actewagl inspection, (DRAFT V1)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1 MANDATORY REQUIRMENTS. (if any of these questions are answered 'NO' , the non conforming individual must leave site)

• 1.1 Have all individuals on site been inducted into Actewagl?

  Yes

  No

  N/A

• 1.2 Do all individuals have appropriate training and/or qualification to be on site and been sited by auditor?

  Yes

  No

  N/A

• 1.3 FIRST AID

  Yes

  No

  N/A

• 1.3 a. Do all colleagues have current ST Johns certificates

  Yes

  No

  N/A

• 1.3 b. Do all vehicles on site have a ST Johns first aid kit. (specific to electrical industry requirement ).

  Yes

  No

  N/A

• 1.3c. Is kit in date

  Yes

  No

  N/A

• 1.4 -blue book? (refreshers). Record date<br>Is colleague permit to work. Issue<br> Recipient<br> Sign-on

  Yes

  No

  N/A

• 1.5 -white card?

  Yes

  No

  N/A

• 1.6 -burns kit. ( record date and number)

  Yes

  No

  N/A

2 HAZARD/RISK ASSESMENT

• 2.1 Are SWMS and Procedures relevant to work practices. To be conducted as a desk audit before going on site

  Yes

  No

  N/A

• 2.2 Are SWMS and Procedures compatible with Regulations and standards and have references to them ( to be conducted as desk audit before going on site

  Yes

  No

  N/A

• 2.3 Are the procedures and SWMS on site, or accessible on site?

  Yes

  No

  N/A

• 2.4 Have all individuals read and understand the procedures and SWMS?

  Yes

  No

  N/A

• 2.5 Has a work site HRA been completed?????????

  Yes

  No

  N/A

• 2.5 Has the HRA been filled out correctly?

  Yes

  No

  N/A

• 2.6 Have all of the recognised hazard controls been implemented effectively?

  Yes

  No

  N/A

• 2.7. Have additional risked been idetified

  Yes

  No

  N/A

• 2.8 Have controls been implemented and re-assessed?

  Yes

  No

  N/A

• 2.9 Have all individuals on the designated worksite signed onto the HRA?

  Yes

  No

  N/A

• 2.10 Have you, the auditor, been inducted on to the work site appropriately?

  Yes

  No

  N/A

3 SAFETY

• Have 2 emergency escape routes (if possible)been identified and discussed. Noted on risk assessment .

  Yes

  No

  N/A

• Has at least 1 marshalling point been identified and discussed. Noted on risk assessment

  Yes

  No

  N/A

• SAFETY OBSERVERS as defined in the blue book page 12 (means a person with sufficient knowledge of the task being performed and competent for the duty of observing and warning against unsafe approach to electrical apparatus or other unsafe conditions

  Yes

  No

  N/A

• Is safety observer in position where they can view see whole task. (if not has more than one observer been implemented)

  Yes

  No

  N/A

• Is observer free from distractions (eg Electronic devices)

  Yes

  No

  N/A

• Is observer aware of approach restrictions

  Yes

  No

  N/A

• Is safety observer a capable competent person with a knowledge of works being performed

  Yes

  No

  N/A

• Is observer aware of their responsibility Re stopping work if unsafe

  Yes

  No

  N/A

• Is safety observer roll being rotated at shared periods of time( suggest 2hours maximum)

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• MOBILE PLANT AS per definition in the blue book page 11 (means cranes,elevating Orkney platforms,tip trucks and similar plant, any equipment fitted with a jib or boom and any device capable of raising or lowering a load. <br> Mobile plant can only be considered a vehicle when in normal travelling mode and not in working mode when determining safe approach distance

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Is the Actewagl vehicle parked appropriately?

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• Are communication tools fitted and operational

  Yes

  No

  N/A

• Do all individuals know all emergency contacts?

  Yes

  No

  N/A

• Do all individuals understand the requirements for reporting injuries and incidents?

  Yes

  No

  N/A

• Drivers licences

  Yes

  No

  N/A

• Have drivers got current drivers licence

  Yes

  No

  N/A

• Is licence correct for vehicle being driven

  Yes

  No

  N/A

• Is an up to date MSDS folder available?

