Title Page
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Work Order No.
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Contractor Name
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Conducted on
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Inspection Done by
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Location
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Personnel on site
Health & Safety
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Are all personnel wearing correct PPE? (long sleeves, long pants, safety glasses, hard hat if req'd, hearing protection if req'd)
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Is the PPE in good condition and in date - where applicable?
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Has an external Traffic Management Company been engaged and set up correctly?
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Has Traffic Management been set up by correctly by the contractor?
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Is the work site free of tripping hazards? eg tools lying around, excavation debris, uneven ground, kerbing
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Do all employees on site have their Allwater/Skytrust card and have they completed an Allwater induction? Scan all available QR Codes.
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Are any employees working in a confined space?
Environmental Protection
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Are all Environmental risks controlled? eg mud entering storm water, waste water overflows contained
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Has a clean up been conducted (if required) to minimise any Environmental Impact?
JHA or JSA
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Has the contractor completed a JHA before starting work?
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Have they identified any Risks/Hazards?
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Do all identified Risks/Hazards have controls in place?
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Has every person on site, including yourself, signed on to the JHA?
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Is today a Fire Ban day? If yes, enter permit No. for any hot works.
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Have all underground services been located and marked?
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If working on Cast Iron or Asbestos pipe, are contractors applying all safety procedures?
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Is a main isolation required? If yes, who de-pressurised the main?
Plant & Equipment
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Are all hand tools in good working condition?
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Are all electrical tools tested, tagged and in date?
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Do all vehicles in the work zone have flashing or rotating beacons?
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Are flashing or rotating Beacons operational?
Organisation and Efficiency
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What type of work is being done? eg Burst main, Sewer Connection Fault
- Water Crew Job
- Casting Raise/Lower
- Sewer Connection Choke
- Boundary Work
- Line Marking Work
- Jet Rodder
- CCTV
- Sewer Main Repair
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Are all employees on site actively engaged in the task?
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Is the excavation greater than 1.5 metres deep? What measures have been taken to mitigate any risk of collapse? Eg benching, shoring, battering etc.
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What size bucket is being used on the excavator/backhoe?
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Is the bucket size on the excavator/backhoe appropriate for the task?
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Have all necessary parts for the repair been brought to site?