Wildanet Internal H&S Inspection

• Date inspection completed

  Date
• Site Location
  Address

• Prepared by

• Department

  Select Field Services Networks Build Apprentices PIA Commercial Planning/Design/Survey Streetworks

  • Field Services
  • Networks
  • Build
  • Apprentices
  • PIA
  • Commercial
  • Planning/Design/Survey
  • Streetworks

• Person being reported on

• Confirm the inspection category

  Select Pre-work H&S Documentation Streetworks/Permitting and Site Set Up Plant & Equipment Working at Height: MEWPs Working at Height: Ladders/Harness/Pre-climb Check Underground Chambers: Footway/Carriageway Chambers Underground Chambers: Confined Spaces/Manholes Fleet Vehicle/Pool Car Office Environment

  • Pre-work H&S Documentation
  • Streetworks/Permitting and Site Set Up
  • Plant & Equipment
  • Working at Height: MEWPs
  • Working at Height: Ladders/Harness/Pre-climb Check
  • Underground Chambers: Footway/Carriageway Chambers
  • Underground Chambers: Confined Spaces/Manholes
  • Fleet Vehicle/Pool Car
  • Office Environment

Pre-work H&S Documentation for external operations

• Has the POWRA been completed and signed by all involved?

  Yes

  Improvements required

  No

  N/A

• Have operatives signed the appropriate RAMS and aware of where they are located?

  Yes

  Improvements required

  No

  N/A

• Ensure colleague(s) are coached as to the documents location and why they need to know the importance of understanding the contents of the said document's.

• Are all permits in place for the works being completed i.e. to dig or confined space entry?

  Yes

  Improvements required

  No

  N/A

• Provide advice and guidance as to why the specific permit needs to be completed prior to works commencing.

  Yes

  Improvements required

  No

  N/A

Streetworks/Permitting and Site Set Up

• Confirm all PPE required for the activity is being worn or readily available for use?

  Select Climbing helmet High visibility clothing (long sleeve) Safety footwear (S3 & Stepped heal) Safety Glasses/goggles Gloves Harness & Lanyard Ear defenders/plugs Respiratory Equipment/Breathing Apparatus

  • Climbing helmet
  • High visibility clothing (long sleeve)
  • Safety footwear (S3 & Stepped heal)
  • Safety Glasses/goggles
  • Gloves
  • Harness & Lanyard
  • Ear defenders/plugs
  • Respiratory Equipment/Breathing Apparatus

• Has the traffic management system been set up in accordance with New Roads Street Works Act? (TM Company for Traffic Lighting)

  Yes

  Improvements required

  No

  N/A

• Site Personnel are in possession of an up to date Street Works tickets (supervisor - operative)?

  Yes

  Improvements required

  No

  N/A

• Take picture of the SWQR card as evidence.

• Are the working areas being well managed with good housekeeping being maintained?

  Yes

  Improvements required

  No

  N/A

• Are the contractors Information boards displayed at each end of the working areas along with the permit number?

  Yes

  Improvements required

  No

  N/A

• Are the correct size signs / barriers / cones for the speed of road and all plant and equipment placed within the barriers?

  Yes

  Improvements required

  No

  N/A

• Are pedestrian walkways compliant with the NRSWA (minimum width requirements (1.5m) absolute minimum 1m).

  Yes

  Improvements required

  No

  N/A

• Are suitable measures in place to ensure residents are able to access / egress their properties safely and without risk of damaging vehicles?

  Yes

  Improvements required

  No

  N/A

• Is the working area suitably segregated to ensure operatives and public safety is provided?

  Yes

  Improvements required

  No

  N/A

• Sandbags available and used effectively.

  Yes

  Improvements required

  No

  N/A

Plant & Equipment

• Confirm all PPE required for the activity is being worn or readily available for use?

  Select Climbing helmet High visibility clothing (long sleeve) Safety footwear (S3 & Stepped heal) Safety Glasses/goggles Gloves Harness & Lanyard Ear defenders/plugs Respiratory Equipment/Breathing Apparatus

  • Climbing helmet
  • High visibility clothing (long sleeve)
  • Safety footwear (S3 & Stepped heal)
  • Safety Glasses/goggles
  • Gloves
  • Harness & Lanyard
  • Ear defenders/plugs
  • Respiratory Equipment/Breathing Apparatus

• Are there items of plant or equipment being used?