  Yes

  No

  N/A

• FALL PREVENTION

  Yes

  No

  N/A

• HARNESSES

  Yes

  No

  N/A

• Harnesses checked before use for wear and imperfections

  Yes

  No

  N/A

• Do harnesses have at least double acting safety clips

  Yes

  No

  N/A

• Have harnesses been inspected

  Yes

  No

  N/A

• Are harnesses fitted and worn properly

  Yes

  No

  N/A

• Within test date

  Yes

  No

  N/A

• Free from abrasions pinholes and imperfections that could compromise the integrity of harness and labelled correctly?

  Yes

  No

  N/A

• FALL ARREST. Devices

  Yes

  No

  N/A

• checked before use for wear and imperfections

  Yes

  No

  N/A

• Do devices have at least double acting safety clips

  Yes

  No

  N/A

• Have devices been inspected

  Yes

  No

  N/A

• Within test date

  Yes

  No

  N/A

• RESCUE KITS

  Yes

  No

  N/A

• Ground rescue kits

  Yes

  No

  N/A

• Carried where necessary

  Yes

  No

  N/A

• Is rescue kit stocked correctly

  Yes

  No

  N/A

• Is rescue kit indate

  Yes

  No

  N/A

• Is rescue kit easily accessible and in view of all colleagues

  Yes

  No

  N/A

• Pole rescue kits

  Yes

  No

  N/A

• Is recue kit stocked correctly

  Yes

  No

  N/A

• Is rescue kit indate

  Yes

  No

  N/A

• LADDERS

  Yes

  No

  N/A

• Are ladders in good condition and appropriate for intended task

  Yes

  No

  N/A

• Are ladders tied of properly

  Yes

  No

  N/A

• PLATFORMS

  Yes

  No

  N/A

• In good working condition

  Yes

  No

  N/A

• Fitted correctly to pole

  Yes

  No

  N/A

• When parking have obstacles that may impact your exit been identified ?

  Yes

  No

  N/A

• Is burns kit in vehicle Record date and number

  Yes

  No

  N/A

• Is the first aid sticker placed relevant to the location of the first aid kit?

  Yes

  No

  N/A

• FIRE PREPERATION

  Yes

  No

  N/A

• Is all fire prevention equipment available and operational?

  Safe

  At Risk

  N/A

• Does vehicle have

  Yes

  No

  N/A

• - A burns kit (record date and number)

  Yes

  No

  N/A

• - fire blanket? (one per person)

  Yes

  No

  N/A

• -fire rake?

  Yes

  No

  N/A

• -knap sack

  Yes

  No

  N/A

• -A fire extinguisher

  Yes

  No

  N/A

• -Is extinguisher mounted in an a visible and accessable position

  Yes

  No

  N/A

• -Is extinguisher in test date

  Yes

  No

  N/A

• Is the Actewagl vehicles safety features fully operational?

  Safe

  At Risk

  N/A

• -indicators?

  Yes

  No

  N/A

• -hazard lights?

  Yes

  No

  N/A

• -headlights (high and low beam)

  Yes

  No

  N/A

• -brakes lights?

  Yes

  No

  N/A

• -Spot lights

  Yes

  No

  N/A

• -Flashing lights?

  Yes

  No

  N/A

• -internal lighting? (sufficient illumination)

  Yes

  No

  N/A

• -windscreen wipers?

  Yes

  No

  N/A

• -reversing camera? (fitted and operational)

  Yes

  No

  N/A

• -tyres? (pressure, ware, wall condition)

  Yes

  No

  N/A

• -water and oil levels?

  Yes

  No

  N/A

• -drivers visibility?

  Yes

  No

  N/A

• Seatbelts are they fraid, do they snap properly do individuals know how to fit them

  Yes

  No

  N/A

• Is there anything in the cabin that could become a projectile. (objects secured appropriately)

  Yes

  No

  N/A

4. JOB BRIEFING

• Has site supervisor in control in control of the services being provided conducted a job briefing with all work groups involved ?

