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a mPTI® GA3 - Report of Results of Inspections of: witiwssiislom identified that could give ie toa rak tothe safety oF ealth Work Equipment for Work at a Height {sn snso.2! "Name of person (or company) for whom the Inspection was carried out e Gg ed aD ‘Address where inspection was carried out (ste or other workpldee) L Sdebbon Location & name 393 | Sonature ee es errr | ane ereee peoee ee ct ec es person Eat ea ea ere Se corrective | ai od wmbers 7 per as red Clirbsale Woe 212274 382[>) fu / D4 Gay bal | 0 DWogeia 1 _\4hafau Aa] to-00 lkmess fda Tass ae thylau Abia (9:04 Achers [tha (Tek when spptes8 w/a w1A ns = cane By |eeeeeeeaies | [Tasr™ mmneoa] Timor | ee [oui neowe sem | | Simro” N/A trie, objecTS FALLING Feces Heiner | [tinue nas ean nt = A) wm — A Poet Amesomeet | | soce LN varsperenn i |ecmtenenrne | | tees |] ssanena Nanos LIA ‘coma sewae fo. hare oa manus [WOR OM M0 vers] Seiten [Ufoemronnn| 4. Termareons [om as freon we | tee etn omar] Pe st Je GA3 ~- Report of Results of Inspections of: Work Equipment for Work at a Height Se ee) peer hern®SS De WHeloob |e |. Issued: 01/01/2024 TU Peer doh Se Satay Pn FT ERCONFIGURATIO“N OF EN OCICeA wh 22 LES Woe ie Certo recrnomenenafemmen] S195 354°A/ 8. 317ca° Wo T5e YDII | ‘Ce lt of Ml Pn Reena nt Pere 2 7 STE Tae Nam EA How, Fe Awie ‘Avent Poe Lan Jet 299 2 [999 oe Me 024 491200 Ee ZX Weather Conan |SUPS /7RIPS/ PALS De pd CLO somenrice LY ees hua aes | e r Sn ee KIA & 4w/A = an Sameer | Poananaa| | eee | | Pe By lCleGeseiHiev eaed * ret Terres Monee [ARSE es Se Teer [fra Tse Coven, Pivcy | erats | Jomaspene ego Points Digeco | “aan |) mer as perendarer rs Tas | a Rijn aware] foes FALLING Fon hem FALLING OB IeC7S Et aBACe Wiuey_ CRANe WUSe ii Taaarans || uw vcom I lk Sane rene hte ie = sos amane | | speatc PPE won ‘Sotiton ste NiA rE Tom of ig, ey ¥ atria 2 not & Ts ranay [WORK OM 22 ref Steen | Jowwannael | teemenraaees EF urea = eG Loca Eas m view |W |esons et Pay Ex] apart oct Be fre rebut en tom Pt | conte ton Red ag een = [——— we oO ee toe AK 47 2@qum He 2/ 29 aS ceeeeern 13: .. TEN Gcearn enc | Eammeveteeaiinasintem essa [AV PAWe Se7 uP , REPLACING STEEL ,CHANGILG Bel7S C Us Daly Task Fowere CeecFiow anes oF SB See oF ON Ha WEATHER » WIND ReneiPenenconmunanwsertete?| RRA Vics 2ewATA a ee Sete ee fe ead 7 BM ek eens ca } kee = Ces Pant toh Pa eon a Emerge SSS Eh | Cone unweRsiTy HOSPITAL, wiToy| 999 o@ 112 021 492 20° A _ Weather Condon Se List the Rake cen BD |sties/reresy rpues [etter seoenote [UP wrens [J orn & ans es | | aaa | ome | [meee | |e e oe, ce canted eLec7R2OCUuTIow Sree [rosetta | aes foamed | [ome | aoe seven wien | | SSE Paranren] seateme V[omiment yy] ar CRANE jt use Een oacel® | joaramwenisire) | Momma ewten || So | [atingbeocen covtsion, Pyycie — | “mural ‘mney ache io POINTS [e505 operate (Basan sod [7 | Seatbets won SS ee ee ee ee Sect veptawey fom | prea CAT scanned rE = erat FALL UG Aeony Hexsunpesmrayam| [tama nana scree FALLING ©83ec7s — |FAPRCOTETT pean nnn i aera aaa | BAC MNIURY valtrinns 1/| coed mini utd | (tetanic on ent ean wt CRAVE] iwuse [MRRP |yfemmnenmielY —ereren — V]moemeu/| semi 4 : jAdacent Potes & | | Limte of Close, on oan NAR a l raion sires | | spuizonste wIA ae ‘manny sonoe o COWTANIN soon | | Some Sonar cant] Ye mamas | WORK OV Drorew | Seta | fomseernaes| (| Tmearine nae tt we | Owe ri np 5 SSS = ees ~~). BS he a RTS 6 YI), Cee ae en Pe en Ht as whe w/vers 59S of Wi. ys D/GGER + TeLeroert E zi coxersyou ,Pinew [F : . revues | PD/AES x = aes —_ WIA ‘recite eee | evens | : Ee Pesta A FALLING Feet Heroic JFALLiAaK oR Gec7S [Faroe F = Be Ye IC RAME ji ese [MPLS fecier om at Se] 4 CARE Iemscwe cece Sri thrernn | PMCH POMTS nome cscs A enianaron ual | vas corte Shins cooton | | eegt tome Tt = = ‘sos antatle || spec PPE wim raion ered |_| Soaitonste WIA cone ann spoon conte os — Cematcetel | fowsegrannpia| |) teonentacies {/| ee] Kon Ents atatanver | Aronvrav on] PE | Lo] [Ax 1 / 2c wn? 2 7A ja | Levicd Laa__| wl? Tower eeec7ion » CHANG (MG, BolT-6 Keay Loans Beg 4/7720. OoF , 013 Oy, OW weATweR | WiwO BRAMED ZeLAVICA cos Aa Poe ete a ry cece Donen na nome TC PIGGeR + Teteroe7eR| vnmaney [COLLIS 00% , PCH POUT] ra @ A FALLING FRAY HEGHT | \ALLIWG OBIGTS cee jy Use Heavy Laos LIFTIUG tmewrtm | PA CH POL ZS oan Ue wn san : Fie wow [ORIEL CN 22m 2d | Sciretome VY [nerennee fra Ea ies a | es Teartananver | Jfrmesirsroveon| | WeaTHeR /WikO Seamer] BDAVCS Zea A Work Instruction (WI) O07 KT? aw Gpieale l Sae tine name: Amehveha = Mefflee.s / ce a.arg b. fonehat To: BOL2A, ner: Sas issued to PICW: US teoha Znackeg Boxed in Section - 95's Earths Applied Structure lan 269 — ca 266 Ame - Te LE? - Tasks for Day JrJw erecfras , Known Hazards eee eZ Pon 4A Ao, ere eA Access Maps Attached |~ Walkin Drive inte Access Twor Pylons Foundations > Bog Mats Placing _—Retiring Pylons Capping 5 “aes ‘Trackway Placing [~ Retiring [~ Pylons Steelwork . Placing [_Retiring’ EL7E~G , Fibre Stand Of Placing [~ ~——Retiring > Crossarm/Hardware Transfer’ Replace 110KV Poling Placing -- Retiring [~ Blocking Out p Stays Placing | Retiring (> Pulling Bonds c Guard Poling Two Resagging 5 ESB Placing | Retiring [> Stringing, D Road Placing [~ Retiring [7 Clipping In a Water Placing (~ Retiring [> Other ~~ ies ‘Organiser issuing Work Instruction, Print Name: [Signature: ZZ fla, CoemecO (hae =& Work Instruction (WI) «nasi coc. KT |oate toJo4/eor ne Name ar oka Lee fas allay k Latah |Teo: 5b OP: acme w: (Beep ho 2okerrci Boxed in Section - 95's Earths Applied Structure Am 2690) = AT 288 At 2GP Le Tasks for Day Crane ses, fleplaiers steel, Changers 130C/s,. ase eed Known Hazards Piast on ste, Weel, «2thns © heglf, Access Maps Attached [~ Walkin [> Drivein > Work Type: Access Toc 5 Bog Mats Placing Retiring (~ Trackway Placing [Retiring [~ Fibre Stand Of Placing [Retiring 110K Poling Placing -- — Retiring [~ Stays Placing , Retiring [~ Guard Poling Twoc ESB Placing , Retiring [= Road Placing [~ Retiring [~ Water Placing [> Retiring -— Placing Retiring Transfer) Replace [| [Work Organiser issuing Work Instruction, Print Name: GEA a 220 £U, Work Instruction (WI) wisi Date: LOLA 26) he — Tc: ERK uP: /33 200 L Boxed in Section - 95's Earths Applied Amr2g4 — 2106f Tasks for Day dsag Cnt Co BOck out en Kerie o- (*T2tEO | Known Hazards Wear, 100 ting © Ght, PlaL om 3 cZe , nfm Ince BML. Acs ‘Access Maps Attached [~ Walkin [= — Drivein [>~ Work Type: Access Twoc Bog Mats Placing — G Trackway Placing 5 Placing (Retiring -~ Fibre Stand Of Placing [~ GB Transfer" Replace 120KV Poling Placing -- Bo Stays Placing | Bo Guard Poling Twoc ESB Placing | Retiring [= Road Placing [~ a Water Placing a [Work Organiser issuing Work Instruction, Print Name: signature: CLeane Ren LZ Kon Work Instruction (WI) KTIs Bor Datel nL eA inane, 22 ey h = Cee ee Tc0: £260 WiissuedtoPiow: “See/to ZechauccA Boxed in Section - 95's Earths Applied Structure An 2G9_ — MAP 788. Tasks for Day ALi Nar De Geve-s Known Hazards ee 7 le. Access Maps Attached [> Walkin [> Drivein [> Work Type: ‘Access Bog Mats Trackway Fibre Stand Off 110kV Poling Stays Guard Poling ESB Placing Road Placing Water Placing BES eaanao BEG AhaAa Retiring Placing Retiring | Transfer’ Replace en” [Work Organiser issuing Work Instruction, Print Name: Lax Signature: v Drecirt Lave, Work Instruction (WI) («ris KT pus C8 fot 90246 nena: Leihlied oachcoka = Raffin, eh, ron ES Wissuedtoriw: § Zena Ce havica Boxed in Section - 95's Earths Applied Structure fad 1M? 2 ‘Tasks for Day TAZ uf De Tn. Known Hazards ‘Access Maps Attached [~ Walkin [> Drivein 2 Work Type: Access - 7 Bog Mats = 5 ‘Trackway G a Placing | Retiring (— Fibre Stand Off o Transfer[> Replace [~ 140kV Poling cc B Stays t 5 Guard Poling co ESB Placing | Retiring Road Placing [~ Retiring [> Water Placing [~ Retiring [~ [Work Organiser issuing Work instruction, Print Name: ae a,

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