Check List 1 (2)

MELA - Preclimb check

Site Inspection Checklist

Audit Ref. Number
Date
Site ID
Site Name
Auditor name
Project
ASP/FSO Name
Name of PICW on Site
Audit Type (On site / Remote audit)
No of climbers on site
AUDIT DETAILS (expand the area and always fill it)
Session Subsession NR Description Audit Evidence/Findings
Assessment

1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.1 Is the "Person in Charge of Work" on site?
Is there sufficient staff for the working at height (at least two persons certified
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.2
and equipped to work at height)?
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.3 Has a daily risk assessment been completed for the site?
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.4 All employees performing climbing are medical fit for this activity? (if applicable)
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.5 All employees performing climbing are certified including rescue at height?
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.6 Is there an EHS "Site safety plan" in place on site?
The staff is in possession of identification documents (ID card or company
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.7 badge)?
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Documentation & Certification 1.8 Does worker know how to report an accident / incident / near miss?
Has a safe zone (ex: pedestrian management, zone near roadway, zone near
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Job Site Conditions 1.9 edge) been setup properly? Are exclusion / drop zones in place and adequate?
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Job Site Conditions 1.10 Are weather conditions and lighting safe for climbing?
Is the structure in good conditions? Appropriate anchore points, free of
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES Job Site Conditions 1.11 rust, no missing ladder rungs or screws . Are ladders, steps and
platforms safe and well maintained?
Have RF hazards been considered (if applicable)? Is there and applied a
1 - DOCUMENTATION/CERTIFICATION/PROCEDURES RF Exposure 1.12 procedure to account for RF exposure if there is a possibility of overexposure?
Are employees wearing proper PPE? Safety shoes, harness, double lanyard,
2 - PPE & EQUIPMENTS Personal Protective Equipment 2.1 helmet, gloves, etc.
Is fall protection equipment being inspected according to the manufacturer's
2 - PPE & EQUIPMENTS Fall Protection Equipment 2.2 instructions and in good condition?
2 - PPE & EQUIPMENTS Fall Protection Equipment 2.3 Is tethering device being inspected and in good condition?
2 - PPE & EQUIPMENTS Rescue kit 2.4 Is there a Climbers Rescue kit in the works area and easily accessible?
2 - PPE & EQUIPMENTS Capstan Hoist 2.5 Is the capstan hoist used properly and securely?
3-TOWER CLIMBING Planification 3.1 Are all works at heights activities adequately planned/controlled?
Where applicable, have suitable arrangements been made to get tools/equipment
3-TOWER CLIMBING Planification 3.2 onto rooftop?
3-TOWER CLIMBING Lifting 3.3 Are the lifting operations suitably controlled?
Are there suitable means of communication in place, between those who are
3-TOWER CLIMBING Communication 3.4 going to work at heights and those on the ground?
If some Risks have been observed please note them in the "Evidence findings"
4- LOCAL / COUNTRY REGULATIONS 4.1 cell. With EHS SME support please evaluate if they need to be reported in GIRT
Notes or not.
4 - LOCAL / COUNTRY REGULATIONS 4.2
4 - LOCAL / COUNTRY REGULATIONS 4.3
5 - SPECIFIC CUSTOMER REQUIREMENTS 5.1
5 - SPECIFIC CUSTOMER REQUIREMENTS 5.1
5 - SPECIFIC CUSTOMER REQUIREMENTS 5.1
5 - SPECIFIC CUSTOMER REQUIREMENTS 5.1

Prepared: Date: DocNo:

Approved: Sheet: Audit checklist Rev.:
Ericsson Internal Reference:
 Check List 2 (2)
MELA - Preclimb check

Site Inspection Checklist

Audit Ref. Number
Date
Site ID
Site Name
Auditor name
Project
ASP/FSO Name
Name of PICW on Site
Audit Type (On site / Remote audit)
No of climbers on site
AUDIT DETAILS (expand the area and always fill it)
Session Subsession NR Description Audit Evidence/Findings
Assessment

5 - SPECIFIC CUSTOMER REQUIREMENTS 5.1

Prepared: Date: DocNo:

Approved: Sheet: Audit checklist Rev.:
Ericsson Internal Reference: