Asset Management Checklist for Site Visits. Safety is your responsibility.

• Conducted on

  Date

• Prepared by

• Location
  Address

• This form is used by Asset Management staff to ensure adequate preparation for general site visits. This may include travelling to locations to undertake asset assessment or inspection, visiting contractors on site or travelling to SA Water offices or depots for meetings. . (RIVER > Asset Management > WHS > Completed Site Inspection Checklists)

Site Visit Details

• Select date

  Date
• Add location
  Address

• Attendees:

• Site Manager:

Pre Visit Preparation

Prompts for Planning

• Does your site visit require a JHA? (If ‘yes’ proceed to complete JHA in combination with Site Visit Checklist)

  Yes

  No

  N/A

• Have you let your manager/team know of your site visit/ details including time on site and location?

  Yes

  No

  N/A

• Have you checked the weather forecast and is there predicted:

• Rain or severe weather warnings?*

  Yes

  No

• Is it safe to proceed with the site visit, and has your supervisor been notified?

  Yes

  No

• Catastrophic Fire Danger? WHS-0052

  Yes

  No

• Has the Level 3 Manager approved the site visit?

  Yes

  No

• Have you contacted the relevant site manager who will be meeting/escorting you on-site and advised them of the work you will be doing during your visit?

  Yes

  No

  N/A

• Are there any site specific safety rules including site induction requirements and specific Personal Protective Equipment (PPE) which attendees may need to take with them to site?

  Yes

  No

  N/A

• Are there any AMP SWP's which may be relevant to your site visit?

  Yes

  No

  N/A

• Are there any existing WHS issues that the site manager is aware of which may impact your visit?

  Yes

  No

  N/A

• Will your visit involve remote or isolated work and have you prepared an isolated work plan?

  Yes

  No

  N/A

• Have you identified your Communications requirements? (E.g. Mobile network coverage, GRN Radio, etc.)

  Yes

  No

  N/A

• Is a Contractor Authority to Work Permit required as part of your site visit?

  Yes

  No

  N/A

• Have you informed all attendees of the travel and site specific information relevant to them?

  Yes

  No

  N/A

• Have you considered the dangers associated with wildlife and stock before travelling to site. The risks of encountering animals increase at certain times of the day and year.

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Hi Vis clothing (Mandatory)

  Yes

• Steel capped enclosed footwear (Mandatory)

  Yes

• Long sleeve top and pants (Mandatory)

  Yes

• Hard Hat

  Yes

  No

  N/A

• Safety Eyewear

  Yes

  No

  N/A

• Sun Hat/ Sunscreen

  Yes

  No

  N/A

• Required training (white card/working at heights)

  Yes

  No

  N/A

Travelling to Site

• Do you know the address of your visit location?

  Yes

  No

  N/A

• Do you have an appropriate vehicle?

  Yes

  Yes, AWD

  Yes, 4WD

  N/A

• Have you checked the suitability of your vehicle? (Tyres, fuel, first aid etc.)

  Yes

  No

  N/A

During Your Visit

• Do you have your Safe2Go Safety Pocket Book checklist and are you prepared to use it?

  Yes

  Complete Now

  N/A (E.g. office work only)

• In case of Emergency Call 000 or 112(Mobile)
  Dial before you dig call 1100
  Take 5 1) Stop, Step Back, Observe 2) Walk-Through Task 3) Identify Hazards 4) Control and Communicate 5) Safely Complete Task. Engage the Brain BEFORE the Hands.
  PLAN, Take 5, Pre Start Check List, JHA, SMWS
  DO, Identify Hazards, Eliminate or control risk
  CHECK, Safe to Go, Matewatch
  ACT, Stop if risks arise, report hazards, report incidents,

• I am/my team are competent to preform this task

  Yes

  No

  N/A

• Have Key Hazards Been Identified and Controlled?

• Vehicles and Mobile Plant?

  Yes

  No

  N/A

• Tools and Equipment?

  Yes

  No

  N/A

• Manual Handling?

  Yes

  No

  N/A

• Falls? - People and Items

  Yes

  No

  N/A

• Slip & Trip? - Ground Condition

  Yes

  No

  N/A

• Energy Isolated? - Electricity / Water

  Yes

  No

  N/A

• Environment / Surroundings?

  Yes

  No

  N/A

• Chemicals?

  Yes

  No

  N/A

• Any other hazards for this job?

  Yes

  No

  N/A

• All Hazards Communicated?

  Yes

  No

  N/A

• Are you aware of any site specific risks associated with lead based paint/coatings & asbestos

  Yes

  No

  N/A

Post Site Visit Prompts

• Have you taken the time to manage hygiene? (washed hands and stored/cleaned PPE)

  Yes

  No

  N/A

• Did you notice any reportable hazards, near misses or incidents which need to be logged into SAAM?

  Yes

  No

Enter SAAM ID number

• Comments? / Other Hazards Identified?

Log into IAuditor.com, navigate to audit, Export form to PDF then Save completed forms to RIVER > Asset Management > WHS > Completed Site Inspection Checklists