  Yes

  No

  N/A

• Has a PICW (person in charge of works) been announced to all worker groups

  Yes

  No

  N/A

• Has the scope and extent of the services to be performed been discussed )

  Yes

  No

  N/A

• Has the sequence of the services to be performed been discussed ?

  Yes

  No

  N/A

• Have tasks been assigned to individual operators/subcontractors or persons in control of task?

  Yes

  No

  N/A

• Has the role and responsibilities of safety observers (exclusion zone) and( safety observer) been discussed with all work group members?

  Yes

  No

  N/A

V. BARRIERS

• BARRIERS. (As defined in blue book page 9 (means rope,tape,barricade or alternative erected in accordance with approved procedures fo h pupoe of issuing an access authority ref to clause 9.7 Barriers and signs)

  Yes

  No

  N/A

• Are effective barriers in place

  Yes

  No

  N/A

• Are they the correct barriers

  Yes

  No

  N/A

• Do they clearly define the work area

  Yes

  No

  N/A

• Is the work safe

  Yes

  No

  N/A

WORKING IN THE VICINITY OF ELECTRICAL APPARATUS (sec 5 blue book page 26 to 28)

• Vicinity definition as per page 13 of the blue book ( means a situation where it is unlikely that a person will, either directly or through any conductive medium (eg mobile plant) come within the relevant approach distances)

  Yes

  No

  N/A

• Electrical apparatus Definition as per blue book page 10. (means any high voltage or low voltage equipment, including over headlines and underground cables, the condition of which are live or can be made live.

  Yes

  No

  N/A

• ESCAPE PLAN SEE SAFETY

  Yes

  No

  N/A

• Has de-energising been confirmed and understood

  Yes

  No

  N/A

• IF BARRIERS are in use see heading barriers

  Yes

  No

  N/A

• IF SIGNS ARE IN USE

  Yes

  No

  N/A

• Are they the right signs (do they convey the right message)

  Yes

  No

  N/A

• Are they a sufficient size and color to serve their purpose

  Yes

  No

  N/A

• Are they in the right place/position to serve purpose

  Yes

  No

  N/A

• IF USING MATS

  Yes

  No

  N/A

• Are they in date

  Yes

  No

  N/A

• Are they clean and in good condition free from imperfections

  Yes

  No

  N/A

• SAFETY OBSERVERS as defined in the blue book page 12 (means a person with sufficient knowledge of the task being performed and competent for the duty of observing and warning against unsafe approach to electrical apparatus or other unsafe conditions

  Yes

  No

  N/A

• See safety

  Yes

  No

  N/A

• Is the work area clearly defined and understood

  Yes

  No

  N/A

• Has isolation been confirmed and understood by all

  Yes

  No

  N/A

APPROACH TO ELECTRICAL APPARATUS. See blue book pages 29 to 37

• Safe approach distance definition As per blue book page 12. (the minimum distance that shall be maintained by a person vehicle or mobile plant ( including its load controlling ropes and any other accessories ) when approaching electrical apparatus other than for work in accordance with an access authority

  Yes

  No

  N/A

• Electrical apparatus Definition as per blue book page 10. (means any high voltage or low voltage equipment, including over headlines and underground cables, the condition of which are live or can be made live.

  Yes

  No

  N/A

• Are all colleagues aware of what voltages are present in apparatuses in the vicinity of which work is being conducted

  Yes

  No

  N/A

• Do they know what safe approach distances must be adhered to for voltage being worked near. See reference table page 33 and 36 of the blue book

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Communications

• What is your preferred method of communication with your supervisor

  Yes

  No

  N/A

• Do you feel valued and respected

  Yes

  No

  N/A

• Is your input/suggestions considered

  Yes

  No

  N/A

• Are you happy with the level and content of communication you receive

  Yes

  No

  N/A

• If not what would you do or like to see done to improve communications

  Yes

  No

  N/A

• How do you report

  Yes

  No

  N/A

• An administration issue

  Yes

  No

  N/A

• A work practice issue

  Yes

  No

  N/A

• A work practice issue

  Yes

  No

  N/A

• An environmental issue

  Yes

  No

  N/A

CABLE JOINTING

• Do operators hold correct and current qualifications to perform work being performed

  Yes

  No

  N/A

• Has at least 1 marshalling point been identified and discussed. Noted on risk assessment

  Yes

  No

  N/A

• Have 2 emergency escape routes been identified and discussed. Noted on risk assessment .

