011 RMS Surveillance Checklist H11 WORK NEAR OVERHEAD UTILITIES

• H11 WORK NEAR OVERHEAD UTILITIES .

• Project Name: Tabulam New Bridge.

• Location: BRUXNER HIGHWAY TABULAM

• Contractor

• Prepared by

• Conducted on

  Date

• N.A Not Applicable. N.C Not Checked

• 1<br>Is there another way of undertaking the work that would eliminate the need to work within the “no go” zones?

  Yes

  No

  N.A.

  N.C.

• 2<br>Has the network operator been consulted regarding the proposed work?

  Yes

  No

  N/A

• 3 Does the plan include a procedure to address misfires?

  Yes

  No

  N/A

• 4 <br>Have staff involved in the work been trained in controlling risks from overhead utilities in the vicinity of work sites?<br>

  Yes

  No

  N.A.

  N.C.

• 5<br>Have safe work method statements been developed for working near overhead utilities and are staff trained in following these work methods?

  Yes

  No

  N.A.

  N.C.

• 6<br>Have plans and other relevant information about the overhead utilities been obtained?

  Yes

  No

  N.A.

  N.C.

• Has the location of overhead utilities been plotted on the work area plan?<br>

  Yes

  No

  N.A.

  N.C.

• 8<br>Has all information concerning the location of utilities been given to the responsible supervisor or contractor at the work site?

  Yes

  No

  N.A.

  N.C.

• 9<br>Has allowance been given to variations in the sag of the line at different times of the day?

  Yes

  No

  N.A.

  N.C.

• 10<br>Has allowance been given to the sway of the lines, particularly if wind conditions change during the work period?

  Yes

  No

  N.A.

  N.C.

• 11<br>Are relevant authorities notified of any inconsistencies between the information they provided and the actual locations of the utilities?<br>

  Yes

  No

  N.A.

  N.C.

• 12<br>Are the minimum working distances specified in the Code of Practice been complied with:<br>8 m, for > 330kV<br>6 m, for > 132kV but < 330kV<br>3 m, for <132kV

  Yes

  No

  N.A.

  N.C.

13 If working within the approach distances, has:

•  a spotter been designated to observe the operation of the plant,<br>

  Yes

  No

  N.A.

  N.C.

•  the plant operator and the spotter completed “Crane and plant Electrical Safety” course?

  Yes

  No

  N.A.

  N.C.

• 14<br>Is the supply authority told when work in the vicinity of overhead utilities has been completed and is a record kept of notification?

  Yes

  No

  N.A.

  N.C.

• Is the activity compliant.

  Yes

  No

  N.A.

  N.C.

• Surveillance Officer

  Sign

• NCPN or memo number.

  Yes

  No

  N/A

• Follow up action

  Yes

  No

  N/A

• Product Non Conformance

  Yes

  No

  N/A

• System Non Conformance

  Yes

  No

  N/A

• Contractor generated NCR

  Yes

  No

  N/A

• Contractor generated a CAR

  Yes

  No

  N/A

Matters arising

• NCPN no

• Contractors NCR no

• CAR no

• Closed out.

• RMS representative's name

  Sign