AGFAB SQE SITE INSPECTION CHECKLIST (Rev 0)

• Client / Site: Barwon Water - Black Rock WRP Inlet Works Upgrade 400 Black Rock Connewarre

• Conducted on

  Date

GENERAL

• Client Site:
  
  Barwon Water - Black Rock WRP Inlet Works Upgrade
  400 Black Rock Connewarre
  
  

• Agfab project No: 22884

• Name of persons controlling the works:

  Select John Frattin Alan Nield Greg Grima Ian McCormick Graham Davis George Lubczenko John Toner Greg Oman Peter Cations

  • John Frattin
  • Alan Nield
  • Greg Grima
  • Ian McCormick
  • Graham Davis
  • George Lubczenko
  • John Toner
  • Greg Oman
  • Peter Cations

INITIAL INSPECTION

• Daily pre-start conducted and signed by all workers

  Yes

  No

  N/A

• Attendance register current (all persons signed on)

  Yes

  No

  N/A

• START Cards completed

  Yes

  No

  N/A

• Site supervisor on site and off the tools

  Yes

  No

  N/A

• First aider(s) on site

  Yes

  No

  N/A

• ITP in place for current works and signed up to date.

  Yes

  No

  N/A

• Amenities adequate, clean and maintained

  Yes

  No

  N/A

• Any indication of persons on site not fit for work (including fatigue compliance)

  Yes

  No

  N/A

• Site PPE requirements being met

  Yes

  No

  N/A

• Public safety controls in place (eg fencing, barriers, signage)

  Yes

  No

  N/A

• Site clean and tidy (general housekeeping)

  Yes

  No

  N/A

• Traffic management controls in place as per TMP

  Yes

  No

  N/A

• Hazardous materials storage area (bunded & labelled)

  Yes

  No

  N/A

SWMS

• SWMS in place for current works

  Yes

  No

  N/A

• All persons signed onto SWMS

  Yes

  No

  N/A

• Reviewed in the last 7 days

  Yes

  No

  N/A

• SWMS applicable to the task being performed

  Yes

  No

  N/A

• Work being performed in accordance with SWMS

  Yes

  No

  N/A

• Any other PPE required (site/task specific)

  Yes

  No

  N/A

• Competent for task being undertaken (check tickets)

  Yes

  No

  N/A

ENVIRONMENTAL MANAGEMENT

• Erosion/Sediment control in place, adequate and maintained

  Yes

  No

  N/A

• Waste disposed of in labelled bins. Recycling segregated.

  Yes

  No

  N/A

• Concrete wash out in designated area. Bunded and lined.

  Yes

  No

  N/A

• Sensitive vegetation barricaded and signage in place

  Yes

  No

  N/A

• Soil stockpiles >10m from watercourses

  Yes

  No

  N/A

• Refuelling >50m from watercourses

  Yes

  No

  N/A

• Dust suppression adequate

  Yes

  No

  N/A

• Noise/vibration/odour controls adequate

  Yes

  No

  N/A

EXCAVATION AND TRENCHING

• Statutory notification submitted

  Yes

  No

  N/A

• Excavation and Trenching permit in place (Duration as specified)

  Yes

  No

  N/A

• Daily trench inspection documented

  Yes

  No

  N/A

• Trench benched, battered or shored adequately

  Yes

  No

  N/A

• Safe means of entry and exit

  Yes

  No

  N/A

• Barrier and signage to protect workers and public

  Yes

  No

  N/A

• Spoil or materials not placed within 1m of excavation edge

  Yes

  No

  N/A

MOBILE PLANT

• Operator competency/license available

  Yes

  No

  N/A

• Plant Register current and PRA available

  Yes

  No

  N/A

• Daily plant prestart check completed

  Yes

  No

  N/A

• Operable flashing light, reverse alarm and fire extinguisher

  Yes

  No

  N/A

• Designated pedestrian routes separate from plant movement

  Yes

  No

  N/A

WORKING AT HEIGHT

• Ladders secure and only used for access/egress (unless platform ladder)

  Yes

  No

  N/A

• Scaffolds tagged (monthly)

  Yes

  No

  N/A

• Live edges barricaded (Flagging/mesh min 2m out)

  Yes

  No

  N/A

• Elevated Work Platform (EWP) in good condition, harness in use and on level and stable ground

  Yes

  No

  N/A

• Penetrations protected to prevent fall of people & materials. Covers (incl grid mesh) securely fastened in place.

  Yes

  No

  N/A

• Protection of workers below/falling objects

  Yes

  No

  N/A

• Work at heights controls implemented

  Yes

  No

  N/A

CONFINED SPACE

• CSE permit in place and controls implemented

  Yes

  No

  N/A

• Entry/Exit log maintained (See permit)

  Yes

  No

  N/A

• Gas monitoring in place

  Yes

  No

  N/A

• Observer/standby persons present

  Yes

  No

  N/A

• PPE and signage inplace

  Yes

  No

  N/A

• Rescue Plan in place

  Yes

  No

  N/A

ELECTRICAL

• Electrical tools and leads tested and tagged (3 monthly)

  Yes

  No

  N/A

• Electrical leads elevated and insulated from metal objects

  Yes

  No

  N/A

• Electrical supply panels secure (no unauthorised access)

  Yes

  No

  N/A

• RCDs fitted and tested Monthly (check site sheds)

  Yes

  No

  N/A

• Extension leads single length only

  Yes

  No

  N/A

LIFTING AND RIGGING

• Lifting gear register current (3 monthly inspection completed)

  Yes

  No

  N/A

• Lift study completed for lifts (Where required)

  Yes

  No

  N/A

• Crane Safe green sticker (Current 12 month)

  Yes

  No

  N/A

• Plant has SWL/WLL clearly marked

  Yes

  No

  N/A

• Rigging gear in good condition, SWL/WLL marked

  Yes

  No

  N/A

• Rigger/dogman used to control the lifting loads

  Yes

  No

  N/A

• Lift areas delineated and clear of persons

  Yes

  No

  N/A

WELDING AND HOT WORKS

• Hot Work permit in place and controls implemented

  Yes

  No

  N/A

• Flash back arresters, flash protection & weld curtains

  Yes

  No

  N/A

• Earthing in place, leads tagged and in good condition

  Yes

  No

  N/A

• Oxy or other gas bottles secured and stored separately

  Yes

  No

  N/A

GENERAL COMMENTS:

• Add additional photos if required:

  Media

• Add a drawing to assist observations and actions required:

  Drawing

• Name of the person completing the checklist:

  Select John Frattin Alan Nield Greg Grima Ian McCormick Graham Davis George Lubczenko John Toner Greg Oman Peter Cations

  • John Frattin
  • Alan Nield
  • Greg Grima
  • Ian McCormick
  • Graham Davis
  • George Lubczenko
  • John Toner
  • Greg Oman
  • Peter Cations

• Signature of the person completing the checklist:

  Sign

• Name of the Worksite Manager:

  Select John Frattin Alan Nield Greg Grima Ian McCormick Graham Davis George Lubczenko John Toner Greg Oman Peter Cations

  • John Frattin
  • Alan Nield
  • Greg Grima
  • Ian McCormick
  • Graham Davis
  • George Lubczenko
  • John Toner
  • Greg Oman
  • Peter Cations

• Signature of the Worksite Manager:

  Sign