Information
-
Project / task / work order description
-
Contracting company
-
Conducted on
-
Conducted by
-
Location
-
Completed with
Team responsible for or undertaking work
-
Group / team responsible for work
- APDD
- Operations
- Finance
- SPS
- WSSP
- General Counsel
-
- South
- North
- Central
- Asset Maintenance
- Water Source Services
- WQEPI
- Contracts and Reporting
-
-
Assurance checks
-
JSEA/SWMS title, number and revision number (take photo)?
-
Can workers identify the following:<br>- what to do in an emergency, including assembly point? <br>- how to report an incident/hazard?<br>- requirements for contacting access officer on arrival and leaving site?<br>
-
Are all requirements of PASS procedure in place and current? (site access, MWP, PWP, CSP)?
-
Are all current permits in place? (hot work, confined space, height, grid mesh, excavation, penetration, isolation instructions)
-
Have all persons involved in the work signed onto the JSEA/SWMS or RTHA?
-
Have all relevant pre-starts been completed (meetings, plant etc)?
-
Have all hazards and controls been identified in the JSEA/SWMS or RTHA and the controls are being followed?
-
Do workers have the appropriate training/qualifications/competencies required to complete activities as specified in the JSEA/SWMS or RTHA?
-
Is all safety equipment (harnesses, tripods, slings, chains, gas detectors, portable RCD's, electrical leads etc) within test date?
-
Are all relevant SDS available and current and are appropriate controls in place?
-
Are all workers wearing specified PPE?
Sign off (completed report must be sent to PM or coordinator for reference)
-
Add signature