TELECOMS INSPECTION - CIVILS WORKS

• Conducted on

  Date

• Reporter's Name & Company Represented:

• Location
  Address

INSPECTION DETAILS

• Reporter Job Title:

• Company Inspected:

• Works Team Name / Reference

• Contractor Works Manager / Supervisor:

• Team Leader's Name:

• no. of Operatives on Site:

• Works Vehicle's Registration no.

• LCRA Borough PERMIT no.

• Job Pack / section Reference:

NRSWA RESTRICTIONS

• Has Inspection Lead had to order the suspension of works?

  Yes

  No

  N/A

Quality and Safety

1.0 Site Safety

• Is all required PPE available and being worn for individual tasks?

  Yes

  No

  N/A

• Is a First Aid Kit available, in a satisfactory and replenished condition?

  Yes

  No

  N/A

• Do the team have access to adequate welfare facilities?

  Yes

  No

  N/A

• Is there a copy of the contractor Incident Management Plan?

  Yes

  No

  N/A

• Are gas cylinders secured & stored correctly - IF APPLICABLE?

  Yes

  No

  N/A

• Are all hand tools in good condition and meet the requirements of standard issue?

  Yes

  No

  N/A

• Are all power tools in good condition and being used safely?

  Yes

  No

  N/A

• Are vibrating tools maintained in good working order?

  Yes

  No

  N/A

• Is all Vibrating Equipment assessed and tagged?

  Yes

  No

  N/A

• Are appropriate Cable Locators available, calibrated and in use?

  Yes

  No

  N/A

• Is Gas Detection Equipment on site appropriate, in working order and correctly used, - IF APPLIABLE?

  Yes

  No

  N/A

• Are the correct type of chamber and joint box/cabinet keys available?

  Yes

  No

  N/A

2.0 Vehicles

• Do vehicles have working beacons and approriate chevron markings?

  Yes

  No

  N/A

• Are vehicles tidy and clean?

  Yes

  No

  N/A

• Are vehicles parked safely & securely without causing obstruction?

  Yes

  No

  N/A

3.0 Work Pack & Site Documentation

• Are suitable utility Drawings in pack & Are safe dig drawings on site within 30 day expiry period?

  Yes

  No

  N/A

• Is a legible copy of the work pack/order on site and understood?

  Yes

  No

  N/A

• Are Site Specific Risk assessments in place?

  Yes

  No

  N/A

• Have works been undertaken as planned?

  Yes

  No

  N/A

5.0 NRSWA

• Has the appropriate opening notice/permit to work been raised and is available to view on site?

  Yes

  No

  N/A

• Are there persons on site with the correct NRSWA certification?

  Yes

  No

  N/A

• Is the Signing & Guarding Layout in accordance with the ACOP?

  Yes

  No

  N/A

• Is the site clearly signed and directions understandable by motorists or pedestrians

  Yes

  No

  N/A

• Are all works taking place within a safely barriered area?

  Yes

  No

  N/A

• Are the correct Works information boards provided and in use?

  Yes

  No

  N/A

• Do information boards display appropriate notification and contact numbers?

  Yes

  No

  N/A

• Are signs, cones, barriers etc, clean and in good condition?

  Yes

  No

  N/A

• Are kerb ramps and pedestrian ramps in use where necessary?

  Yes

  No

  N/A

• CSCS accreditation card available, If Applicable?

  Yes

  No

  N/A

Civils In Progress

6.0 Civils Excavation, Duct Laying & Reinstatement

• Is the size and method of excavation suitable for the works?

  Yes

  No

  N/A

• Is the ducting the correct size, type, and colour and free from damage?

  Yes

  No

  N/A

• Is the apparatus orientation & depth of cover appropriate?

  Yes

  No

  N/A

• Duct repairs have appropriate duct repair kits & split duct been used?

  Yes

  No

  N/A

• Are prepared edges sawn vertical, square and sealed?

  Yes

  No

  N/A

• Have the correct backfill and reinstatement materials been used?

  Yes

  No

  N/A

• Are reinstatements free from material crowning and match existing profile?

  Yes

  No

  N/A

• Are reinstatements free of surface depressions and match existing profile?

  Yes

  No

  N/A

• Is the reinstatement and surrounding area free from Road / Cut Off Saw overcuts?

  Yes

  No

  N/A

• Is all permanent or temporary reinstatement acceptable to SROH?

  Yes

  No

  N/A

• Are all kerbs, studs and markings replaced/reinstated to original condition?

  Yes

  No

  N/A

• On Completion of works has the site been left in a safe and satisfactory condition?

  Yes

  No

  N/A

• Has the appropriate closing Notice been submitted (i.e. permanent or temporary reinstatement)?

  Yes

  No

  N/A

7.0 CIVILS CHAMBERS

• Are chambers the correct size & built as planned?

  Yes

  No

  N/A

• Are chambers built to the correct specification?

  Yes

  No

  N/A

• Are duct entry numbers correct and suitably located?

  Yes

  No

  N/A

• Are all frames & covers the correct type and securely fixed?

  Yes

  No

  N/A

• Are all covers to British Standards, kite marked and suitable for intended use?

  Yes

  No

  N/A

• On Completion of works have the chambers been left in a satisfactory condition and clear of debris?

  Yes

  No

  N/A

8.0 CIVILS CABINETS

• Is cabinet used the correct type and specification?

  Yes

  No

  N/A

• Is the cabinet shell correctly painted, undamaged and water tight?

  Yes

  No

  N/A

• Is the cabinet securely fixed to the base?

  Yes

  No

  N/A

• Have the correct number of duct entries been provided and in the correct locations?

  Yes

  No

  N/A

• Is the cabinet build quality acceptable, including earth bonds and back boards?

  Yes

  No

  N/A

• Is an earth electrode present where mains power is present, including power, circuit test and cert?

  Yes

  No

  N/A

• Is cabinet cable management & labelling and correct?

  Yes

  No

  N/A

• Are all taps and connections correct?

  Yes

  No

  N/A

• Is the cabinet correctly stencilled?

  Yes

  No

  N/A

• On Completion of works have the cabinets been left in a satisfactory condition and clear of debris?

  Yes

  No

  N/A

9.0 CLOSE OUT

SIGNATURE

• Signature:

  Sign