  Yes

  No

  N/A

• Is the Plant and Equipment in good condition and suitable for the work?

  Yes

  Improvements required

  No

  N/A

• Are personnel trained and competent to operate the plant / equipment and hold the relevant CPCS or NPORS qualifications?

  Yes

  Improvements required

  No

  N/A

• Are daily plant checks being completed with weekly checks recorded on the PUWER register?

  Yes

  Improvements required

  No

  N/A

• Does equipment require calibrating and if so is the calibration up to date?

  Yes

  Improvements required

  No

  N/A

Work at Height: MEWP's

• Confirm all PPE required for the activity is being worn or readily available for use?

  Select Climbing helmet High visibility clothing (long sleeve) Safety footwear (S3 & Stepped heal) Safety Glasses/goggles Gloves Harness & Lanyard Ear defenders/plugs Respiratory Equipment/Breathing Apparatus

  • Climbing helmet
  • High visibility clothing (long sleeve)
  • Safety footwear (S3 & Stepped heal)
  • Safety Glasses/goggles
  • Gloves
  • Harness & Lanyard
  • Ear defenders/plugs
  • Respiratory Equipment/Breathing Apparatus

• Does the operator have an up to date IPAF ticket?

  Yes

  Improvements required

  No

  N/A

• Have operatives working at height received the relevant training for the type of work undertaken? (PIA/NRSWA/Industry Safety)

  Yes

  Improvements required

  No

  N/A

• Is there available an up to date thorough examination certificate (6 monthly) for the MEWP?

  Yes

  Improvements required

  No

  N/A

• Has the permit to operate the MEWP been completed?

  Yes

  Improvements required

  No

  N/A

• Have the daily pre-use checks being completed?

  Yes

  Improvements required

  No

  N/A

• Does the machine look to be in good serviceable condition?

  Yes

  Improvements required

  No

  N/A

• Are Safety Harnesses being worn and in good condition ?

  Yes

  Improvements required

  No

  N/A

• Evidence of appropriate LOLER inspection undertaken (6 Months)

  Yes

  Improvements required

  No

  N/A

• Has a suitable pre-climb check been completed?

  Yes

  Improvements required

  No

  N/A

• Has a rescue plan been produced and communicated to the appointed person?

  Yes

  Improvements required

  No

  N/A

• For PIA Poles: Does the operative know the process for contacting Openreach Pole Test Helpdesk?

  Yes

  Improvements required

  No

  N/A

Work at Height: Ladders/Harness/Pre-Climb Check

• Confirm all PPE required for the activity is being worn or readily available for use?

  Select Climbing helmet High visibility clothing (long sleeve) Safety footwear (S3 & Stepped heal) Safety Glasses/goggles Gloves Harness & Lanyard Ear defenders/plugs Respiratory Equipment/Breathing Apparatus

  • Climbing helmet
  • High visibility clothing (long sleeve)
  • Safety footwear (S3 & Stepped heal)
  • Safety Glasses/goggles
  • Gloves
  • Harness & Lanyard
  • Ear defenders/plugs
  • Respiratory Equipment/Breathing Apparatus

• Can the operative demonstrate pre-use checks on the ladder to be used?

  Yes

  Improvements required

  No

  N/A

• Have the ladders been correctly secured in accordance with Tetra installation practices?

  Yes

  Improvements required

  No

  N/A

• Work at height being undertaken in accordance with Openreach and National Grid safety controls

  Yes

  Improvements required

  No

  N/A

• Have operatives working at height received the relevant training for the type of work undertaken? (PIA/NRSWA/Industry Safety)

  Yes

  Improvements required

  No

  N/A

• PIA Pre Climb Check Document

• For PIA Poles: Does the operative know the process for contacting Openreach Pole Test Helpdesk?

  Yes

  Improvements required

  No

  N/A

• Can the user demonstrate the requirements for carrying out a pre-climb check?

