IM01112 Man-Riding Rig

Man-Riding Rig Installation This form must be completed when a man-riding rigs is installed on an Arqiva site by a, contractor. The aim of the form is to show that the work has been properly planned and the rig installed correctly.

Job details Company name Contact name and email

Name of person carrying out assessment Site name Site number

Rigging Arrangements Winch operator (competence) Man-Riding Winch Number Last LOLER thorough examination date for winch Winch Anchor Point Sledge & Blocks / Permanent Fixing Type of Bond Used Pilot Winch Type Tirfor / Hydraulic Winch Pilot Winch Number Pilot Anchor Point Sledge & Blocks / Permanent Fixing Musson Fall Arrest Number Basket Number SWR Slings Numbers Piab Load Cell Number Emergency Arrangements Provide a brief outline how persons will be rescued in the event of a winch breakdown or failure

©Copyright – Arqiva Limited 2017 UNCONTROLLED COPY ONCE Page 1 of 5 Template IM01112.1 PRINTED Company Confidential Man-Riding System Line Diagram For each of the points labelled below, please state in the tables the lifting equipment / accessories to be used.

©Copyright – Arqiva Limited 2017 UNCONTROLLED COPY ONCE Page 2 of 5 Template IM01112.1 PRINTED Company Confidential Equipment Inspection Schedules Location A

Last LOLER thorough Item SWL Unique ID Number examination date

Location B

Location D