  Yes

  No

  N/A

• Is burns kit in vehicle Record date and number

  Yes

  No

  N/A

• Are vehicles parked a safe distance from excavation (equivalent from edge to depth of excavation)

  Yes

  No

  N/A

• Is battering/benching sufficient to provide sate work environment.

  Yes

  No

  N/A

• Is shoring sufficient to prevent possible failure

  Yes

  No

  N/A

• Are minimum safe approach distances being practiced (see approach to electrical apparatus section )

  Yes

  No

  N/A

• SAFETY OBSERVERS as defined in the blue book page 12 (means a person with sufficient knowledge of the task being performed and competent for the duty of observing and warning against unsafe approach to electrical apparatus or other unsafe conditions

  Yes

  No

  N/A

• Is safety observer in position where they can view see whole task. (if not has more than one observer been implemented)

  Yes

  No

  N/A

• Is safety observer a capable competent person with a knowledge of works being performed

  Yes

  No

  N/A

• Is observer aware of approach restrictions

  Yes

  No

  N/A

• Is observer aware of their responsibility Re stopping work if unsafe

  Yes

  No

  N/A

• Is observer roll being rotated at intervals (suggest no more than 2 hours) to avoid fatigue and maximise productivity

  Yes

  No

  N/A

• RESCUE KITS

  Yes

  No

  N/A

• Ground rescue kits

  Yes

  No

  N/A

• Carried where necessary

  Yes

  No

  N/A

• Is rescue kit stocked correctly

  Yes

  No

  N/A

• Is rescue kit indate

  Yes

  No

  N/A

• Is rescue kit easily accessible and in view of all colleagues

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• Is the Actewagl vehicle parked appropriately?

  Yes

  No

  N/A

• Is there a chance that with a change In conditions site could become a confined space

  Yes

  No

  N/A

• Is it or are they listed on the risk assessment

  Yes

  No

  N/A

• Do operators hold correct and current qualifications to perform work being performed

  Yes

  No

  N/A

PLANT AND MACHINERY

• Do operators have current and correct licences to operate machinery being used

  Yes

  No

  N/A

• Do they have authority to work on actewAgl assets

  Yes

  No

  N/A

• Have 2 emergency escape routes been identified and discussed. Noted on risk assessment .

  Yes

  No

  N/A

• Has at least 1 marshalling point been identified and discussed. Noted on risk assessment

  Yes

  No

  N/A

• RESCUE KITS

  Yes

  No

  N/A

• Ground rescue kits

  Yes

  No

  N/A

• Carried where necessary

  Yes

  No

  N/A

• Is rescue kit stocked correctly

  Yes

  No

  N/A

• Is rescue kit indate

  Yes

  No

  N/A

• Is rescue kit easily accessible and in view of all colleagues

  Yes

  No

  N/A

• FIRE PREPERATION

  Yes

  No

  N/A

• Is the fire extinguisher placed in an accessible and visible location?

  Yes

  No

  N/A

• Is all fire prevention equipment available and operational?

  Safe

  At Risk

  N/A

• Does vehicle have

  Yes

  No

  N/A

• - fire blanket? (one per person)

  Yes

  No

  N/A

• -fire rake?

  Yes

  No

  N/A

• -knap sack?

