Title Page
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Purpose of Document
This document is intended to gather the information required from a particular site to design and install a Vodafone cellular Base station. This document is to be controlled by the Vodafone Delivery Project Manager
These notes will be incorporated into the Site design and aligned to the Vodafone Global design guidelines
All info relating to initial build requirements and reasonable forecasts should be noted
If anyone is missing they should be asked to populate their info into this form from their own resources ( PM to manage ) so all requirements noted
It is critical that all hazards and site conditions are noted so they can be evaluated, managed and solutions incorporated into the design
Caravan completed and Data collated and approved by PM
Passed to Civil designers who incorporate into the Site design PM
Site design checked against Global standards to ensure compliance ( Design Checksheet to be completed ) CE
Drawings and checksheet submitted for approval CE
Drawings checked to ensure design meets requirements, hazards eliminated and access conditions suitable for site type PM
Design passed to consenting and build phase PM
Project Members at Caravan
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Project Manager - PM
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RF Engineer - RF
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SAQ - SA
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Transmission Engineer - TE
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Civil Engineer - CE
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RMA Planning Consultant - PC
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Landowners Representative - LP
RF Type
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RF Type
- Cellsite
- Repeater
- Small Cell
- MW Hub
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Site Type
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Site type
- Greenfield
- Rooftop
- Roadside
- Co Locate
- In-Building
Site Category - RF and TE
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RF
- 1
- 2
- 3
- 4
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Transmission
- A
- B
- C
- D
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Site Objectives and Coverage Area- RF Engineer to fill in prior to Caravan. RF and Tx Engineers to determine Site Category above so access and Power conditions can be factored into design
Antenna Requirements - RF
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Antenna Type
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Azimuth
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MHA
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Expected Tilts (Electrical and Mechanical)
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Note if co-located, split sector, unique conditions, colour etc
Equipment Housing -RF
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Indoor or Outdoor
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Room or Other Description
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Room Size and Condition -
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Cooling and access notes
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Rooftop – Note Area available
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Greenfield- Note approx lease area
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Other- Note area size, colour and conditions
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Note if co-located, requires Air-conditioning, access and any other requirements to make space suitable for Equipment.
Base Station Requirements - RF
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Equipment Type: Initial requirements: Potential Upgrade Path
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Comments and potential future requirements
Feeder Routes -RF and TE
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Feeder Type
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Feeder Route
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Feeder Tray Capacity
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Feeder glands
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Comments, Note if Covers or painting required
DC System - PE
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Indoor Outdoor
- Indoor
- Outdoor
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Battery Backup (Hours)
Transmission Requirements - TE
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Will backhaul be fibre
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Leased Line/Fibre From: Fibre Route details: Supplier (if known)
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Microwave From: To: Dish Size
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Microwave From: To: Dish Size
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Bracing Arms etc for Dishes ( High wind site? )
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Feeder route and cabling requirements
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Outdoor Unit access issues
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For Far end MW please make notes on Far End caravan Template. Each prospective Far End should have a completed Caravan Note
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Comments, Note any potential future requirements
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Any other Transmission issues, LOS, Tree trimming, Obstacles etc
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Access - RF & TE to align with Site category model, Faults etc
Staff Access
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Can access site at all times throughout the year
- Yes
- No
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Why not?
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Site Access
- Business Hours Only
- 24/7
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Monday to Friday what times?
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Access conditions
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Other Restrictions:
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Vehicle Access (RF TE) Note Cherry picker Access if non-climbable pole
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Frequency of Access
- Weekly
- Monthly
- 6 monthly or greater
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Weekly
- Asphalt surface
- Sealed road surface
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Monthly
- urban: sealed road surface or a frequently maintained unsealed road surface
- rural: frequently maintained unsealed road surface
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periodic access - unsealed road surface
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Other Access Conditions
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Landowner Conditions or Requirements -LR and SA
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Comments or conditions
RMA Conditions or Requirements - PC, SA
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Comments or conditions
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Rooftop - CE
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Rooftop
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Rooftop Access
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Conditions of rooftop
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Walkways
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Penetrations Required
- Yes
- No
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Existing Antennas
- Yes
- No
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Shrouds, painting, or camouflage required
- Yes
- No
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Other Comments
Civil Requirements (CE) Note any requirements or issues relating to the below items
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Fencing / Retaining walls
- Yes
- No
- N/A
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Comments
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Panting
- Yes
- No
- N/A
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Comments
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Geotech
- Yes
- No
- N/A
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Comments
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Visual impact of site
- Yes
- No
- N/A
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Comments: Ensure visual impact of site is minimised
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Overhead Cables
- Yes
- No
- N/A
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Comments
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Tree Trimming
- Yes
- No
- N/A
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Comments
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Site Security
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Boundary or neighbour issues, is a survey required?
