Title Page

  • Site Name

  • Conducted on

  • Prepared by - Elcom Networks Limited

  • Location on Site
  • Add photo of block entrance (number visible)

  • Add photo of 'Apology Notice' at block entrance

  • Add photo of 'Men at Work/Cabling in Progress A-Board' within block entrance

  • DO YOU UNDERSTAND THAT UNDER NO CIRCUMSTANCES CAN ANY DRILLING PROCEED BEFORE THIS RISK ASSESSMENT IS COMPLETED TO CONFIRM ALL WORKS CAN BE INSTALLED IN A SAFE MANNER?

  • STOP works - contact supervisor

Site Specific Tasks

  • Have you been fully Inducted to Site?

  • STOP! Contact Supervisor to complete Site Induction before continuing

  • Have you read the Site Risk Assessments/Method Statements for the works you are undertaking?

  • STOP! Contact Supervisor to read relevant Site Risk Assessments/Method Statements

  • Do you have required PPE for the task?

  • STOP! Contact Supervisor

  • Do you have the correct Tools and Equipment to undertake the task safely?

  • STOP Contact Supervisor until you are correctly equipped to work safely

  • Are you aware of Emergency and Escalation Procedures for the site?

  • STOP! Contact Supervisor to check what procedures are in place before starting

  • Has the stopcock location been identified for block?

  • Add photo

  • STOP! CONTACT SUPERVISOR

  • Has training been provided on isolation methods in case of emergency?

  • Watch attached video before proceeeding - https://sw-prod-93-north-eu-502220-cd.azurewebsites.net/Help-and-Resources/Video-Library/How-to-find-your-stop-valve -

  • Has Asbestos Report been reviewed for this location? If asbestos is present, can you confirm it will have no impact on our works?

  • STOP! CONTACT SUPERVISOR

  • Has cable/containment routes been identified and pre-checked with cable/service detectors to identify hidden services?

  • Add photo of detector in use.

  • STOP until detector has been used.

  • Are there any void areas we need to drill through that require an endoscope camera to identify hidden services?

  • Add photo of camera with clear route checked.

  • Any there additional safety concerns for this address?

  • STOP! Contact Supervisor

Completion

  • Has the Supervisor been contacted for any H&S reasons on this site?

  • Date:

  • Supervisor Comments:

  • Supervisor Signature:

  • Engineer name and signature:
  • Add signature

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