  Yes

  No

  N/A

• -A fire extinguisher

  Yes

  No

  N/A

• -Is extinguisher mounted in an a visible and accessable position

  Yes

  No

  N/A

• -Is extinguisher in test date

  Yes

  No

  N/A

• Are minimum safe approach distances being practiced (see approach to electrical apparatus section )

  Yes

  No

  N/A

• SAFETY OBSERVERS as defined in the blue book page 12 (means a person with sufficient knowledge of the task being performed and competent for the duty of observing and warning against unsafe approach to electrical apparatus or other unsafe conditions

  Yes

  No

  N/A

• Is safety observer in position where they can view see whole task. (if not has more than one observer been implemented)

  Yes

  No

  N/A

• Is safety observer a capable competent person with a knowledge of works being performed

  Yes

  No

  N/A

• Is observer aware of approach restrictions

  Yes

  No

  N/A

• Is observer aware of their responsibility Re stopping work if unsafe

  Yes

  No

  N/A

• Is observer roll being rotated at intervals (suggest no more than 2 hours) to avoid fatigue and maximise productivity

  Yes

  No

  N/A

• VEHICLES

  Yes

  No

  N/A

• MOBILE PLANT AS per definition in the blue book page 11 (means cranes,elevating Orkney platforms,tip trucks and similar plant, any equipment fitted with a jib or boom and any device capable of raising or lowering a load. <br> Mobile plant can only be considered a vehicle when in normal travelling mode and not in working mode when determining safe approach distance

  Yes

  No

  N/A

• Are vehicles parked safely ( to maximise work efficiency and remain in a safe position with escape in mind)

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• Is/are vehicles clean and tidy

  Yes

  No

  N/A

• Have applicable mandatory vehicle check lists been filled out

  Yes

  No

  N/A

• Has any damage been reported (to supervisor and in guardian)

  Yes

  No

  N/A

• Have service dates/kilometres been checked

  Yes

  No

  N/A

• Has registration label been checked (is it in date and readable)

  Yes

  No

  N/A

• Are registration plates in good condition and readable

  Yes

  No

  N/A

• Are compliance and safe work load plates on vehicle and attachments visible and readable

  Yes

  No

  N/A

• Are communication tools fitted and operational

  Yes

  No

  N/A

• Do all individuals know all emergency contacts?

  Yes

  No

  N/A

• Do all individuals understand the requirements for reporting injuries and incidents?

  Yes

  No

  N/A

• Seatbelts are they fraid, do they snap properly do individuals know how to fit them

  Yes

  No

  N/A

• Is there anything in the cabin that could become a projectile. (objects secured appropriately)

  Yes

  No

  N/A

• HAZARD LIGHTS AND SIGNAGE

  Yes

  No

  N/A

• Are hazard lights working

  Yes

  No

  N/A

• Where arrow boards are fitted are they working

  Yes

  No

  N/A

• Are arrow boards used at every opportunity

  Yes

  No

  N/A

• Is signage and bollards used per traffic management techniques at every opportunity

  Yes

  No

  N/A

• Is signage/branding in place

  Yes

  No

  N/A

• Does vehicle have a spill kit

  Yes

  No

  N/A

• Is spill kit full and usable

  Yes

  No

  N/A

• LOAD RESTRAINTS AND LIFTING EQUIPMENT

  Yes

  No

  N/A

• Have load securing devices (straps chains ropes etc) been checked for abrasions/imperfections

  Yes

  No

  N/A

• Are they in date

  Yes

  No

  N/A

• Have load securing mechanisms been checked for serviceability

  Yes

  No

  N/A

• Are they in date

  Yes

  No

  N/A

• Is load secured safely and balanced

  Yes

  No

  N/A

• EXCAVATION WORK

  Yes

  No

  N/A

• Is excavation a shared site eg other utilities that could increase the risk of an incident

  Yes

  No

  N/A

• Are vehicles parked a safe distance from excavation (equivalent from edge to depth of excavation)

  Yes

  No

  N/A

• Is shoring sufficient to prevent possible failure

  Yes

  No

  N/A

• Slings and straps in good condition and checked for imperfections

  Yes

  No

  N/A

• Slings and straps have current test tag

  Yes

  No

  N/A

• OFF ROAD AND OUT OF TOWN

  Yes

  No

  N/A

• See environmental section.

