Title Page
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Conducted on
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Reporter's Name & Company Represented:
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Location
INSPECTION DETAILS
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Company Inspected:
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Reporter Function:
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Works Team Name / Reference
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Company Works Manager / Supervisor:
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Team Leader's Name:
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no. of Operatives on Site:
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Works Vehicle's Registration no.
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LCRA Borough PERMIT no.
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Works Package Reference:
NRSWA RESTRICTIONS
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Does Site Condition result in NRSWA S72 Defect ?
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Does Site Condition result in NRSWA S81 Defect ?
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Has Inspection Lead had to order the suspension of works?
Quality and Safety
1.0 Site Safety
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Is all required PPE available and being worn for individual tasks?
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Is a First Aid Kit available, in a satisfactory and replenished condition?
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Do the team have access to adequate welfare facilities?
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Is there a copy of the contractor Incident Management Plan?
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Are gas cylinders secured & stored correctly - IF APPLICABLE?
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Are all hand tools in good condition and meet the requirements of standard issue?
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Are all power tools in good condition and being used safely?
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Are vibrating tools maintained in good working order?
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Is all Vibrating Equipment assessed and tagged?
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Are appropriate Cable Locators available, calibrated and in use?
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Is Gas Detection Equipment on site appropriate, in working order and correctly used, - IF APPLIABLE?
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Are the correct type of chamber and joint box/cabinet keys available?
2.0 Vehicles
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Do vehicles have working beacons and approriate chevron markings?
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Are vehicles tidy and clean?
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Are vehicles parked safely & securely without causing obstruction?
3.0 Work Pack & Site Documentation
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Is a legible copy of the work pack/order on site and understood?
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Where applicable is a copy of the design stage residual risks on site?
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Are Site Specific Risk assessments in place?
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Have suitable Utility Plans been issued and available on site?
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Have works been undertaken as planned?
4.0 Works Practices / H&S
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Are safe digging practices and HSG47 being adhered to?
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Are all appropriate buried services identified and traced?
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Are all identified buried services visibly marked?
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Are excavations stable and free from excess water?
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Are stacked and excavated materials away from edge of the excavation?
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Is work site tidy and free from tripping hazards?
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Has any damage caused by 3rd parties been photographed and the client informed? IF APPLICABLE.
5.0 NRSWA
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Has the appropriate opening notice/permit to work been raised and is available to view on site?
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Are there persons on site with the correct NRSWA certification?
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Is the Signing & Guarding Layout in accordance with the ACOP?
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Is the site clearly signed and directions understandable by motorists or pedestrians
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Are all works taking place within a safely barriered area?
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Are the correct Works information boards provided and in use?
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Do information boards display appropriate notification and contact numbers?
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Are signs, cones, barriers etc, clean and in good condition?
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Are kerb ramps and pedestrian ramps in use where necessary?
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CSCS accreditation card available, If Applicable?
Civils In Progress
6.0 Civils Excavation, Duct Laying & Reinstatement
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Is the size and method of excavation suitable for the works?
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Is the ducting the correct size, type, and colour and free from damage?
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Is the apparatus orientation & depth of cover appropriate?
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Duct repairs have appropriate duct repair kits & split duct been used?
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Are prepared edges sawn vertical, square and sealed?
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Have the correct backfill and reinstatement materials been used?
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Are reinstatements free from material crowning and match existing profile?
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Are reinstatements free of surface depressions and match existing profile?
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Is the reinstatement and surrounding area free from Road / Cut Off Saw overcuts?
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Is all permanent or temporary reinstatement acceptable to SROH?
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Are all kerbs, studs and markings replaced/reinstated to original condition?
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On Completion of works has the site been left in a safe and satisfactory condition?
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Has the appropriate closing Notice been submitted (i.e. permanent or temporary reinstatement)?
7.0 CIVILS CHAMBERS
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Are chambers the correct size & built as planned?
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Are chambers built to the correct specification?
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Are duct entry numbers correct and suitably located?
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Are all frames & covers the correct type and securely fixed?
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Are all covers to British Standards, kite marked and suitable for intended use?
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On Completion of works have the chambers been left in a satisfactory condition and clear of debris?
8.0 CIVILS CABINETS
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Is cabinet used the correct type and specification?
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Is the cabinet shell correctly painted, undamaged and water tight?
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Is the cabinet securely fixed to the base?
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Have the correct number of duct entries been provided and in the correct locations?
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Is the cabinet build quality acceptable, including earth bonds and back boards?
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Is an earth electrode present where mains power is present, including power, circuit test and cert?
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Is cabinet cable management & labelling and correct?
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Are all taps and connections correct?
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Is the cabinet correctly stencilled?
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On Completion of works have the cabinets been left in a satisfactory condition and clear of debris?
Cabling In Progress
9.0 External Cabling (General)
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Cable routes identified and verified as correct?
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Required H&S practices adhered to during cable installation?
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Cable installation specification adhered to?
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Cable management and labelling as per specification?
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Cable test records taken?
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All cabling waste cleared from site and disposed of correctly?
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Back rope installed?
10.0 OPTICAL FIBRE SPLICING (GENERAL)
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Splice marked / labelled?
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Seals & heatshrinks fitted correctly?
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Tubes / Fibres numbered?
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Spliced to design?
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Desicant packs in place?
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Fibres in cassettes cleaned?
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Fibres correctly in cassettes?
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In /Out cables labelled correctly?
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Joint secured to bearers?
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Is pit / box adequate for joint size?
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Vertical stress loop every 10m?
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Splice Tray fitted/labelled correctly?
11.0 CABINET NODE WORK
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Cable in correct duct?
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Cable management used?
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Cable degreased?
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Cable tagged/ labelled correctly?
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Splice tray fitted & labelled OK?
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All shelves fitted correctly to plans?
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Connections correct & terminated?
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Earthing OK?
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Doors shut & locked?
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Krones labelled and terminated correctly?
12.0 Internal Cabling
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Is Cable Installation Specification adhered to for Internal works?
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Confined Space Risk assessment required and undertaken?
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Is the point of entry/gas seal//fire stopping checked and compliant?
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Is cable routed / clipped OK?
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Is all cabling / trunking straight secure neat & tidy?
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Are sockets installed and labelled correctly?
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Is all cable labelling correct?
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All NTTP / Splice Points labelled?
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Is all fibre waste disposed of correctly?
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IDP's labelled / Lids fitted?
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Equipment panel locked where required?
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Test equipment in calibration?
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Check cable distance?
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Site records completed?
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Site neat & tidy?
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Floor / Ceiling Tiles OK?
CLOSE OUT
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Signature: