LNB Generic Mk 4 Octo LNB Generic MK4 Zone 1 Dish Generic Wide Band LNB Generic Hybrid LNB

  • Generic - MK4 Quad LNB
  • Generic Mk 4 Octo LNB
  • Generic MK4 Zone 1 Dish
  • Generic Wide Band LNB
  • Generic Hybrid LNB

• How many MK4 Quad LNB's are on the vehicle (Min 10)

• How many MK4 Octo LNB's are on the vehicle (Min 2)

• How many MK4 Zone 1 Dish's are on the vehicle (Min 10)

• How many Wide Band LNB's are on the vehicle (Min 10)

• How many Hybrid LNB's are on the vehicle (Min 2)

STATIONARY

• Please select all Stationary the engineer has on the vehicle

  Select Install form (UOM 1) Stock Manifest Book (1 pad) Outcards V2 (UOM = 1 pad) Paper Risk Assessment Paper Job Sheets Bump Cards

  • Install form (UOM 1)
  • Stock Manifest Book (1 pad)
  • Outcards V2 (UOM = 1 pad)
  • Paper Risk Assessment
  • Paper Job Sheets
  • Bump Cards

• TM

  Sign

• Engineer

  Sign