  Yes

  No

  N/A

• In hazardous/boggy situations does operator walk through the situation,assess the risk and record it on a risk assessment

  Yes

  No

  N/A

• Are boggy/hazardous situations recorded in guardian as a near miss

  Yes

  No

  N/A

• Chainsaw operation and technique (see section )

  Yes

  No

  N/A

Excavations and trenches and shafts (re excavation code of practice. N12012-428)

• Have 2 emergency escape routes been identified and discussed. Noted on risk assessment .

  Yes

  No

  N/A

• Has at least 1 marshalling point been identified and discussed. Noted on risk assessment

  Yes

  No

  N/A

• Is burns kit in vehicle Record date and number

  Yes

  No

  N/A

• RESCUE KITS

  Yes

  No

  N/A

• Ground rescue kits

  Yes

  No

  N/A

• Carried where necessary

  Yes

  No

  N/A

• Is rescue kit stocked correctly

  Yes

  No

  N/A

• Is rescue kit indate

  Yes

  No

  N/A

• Is rescue kit easily accessible and in view of all colleagues

  Yes

  No

  N/A

• SAFETY OBSERVERS as defined in the blue book page 12 (means a person with sufficient knowledge of the task being performed and competent for the duty of observing and warning against unsafe approach to electrical apparatus or other unsafe conditions

  Yes

  No

  N/A

• Is safety observer in position where they can view see whole task. (if not has more than one observer been implemented)

  Yes

  No

  N/A

• Is safety observer a capable competent person with a knowledge of works being performed

  Yes

  No

  N/A

• Is observer aware of approach restrictions

  Yes

  No

  N/A

• Is observer aware of approach restrictions

  Yes

  No

  N/A

• Is observer aware of their responsibility Re stopping work if unsafe

  Yes

  No

  N/A

• Is observer roll being rotated at intervals (suggest no more than 2 hours) to avoid fatigue and maximise productivity

  Yes

  No

  N/A

• Is excavation safe to enter

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• Are vehicles parked a safe distance from excavation (equivalent from edge to depth of excavation)

  Yes

  No

  N/A

• Is shoring sufficient to prevent possible failure

  Yes

  No

  N/A

• Is battering/benching sufficient to provide sate work environment.

  Yes

  No

  N/A

• Will work being performed effect the site (eg will hot works or emissions make it unsafe,will piling further excavations on the edge increase the depth/height of excavation) these actions could change definition to a confined space

  Yes

  No

  N/A

• Is excavation a shared site eg other utilities that could increase the risk of an incident

  Yes

  No

  N/A

• If shared sight site have risks been controlled

  Yes

  No

  N/A

• Are there any adjacent buildings and structures that could influence this excavation

  Yes

  No

  N/A

• Are fall prevention mechanisms necessary ( if so see fall prevention heading under safety heading)

  Yes

  No

  N/A

• Is work site sufficiently ventilated

  Yes

  No

  N/A

• ATMOSPHERIC CONDITIONS AND VENTILATION

  Yes

  No

  N/A

• GAS DETECTORS

  Yes

  No

  N/A

• Are gas detectors on site

  Yes

  No

  N/A

• Are colleagues trained in the use of gas detectors

  Yes

  No

  N/A

• Are gas masks in good condition

  Yes

  No

  N/A

• Are they fitted and worn properly

  Yes

  No

  N/A

Confined spaces. (ref workplace health and safety regulation 2011

• Are all on site competent persons and have they received mandatory training in confined space

  Yes

  No

  N/A

• Have 2 emergency escape routes (if possible) been identified and discussed. Noted on risk assessment .

  Yes

  No

  N/A

• Has at least 1 marshalling point been identified and discussed. Noted on risk assessment

  Yes

  No

  N/A

• Has a current version of confined space permit been filled in

  Yes

  No

  N/A

• Has rescue plan section in permit been completed correctly

  Yes

  No

  N/A

• RESCUE EQUIPMENT have appropriate equipment been identified for this job and accessable and in good condition