- Yes
- No
- N/A
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Comments
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Lease Plan Area
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Environmental issues, Salt, Sulphur etc
- Yes
- No
- N/A
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Noise conditions
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Earthwork Management plan required
- Yes
- No
- N/A
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Comments
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Lighting Risk and Requirements
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Traffic Management Required
- Yes
- No
- N/A
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Comments
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Parking
- Yes
- No
- N/A
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Comments, where is nearest parking?
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Existing Services
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What are they?
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High Wind Location
- Yes
- No
- N/A
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Comments
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Lease Drawing Requirements
- Plan
- Elevation
- Photomontages
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Comments
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Other Comments
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AC Power Requirements (CE) Note most likely solution
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Nearest Likely AC Source
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Transformer required
- Yes
- No
- N/A
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Overhead cable available
- Yes
- No
- N/A
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Existing power availability
- Yes
- No
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Comments
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Line Company
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Meter
- Mains Meter
- Check Meter
- RBI
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Comments
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Easements required
- Yes
- No
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Comments
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Other Comments
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Sketch of Electrical design- AC supply route and connection points
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Antenna Support (CE)
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Is the site a
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Greenfield
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Street pole - note type
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Building
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Other
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Basic Sketch of Site design- Equipment and Antenna Support (CE)
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SITE SPECIFIC RISK ASSESSMENT CHECKLIST --- To be controlled in site design This generic form is to be used to identify hazards and measures control the residual risks associated with a Radio Base Station Site. Risks Identified as MEDIUM OR HIGH must have control measures identified
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Airborne pollution:<br>The presence of gas, vapour, or particles in the air, both created by the activity and pre-existing. It may be a hazard through inhalation, by affect on the eyes, etc.
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Control
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Impact
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Animals/birds etc:<br>Hazard created by animals, birds, insects, etc. both directly and from their waste products. Startling, stings, bites, faeces, viruses carried, etc.
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Control
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Impact
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Body Movements:<br>Awkward or repetitive movement of any part of the body which may cause strain, pulled muscles, trapped nerves, etc.
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Control
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Impact
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Confined spaces:<br>Any chamber, tank, vat, pit, flue, or similar, accessed through a confined opening, or from where escape is difficult in an emergency. Dangerous fumes may be present or the amount of oxygen in the air reduced.
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Control
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Impact
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Contractors:<br>Persons employed by outside companies working on VFNZ premises. They may be unfamiliar with our safety requirements and their actions may constitute a hazard.
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Control
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Impact
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Criminal activity:<br>Malevolent damage to plant and equipment, such as tampering with a winch used to carry personnel, or attacks on staff.
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Control
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Impact
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Electricity, high current:<br>Conductors connected to a high energy source but operating at a 'safe' voltage are often uninsulated. Serious burns and fire can be caused by short circuits. Examples: stationary batteries, valve filament supplies.
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Control
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Impact
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Electricity, (HV):<br>An electrical potential above 600Vac or 900Vdc line to earth, or 1000Vac or 1500Vdc line to line.
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Control
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Impact
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Electricity, (LV) An electrical potential below High Voltage, but exceeding 50Vac or 120V ripple free dc.
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Control
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Impact
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Environmental conditions indoors:<br>Conditions within a building resulting from, for example, temperature variation, or poor lighting or ventilation, or "sick building syndrome".
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Control
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Impact
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Explosion/implosion:<br>The rapid release of energy by chemical reaction, electrical fault, rupture of a pressure/vacuum vessel, etc.
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Control
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Impact
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Failure due to human factors Failure to identify or assess risks during an activity due to forgetfulness, fatigue, stress, incipient illness, pressure to finish the job, etc.
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Control
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Impact
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Failure of protective measures:<br>The consequences of failure of a measure which exists to provide safety, such as interlocks failing, circuit breakers not tripping on a fault, guards not preventing access to rotating machinery, etc.
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Control
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Impact
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Failure, structural:<br>The consequences of failure of a mechanically stressed component of a structure, building, machine, equipment, etc. which may cause collapse, or cause objects to fall or fly apart.
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Control
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Impact
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Fire:<br>Damage to personnel or property from heat, burns, combustion products, asphyxiation, etc.
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Control
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Impact
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Ground/floor openings Open pits, ducts, excavations, etc. into which personnel may fall.
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Control
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Impact
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Hazardous materials:<br>Flammable, toxic, irritant, carcinogenic, etc. substances, whether subject to the COSHH Regulations or not.
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Control
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Impact
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Heights:<br>The hazard of falling from a high place, being hit by an object falling from above, or being hit by something toppling over.