  Yes

  Improvements required

  No

  N/A

• Are Safety Harnesses being worn and in good condition ?

  Yes

  Improvements required

  No

  N/A

• Evidence of appropriate LOLER inspection undertaken (6 Months)

  Yes

  Improvements required

  No

  N/A

• Emergency rescue plan in place and suitable equipment and training provided?

  Yes

  Improvements required

  No

  N/A

Underground Chambers: Footway/Carriageway Chambers

• Confirm all PPE required for the activity is being worn or readily available for use?

  Select Climbing helmet High visibility clothing (long sleeve) Safety footwear (S3 & Stepped heal) Safety Glasses/goggles Gloves Harness & Lanyard Ear defenders/plugs Respiratory Equipment/Breathing Apparatus

  • Climbing helmet
  • High visibility clothing (long sleeve)
  • Safety footwear (S3 & Stepped heal)
  • Safety Glasses/goggles
  • Gloves
  • Harness & Lanyard
  • Ear defenders/plugs
  • Respiratory Equipment/Breathing Apparatus

• Is there available a gas detector with an up to date calibration certificate?

  Yes

  Improvements required

  No

  N/A

• Check that lifting equipment is available and fit for purpose (mechanical lifter/t-keys/key lifter no.5/roller bar)?

  Yes

  Improvements required

  No

  N/A

• Has the chamber been suitably guarded to protect operatives and members of the public against falls from height?

  Yes

  Improvements required

  No

  N/A

• Can the operative demonstrate how to break the chamber seal and check for the presence of gas?

  Yes

  Improvements required

  No

  N/A

• Can the operative describe the gases a GDU would detect?

  Yes

  Improvements required

  No

  N/A

• Can the operative describe the actions required if gas is identified within a chamber?

  Yes

  Improvements required

  No

  N/A

• Can the operative describe/demonstrate how to break the surface of the water (if present) during initial gas testing?

  Yes

  Improvements required

  No

  N/A

• Can the operative demonstrate how to ingress/egress from the chamber (i.e. using step irons/avoiding existing equipment)

  Yes

  Improvements required

  No

  N/A

• Is all work equipment contained within the boundary of the barriers?

  Yes

  Improvements required

  No

  N/A

• Has the correct removal of chamber lid been followed by using the roller bar and lid left in final position off the roller bar?

  Yes

  Improvements required

  No

  N/A

• Are the team aware of the risk from leptospirosis and taking suitable hygiene and protective measures? (information on Leptospirosis is contained on the back of ID cards)

  Yes

  Improvements required

  No

  N/A

• Are the team aware of the risk of discarded used syringes (sharps) and have the equipment to deal with them?

  Yes

  Improvements required

  No

  N/A

Works in flight

• Confirm on the day works

  Fibre cabling/node building

  Sub-duct/connectors/gel-wraps

  Test/rod/rope

  Survey/Auditing

• Has all equipment been inspected before use? (Sectional rods/cobra rods/X-boards)

  Yes

  Improvements required

  No

  N/A

• Are all subduct drums/fibre cables being dispensed correctly within an active worksite?

  Yes

  Improvements required

  No

  N/A

• For fibre cabling/splicing: are operatives dealing with fibre sharps responsibly?

  Yes

  Improvements required

  No

  N/A

• For PIA Chambers: Does the operative understand the A1024 process when discovering damaged/obstructed chambers can they describe/demonstrate implementation?

  Yes

  Improvements required

  No

  N/A

Works completion

• Have the cables/joints/gel-wraps been secured correctly (both the installation cables and pre-installed cables)?

  Yes

  Improvements required

  No

  N/A

• Have the cables/joints/gel-wraps been labelled correctly - in line with PIA licence requirements and Wildanet Build Specification

  Yes

  Improvements required

  No

  N/A

• Is the chamber clear of rubbish? (Openreach & Wildanet chambers)

  Yes

  Improvements required

  No

  N/A

• Has the chamber lid been left secured and flush?

  Yes

  Improvements required

  No

  N/A

• Has the site been shut down and reopened for users?