  Yes

  No

  N/A

• RESCUE KITS

  Yes

  No

  N/A

• Ground rescue kits

  Yes

  No

  N/A

• Carried where necessary

  Yes

  No

  N/A

• Is rescue kit stocked correctly

  Yes

  No

  N/A

• Is rescue kit indate

  Yes

  No

  N/A

• Is rescue kit easily accessible and in view of all colleagues

  Yes

  No

  N/A

• FALL PREVENTION. Working on heights AS 1891 (mandatory)

  Yes

  No

  N/A

• HARNESSES

  Yes

  No

  N/A

• Harnesses checked before use for wear and imperfections

  Yes

  No

  N/A

• Do harnesses have at least double acting safety clips

  Yes

  No

  N/A

• Have harnesses been inspected

  Yes

  No

  N/A

• Are harnesses fitted and worn properly

  Yes

  No

  N/A

• Within test date

  Yes

  No

  N/A

• Free from abrasions pinholes and imperfections that could compromise the integrity of harness and labelled correctly?

  Yes

  No

  N/A

• FALL ARREST. Devices

  Yes

  No

  N/A

• checked before use for wear and imperfections

  Yes

  No

  N/A

• Do devices have at least double acting safety clips

  Yes

  No

  N/A

• Have devices been inspected

  Yes

  No

  N/A

• Within test date

  Yes

  No

  N/A

• STAND BY PERSON/S

  Yes

  No

  N/A

• Is mandatory stand by person/s in position where they can view see whole task. (if not has more than one stand by person been implemented)

  Yes

  No

  N/A

• Is stand by a capable competent person with a knowledge of works being performed

  Yes

  No

  N/A

• Does standby have appropriate communications with people in confined space

  Yes

  No

  N/A

• Does standby have knowledge of emergency plan

  Yes

  No

  N/A

• Does standby have knowledge and tools to contact emergency services

  Yes

  No

  N/A

• Is standby aware of approach restrictions

  Yes

  No

  N/A

• Is standby aware of their responsibility Re stopping work if unsafe

  Yes

  No

  N/A

• Is rescue kit stocked correctly

  Yes

  No

  N/A

• TRIPODS/BRIDGING SYSTEMS

  Yes

  No

  N/A

• RPD. (retrieved positioning devices) (block and tackle winches)

  Yes

  No

  N/A

• RESCUE HOOKS

  Yes

  No

  N/A

• ATMOSPHERIC CONDITIONS AND VENTILATION

  Yes

  No

  N/A

• Are mandatory gas detectors on site

  Yes

  No

  N/A

• When was gas detector last checked for data log (monitor/check being used)

  Yes

  No

  N/A

• Are sensor alarms set at right values

  Yes

  No

  N/A

• Are colleagues trained in the use of gas detectors

  Yes

  No

  N/A

• Are face masks and or breathing appedatus in good condition

  Yes

  No

  N/A

• Are they fitted and worn properly

  Yes

  No

  N/A

• Have they been tested before use

  Yes

  No

  N/A

• Are people using breathing apperatus clean shaven

  Yes

  No

  N/A

• Is vehicle secured effectively

  Yes

  No

  N/A

• SIGNAGE

  Yes

  No

  N/A

• If it is not sign posted a confined space has a mandatory temporary confined space sign been erected (ie danger. Confined space. Entry by permit only)

  Yes

  No

  N/A

Mechanical barriers

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Traffic and road management

• Has required permit/agreement from the road management authority (TAMS) been identified

  Yes

  No

  N/A

• Has it been applied

  Yes

  No

  N/A

• Are all traffic management tools (eg signs and bollards) in good order and sufficient size to be seen and read

  Yes

  No

  N/A

• Are there any unusual circumstances that could impact traffic management (eg rise or curve in the road tree in line of sight)

  Yes

  No

  N/A

• Access permits signed onto

  Yes

  No

  N/A

• -yellow card? (traffic management)

  Yes

  No

  N/A

Pedestrian access/management

• Has required agreement/permit from road management authority (TAMS) been identified

  Yes

  No

  N/A

• Has it been applied

  Yes

  No

  N/A

• Are all traffic management tools (eg signs bollards) in good condition and a sufficient size to be seen and read

  Yes

  No

  N/A

• Are there any unusual circumstances that could impact pedestrian management (eg gutters drains holes)

