Information
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H10 WORK NEAR UNDERGROUND UTILITIES .
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Project Name: Tabulam New Bridge.
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Location: BRUXNER HIGHWAY TABULAM
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Contractor
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Prepared by
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Conducted on
Work Activity Record
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N.A Not Applicable. N.C Not Checked
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1<br>Have “Dial Before You Dig” records showing the location of underground utilities been obtained no greater than 28 days prior to work commencing?
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2<br>Has a site survey been carried out to identify surface indicators of utilities (e.g. light posts, valve pits, pit covers)?
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3<br>Has all information concerning the location of utilities been provided to the responsible supervisor or contractor at the work site and communicated to relevant persons on site?
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4<br>Have suitable cable and pipe locating devices been used to confirm position of the utilities? (Remember that these devices cannot detect plastic pipes)
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5<br>Are cable and pipe locating devices calibrated/serviced as per manufacturer’s requirements?<br>
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6<br>Are persons locating underground utilities trained in the operation of locating devices?
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7<br>Has the asset owner been notified where excavation is within the minimum distance stated in WorkCover Guide 2007 “Work Near Underground Assets” Table B?
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8<br>Have safe work method statements been developed for working near underground utilities and are workers trained in following these work methods and the hazards facing them if these systems are not employed?
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9<br>Have managers/supervisors been trained in the hazards and overarching requirements regarding inadvertent contact with underground utilities?<br>
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10<br>Have all those undertaking work near underground utilities been instructed, trained and assessed as competent for the task (e.g. plan/map reading, utility specific statutory training, and risk assessment methodology)?
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11<br>Has the position of underground utilities been marked on the surface?
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12<br>Has the location of utilities been plotted on the work area plan?
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13<br>Are relevant authorities notified of any inconsistencies between the information they provided and the actual location of the utilities?
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14<br>If utilities cannot be located according to plans provided by the relevant authority, is the authority’s assistance sought at the site to locate the utility?<br><br>
VERTICAL BORING
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15<br>Have all underground utilities located within 500 mm of the vertical boring been positively identified through potholing?<br>
EXCAVATION
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16<br>Is all excavation work (i.e. mechanical excavation and excavation using non-powered hand tools) being undertaken in accordance with the minimum distances stated in WorkCover Guide “Work Near Underground Assets”?
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17<br>Have all underground utilities near machine excavation work been positively identified through potholing with non-conductive tools?
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19<br>Are all workers kept clear of the excavator bucket while digging work is conducted in the vicinity of utilities?
ASSESTS AROUND POLES
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20<br>Has approval from the asset owner been obtained for excavations within 10 m of Single Wire Earth Return transformer poles?
Compliance and Follow-up action.
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Is the activity compliant.
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Surveillance Officer
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NCPN or memo number.
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Follow up action
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Product Non Conformance
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System Non Conformance
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Contractor generated NCR
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Contractor generated a CAR
Matters arising
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NCPN no
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Contractors NCR no
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CAR no
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Closed out.
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RMS representative's name