  Yes

  Improvements required

  No

  N/A

Underground Chambers: Confined Spaces/Manholes

• Confirm all PPE required for the activity is being worn or readily available for use?

  Select Climbing helmet High visibility clothing (long sleeve) Safety footwear (S3 & Stepped heal) Safety Glasses/goggles Gloves Harness & Lanyard Ear defenders/plugs Respiratory Equipment/Breathing Apparatus

  • Climbing helmet
  • High visibility clothing (long sleeve)
  • Safety footwear (S3 & Stepped heal)
  • Safety Glasses/goggles
  • Gloves
  • Harness & Lanyard
  • Ear defenders/plugs
  • Respiratory Equipment/Breathing Apparatus

• Where the risk assessment denotes the chamber as being a confined space, has the confined space permit been completed?

  Yes

  Improvements required

  No

  N/A

• Are operatives confined space trained? and is the required rescue equipment provided?

  Yes

  Improvements required

  No

  N/A

• Have provisions been made for air recirculation (with a blower)?

  Yes

  Improvements required

  No

  N/A

• Is the tripod and winch available and serviceable for use?

  Yes

  Improvements required

  No

  N/A

• Have the users carried out pre-use harness checks?

  Yes

  Improvements required

  No

  N/A

• Does the chamber need pumping out (removal of water)? Have these provisions been made?

  Yes

  Improvements required

  No

  N/A

• Is there available a gas detector with an up to date calibration certificate?

  Yes

  Improvements required

  No

  N/A

• Can the operative describe the gases a GDU would detect?

  Yes

  Improvements required

  No

  N/A

• Can the operative describe the actions required if gas is identified within a chamber?

  Yes

  Improvements required

  No

  N/A

• Can the operative describe/demonstrate how to break the surface of the water (if present) during initial gas testing?

  Yes

  Improvements required

  No

  N/A

• Check that lifting equipment is available and fit for purpose (mechanical lifter/t-keys)?

  Yes

  Improvements required

  No

  N/A

• Has the chamber been suitably guarded to protect operatives and members of the public against falls from height?

  Yes

  Improvements required

  No

  N/A

• Can the operative demonstrate how to break the chamber seal and check for the presence of gas?

  Yes

  Improvements required

  No

  N/A

• Can the operative demonstrate how to ingress/egress from the chamber (i.e. using step irons/manhole ladder/avoiding existing equipment)

  Yes

  Improvements required

  No

  N/A

• Is all work equipment contained within the boundary of the barriers?

  Yes

  Improvements required

  No

  N/A

• Has the correct removal of chamber lid been followed?

  Yes

  Improvements required

  No

  N/A

• Are the team aware of the risk from leptospirosis and taking suitable hygiene and protective measures? (information on Leptospirosis is contained on the back of ID cards)

  Yes

  Improvements required

  No

  N/A

• Are the team aware of the risk of discarded used syringes (sharps) and have the equipment to deal with them?

  Yes

  Improvements required

  No

  N/A

Works in flight

• Confirm on the day works

  Fibre cabling/node building

  Sub-duct/connectors/gel-wraps

  Test/rod/rope

  Survey/Auditing

• Has all equipment been inspected before use? (Sectional rods/cobra rods/X-boards etc)

  Yes

  Improvements required

  No

  N/A

• Are all subduct drums/fibre cables being dispensed correctly within an active worksite?

  Yes

  Improvements required

  No

  N/A

• For fibre cabling/splicing: are operatives dealing with fibre sharps responsibly?

  Yes

  Improvements required

  No

  N/A

• For PIA Chambers: Does the operative understand the A1024 process when discovering damaged/obstructed chambers can they describe/demonstrate implementation?

  Yes

  Improvements required

  No

  N/A

Works completion

• Have the cables/joints/gel-wraps been secured correctly (both the installation cables and pre-installed cables)?

  Yes

  Improvements required

  No

  N/A

• Have the cables/joints/gel-wraps been labelled correctly - in line with PIA licence requirements and Wildanet Build Specification

  Yes

  Improvements required

  No

  N/A

• Is the chamber clear of rubbish? (Openreach & Wildanet chambers)

  Yes

  Improvements required

  No

  N/A

• Has the chamber lid been left secured and flush?

