Health, Safety,

Environment &
•• ••• Quality
ServiceStream

Pre-Mobilisation
Project ID: 3CRY-51-01-COYR SS Project E11gi11eer: Marco Armanious
Site ID I Location: 209 Back Thowgla Rd, Corryong VIC SS Field Ma11ager: Jesse Maria
Delivery Partner:
Design Version I
SS Regional Training Date:
Coordinator: 14/29-09-2023

Scope Of Works:
Hot Swap & Swapping RRU's Antennas

. ..
The business completing works on behalf of Servicestream Wireless MUST ensure the below information is
completed and provided to the Servicestream Project Engineer in advance of mobilising to site. The Servicestream
F" Id M MUST P M bT f

Pegasus Profile Y N N/A Comments:

Provide the names of the workers below to

Servicestream, for Pegasus authorisationNerification?

1.Rigger Tearn Leader Karan Anand □ □ □

2.Rigger □ □ □
3.Rigger □ □ □
4.Rigger □ □ □

1.Technician Team Leader Dashdorj Dashdavaa □ □ □

2.Technician Anujkumar Chauhan □ □ □
3.Technician Tarun Aggarwal □ □ □
4.Technician □ □ □

1.Civil Team Leader D D D

2.Civil Worker □ □ □
3.Civil Worker
□ □ □
4.Civil Worker
□ □ □

SAED/Pre-Construction Surveyor:
1.SAED Worker 1 □ □ □
2.SAED Worker 2 □ □ □
3.SAED Worker 3 □ □ □

Servicestream Wireless ITP-002 Pre-Mobilisation Form v0.2 Uncontrolled when printed Page 1 of 5
As at 16/03/2022
EWP Summit Hire 40m Truck Mounted

EWP
40m Truck Mounted
 08/04/24

08/04/24

08/04/24

08/04/24

08/04/24

09/04/24

Karan Anand 07-04-2024