Title Page
-
Conducted on
-
Prepared by
-
Location
-
HSW RAG Inspection
-
Inspector
-
Engineer Name
-
Engineer Trade
-
Date of Inspection
-
Job Number
-
Patch
-
SEM
-
On arrival
-
Is the vehicle parked correctly?
-
Are the wing mirrors turned in?
-
Does the Engineer have their HomeServe ID card available?
-
Dynamic Risk Assessment (DRA) completed correctly?
-
Was the Safety Handout card shown to the Customer?
-
On the job
-
Are correct shoe covers being worn?
-
Is the correct PPE worn for the task carried out?
-
Is the PPE worn in good condition?
-
Volt Pen used onsite?
-
RCD used onsite as required?
-
Is the toolbox/bag of reasonable weight?
-
Action taken to protect Customer's property from damage?
-
Internal door barriers in use (if required)?
-
External work
-
Are two sets of external barriers available?
-
Are barriers in use?
-
Have appropriate photos been taken?
-
Are hose ramps available and in use?
-
Is the correct digging method being applied?
-
Are the Jetter hoses in good condition?
-
Is the Jetter service light green?
-
Is the Jetter free from visible leaks?
-
If the Jetter is not in use, is the tank empty?
-
Is the correct Jetter burst disc intact?
-
Are the drainage rod storage end caps in use?
-
Is the Engineer carrying an in date WJA card?
-
If applicable, when using scaffold to work at height, has the engineer viewed the safety certificate issued by the SubContractors?
-
If using a mobile scaffold tower to work at height, is it suitable, sufficient and fit for purpose?
-
Van check
-
Is a First Aid Kit available and in date?
-
Is an Eye Wash available and in date?
-
Are two fully stocked Asbestos Kits available?
-
Is a fully stocked PPE Kit available and in good condition?
-
Are all Chemicals/Substances stored correctly?
-
Are all Chemicals/Substances HML Approved?
-
Are Gas bottles stored correctly and secured?
-
Is all electrical equipment PAT tested and in date?
-
Is equipment calibrated where required?
-
Are all power tools supplied by HML?
-
Are tools/equipment stored correctly?
-
Are tool guards and safety features intact?
-
Are the correct discs fitted to the tools?
-
Are fire extinguishers serviced and in date?
-
Does the Engineer have a Bosch multiscanner available?
-
How many sets of ladders/hopups is the Engineer carrying on their van?
-
List here the types of ladders carried on the van
-
Is the ladder asset tagged?
-
Is the ladder showing correct markings?
-
Is the ladder stored correctly and in good condition?
-
Does the Engineer have nonslip ladder mats available?
-
Does the Engineer have crawl boards available and in good condition?
-
Is waste bagged and stored correctly?
-
Is the van free from bungee cords/bungee netting?
-
Van condition
-
Vehicle Registration
-
Is rear storage clean and tidy?
-
Is the Engineer adhering to the clean cab policy?
-
Is the Engineer aware of the FNOL reporting process?
-
Is the dashboard free from any safety critical warning lights and are lights/indicators working?
-
Is the dashboard free from any nonsafety critical warning lights?
-
Is there sufficient screen wash available?
-
Is a dash cam available, information correct and shows signs of use?
-
Are external panels in good condition and free from damage?
-
Are the windows and mirrors clean and free from chips and cracks restricting the driver's vision?
-
Are the windows and mirrors clean and free from chips and cracks that do not restrict the driver's vision?
-
Are the tyre treads above the legal minimum requirement of 1.6mm?
-
In your opinion, is the vehicle roadworthy?