  Yes

  No

  N/A

• Yes

  No

  N/A

Environmental impact management Ref code of practice parks conservation and lands (PCL)

• Has planned work been submitted for approval by PCL 14 days prior to works. Ref page 14

  Yes

  No

  N/A

• Have tracks or roads been sign posted properly Page 22

  Yes

  No

  N/A

• Are gates relocked with out missing or leaving out other locks or links. Pages 22 & 23

  Yes

  No

  N/A

• Are vehicles staying on tracks as much as possible to minimise environmental impact. Page 22

  Yes

  No

  N/A

• Are all staff aware of there responsibilities re excavation tables. Page 24 to 27

  Yes

  No

  N/A

• EROSION CONTRL. Page 26

  Yes

  No

  N/A

• Have erosion and sediment controls been put in place before disturbing site

  Yes

  No

  N/A

• Has smallets area possible been disturbed

  Yes

  No

  N/A

• Has topsoil been saved for reuse

  Yes

  No

  N/A

• Have erosion control measures been put in place

  Yes

  No

  N/A

• Has site been rehabilated to original condition on completion

  Yes

  No

  N/A

• Has PCL BEEN GIVEN 5 days notice before pole line or vegetation inspections commenced. Page 33

  Yes

  No

  N/A

• Is heavy machinery clean of weeds seeds and top soil before and after entry Page 49

  Yes

  No

  N/A

• Are colleagues aware of their responsibility to report possible cultural heritage site or item. Page 62

  Yes

  No

  N/A

• Are colleagues aware of responsibilities re reporting endangered flora and fauna to PCL. PAGE 69-75

  Yes

  No

  N/A

• Where applicable are spill kits on site. Page 56

  Yes

  No

  N/A

• Have actions/plains been put in place/discussed in case of spill

  Yes

  No

  N/A

• Are people aware of contact details for EPA (environmental protection authority) (ph 131555 or 02 9995 5555)

  Yes

  No

  N/A

• IN FIRE SEASON. Page 58

  Yes

  No

  N/A

• Is fuel being stored in compliance with AS 1940

  Yes

  No

  N/A

• Is fuelling taking place in a clear level area

  Yes

  No

  N/A

• SPILL KITS and Bunding

  Yes

  No

  N/A

• Yes

  No

  N/A

• Are required fire extinguishers on site. AS 1841 fire extinguisher pt2 minimum capacity 16 litres, or a knapsack minimum capacity 16 litres. A serviceable powder type extinguisher to AS 1841,pt5, minimum capacity 0.9 kg

  Yes

  No

  N/A

Personal Protective Equipment?

• Are people wearing appropriate PPE?

  Safe

  At Risk

  N/A

• -Long sleeve shirt? (free of defects and unfaded?)

  Yes

  No

  N/A

• -Jumper? (free of defects and unfaded?)

  Yes

  No

  N/A

• -Trousers? (free of defects and unfaded?)

  Yes

  No

  N/A

• Work gloves in good order

  Yes

  No

  N/A

• LV gloves in good condition

  Yes

  No

  N/A

• LV gloves in date

  Yes

  No

  N/A

• HV gloves in good condition

  Yes

  No

  N/A

• HV gloves in date

  Yes

  No

  N/A

• -steel cap boots? (steel cap not exposed. Soul no too warn)

  Yes

  No

  N/A

• No jewellery or body adornments

  Yes

  No

  N/A

• -Hat???????????

  Yes

  No

  N/A

• -Hard hat? (in date, no stickers, no cracks)

  Yes

  No

  N/A

• -Hearing protection?

  Yes

  No

  N/A

• -Eye protection????????????

  Yes

  No

  N/A

• Is PPE fitted properly and in service date?

  Yes

  No

  N/A

• CHAINSAW SPECIFIC

  Yes

  No

  N/A

• Has helmet been fitted with correct face guarding? Check with Alan W

  Yes

  No

  N/A

• Chaps in good condition

  Yes

  No

  N/A

• Fitted and warn properly

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Suggested actions

Summary