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Control
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Impact
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Lifts, hoists and cranes:<br>The hazards associated with the vertical transportation of personnel or objects not covered by any other Hazard, for example the hazard of being hit by a heavy load swinging from a crane.
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Control
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Impact
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Machinery:<br>The hazard from the moving parts of machinery; belts, gears, rotating shafts, blades, etc.
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Control
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Impact
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Moving vehicles:<br>Road accidents, either as vehicle occupant or other road user or bystander. Includes low speed accidents, for example being hit by a reversing lorry.
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Control
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Impact
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Noise:<br>Excessive level of acoustic noise which may damage the ears, or noise which obscures warning signals.
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Control
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Impact
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Objects, heavy/bulky:<br>Objects for which manual handling is difficult due to weight, bulk, sharp edges, slippery surface, hot or cold components, lack of handles, etc.
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Impact
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Control
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Objects, hot/cold:<br>Objects which may cause damage due to extreme temperature.
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Control
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Impact
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Objects, sharp:<br>Objects which may cause cuts, laceration, puncture, or abrasion from points, sharp edges, or rough surfaces.
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Control
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Impact
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Obstacles/obstructions:<br>Objects such as steps, low doors, abrupt changes of gradient, congested equipment cabinets, protruding pipes, etc. which could cause one to trip, stumble, or bang into something.
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Control
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Impact
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Pathogens & allergens:<br>Agents which may cause infection or disease, or induce or trigger an allergy.
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Contol
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Impact
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Pressurised liquid/gas:<br>The hazard from fluid leakage, both gradual and catastrophic, and the effects of jets on the body.
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Control
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Impact
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Radiation, ionising:<br>Radiation which produces ionised particles, for example X-rays from vacuum tubes, and alpha particles from some types of smoke detector.
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Control
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Impact
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Radiation, light/lasers:<br>Any bright or coherent light which may damage the eyes or burn objects on which it impinges. Also the dazzling or glare effects of poorly installed lighting.
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Control
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Impact
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Radiation, non-ionising (RF):<br>The body heating, burn, and electric shock effects of RF at any frequency. Also secondary effects such as RF sparks igniting flammable substances, or arcs damaging equipment.
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Control
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Impact
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Slippery/uneven surfaces:<br>Any rough, wet, polished, etc. surface on which one might have to walk or work or move objects, which might cause one to slip or trip.
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Control
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Impact
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Static electricity:<br>A build-up of electrical charge, caused, for example, by friction on man made fibres. It may develop a very high voltage which may cause shock when discharged through a person, causing them e.g. to drop something.
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Control
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Impact
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Tools, hand:<br>Non-mechanically powered tools used in the hand. Although such tools may be intrinsically safe, there is the possibility of, for example, hitting one's thumb with a hammer.
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Control
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Impact
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Tools, power:<br>Mechanically powered tools held in the hand, which may be hazardous due to flying swarf, tool "kick back", sudden breakage of work piece, cuts and abrasions from blades or chucks, etc.
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Control
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Impact
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Topographical factors:<br>Adverse characteristics of terrain, for example sleep slopes, deep water, bog, sudden changes of level.
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Control
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Impact
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Vibration:<br>Mechanical vibration which may cause injury such as "vibration white finger", for example from a concrete breaker. Also the detrimental effects of vibration on equipment.
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Control
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Impact
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Weather, lightning:<br>The direct and indirect effects of lightning and electrical storms, particularly at a site with tall structures.
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Control
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Impact
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Weather, other:<br>High winds, snow, rain, strong sunlight, very hot or cold conditions.
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Control
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Impact
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Other:<br>If there is a need to assess the risk caused by hazards which are not listed above, then this should be added to the assessment and the nature of the hazard clearly stated.
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Control
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Impact
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Contamination:<br>Contamination of land, groundwater and/or waterways. That can lead to the destruction of the land leading to loss of vegetation and unable to support wildlife. In turn leading to risk of enforcement action.
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Control
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Impact
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Lone Working:<br>Instances where staff / contractors are required to work alone where help is not immediately available. Working in these circumstances should carry no greater risks than any other form of working.
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Control
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Impact
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Public:<br>Presence of non participants. i.e. factors concerning the risk to others who are not directly involved in the activity, such as members of the public, visitors to site. Assume Non participants are present unless this is clearly not the case.
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Control
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Impact
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Remote Working:<br>Instances where staff / contractors are required to work in remote locations where help is not immediately available. Working in these circumstances should carry no greater risks than any other form of working.
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Control
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Impact
Site Caravan sign off (PM) Date__________
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Site Caravan sign off (PM)
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Note Issues or info missing
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