  Yes

  Improvements required

  No

  N/A

• Has the site been shut down and reopened for users?

  Yes

  Improvements required

  No

  N/A

Fleet Vehicle/Pool Car

• Have the user reported a pre-user check on the vehicle via CheckedSafe today?

  Yes

  Improvements required

  No

  N/A

• Does the vehicle have any outstanding defects or scheduled maintenance?

  Yes

  Improvements required

  No

  N/A

• Is there any internal or external damage to the vehicle not reported?

  Yes

  Improvements required

  No

  N/A

• Are the front and rear number plates visible and in good condition?

  Yes

  Improvements required

  No

  N/A

• Is the interior and exterior of the vehicle clean?

  Yes

  Improvements required

  No

  N/A

• Confirm vehicle type

  Fleet Vehicle (Liveried) -Van

  Pool Vehicle

• Are chapter 8 reflective markers and amber beacons clean and serviceable

  Yes

  Improvements required

  No

  N/A

• Is the ladder rack/storage system in good condition and working correctly?

  Yes

  Improvements required

  No

  N/A

• Are tools/equipment/stores secured within the load compartment?

  Yes

  Improvements required

  No

  N/A

• Is a first aid kit/fire extinguisher/eye wash bottle or station available?

  Yes

  Improvements required

  No

  N/A

• Are seat belts in good condition with no damage and operating correctly?

  Yes

  Improvements required

  No

  N/A

• Functional test headlights/sidelights/brake lights/hazards/indicators. Do all function as expected?

  Yes

  Improvements required

  No

  N/A

• Are the wipers/washers and horn working correctly?

  Yes

  Improvements required

  No

  N/A

• Is the operator able to demonstrate how to open the bonnet and check fluid levels (oil, water, coolant, brake fluid)?

  Yes

  Improvements required

  No

  N/A

• Are all tyres in good condition with a minimum of 2mm tread depth present

  Yes

  Improvements required

  No

  N/A

• Vehicle is unsafe for use and tyre/s must be replaced.

Office Environment

• Has the user logged in today when they arrived at the building?

  Yes

  Improvements required

  No

  N/A

Desk Setup

• Is the user's desk setup in a suitable manner? (monitor positioning/wrist support/keyboard and mouse accessibility/cables stowed and tidied/no trip or spillage hazards)

  Yes

  Improvements required

  No

  N/A

• Is the user taking regular rests for their eyes during PC usage? (20/20/20 guidance)

  Yes

  Improvements required

  No

  N/A

• Is the chair provided supportive and adjusted for the individual?

  Yes

  Improvements required

  No

  N/A

First Aid/Welfare

• Does the individual know the location of the nearest first aid kit?

  Yes

  Improvements needed

  No

  N/A

• Does the individual know who the nominated first aider on site is?

  Yes

  Improvements needed

  No

  N/A

• Does the individual know where the nearest welfare facilities are located (canteen, toilets, drying room etc.) ?

  Yes

  Improvements needed

  No

  N/A

Fire/Emergency Situations

• Does the individual know the nearest fire muster point to their location?

  Yes

  Improvements required

  No

  N/A

• Does the individual know when the fire alarm checks are routinely carried out?

  Yes

  Improvements required

  No

  N/A

• Does the individual know what actions to take in the event of a fire?

  Yes

  Improvements required

  No

  N/A

• Does the individual know the location of the nearest fire alarm?

  Yes

  Improvements required

  No

  N/A

• Is the individual aware of the nearest fire extinguisher?

  Yes

  Improvements required

  No

  N/A

Slips/Trips/Falls

• Is the individual aware of actions to take on discovering a spillage/trip hazard?

  Yes

  Improvements required

  No

  N/A

• Can the individual demonstrate the location of the nearest supply cupboard? (mop/bucket/wetfloor sign/dustpan & brush etc)

  Yes

  Improvements required

  No

  N/A

• Feedback and summary

Sign Off

• Operative

  Sign

• Auditor

  Sign