Capstone Assessment - HV Live Work

• Candidate

• Conducted on

  Date

• Prepared by

• Add location
  Address

Logbook

• Has the logbook been filled out correctly?

  Yes

  No

  N/A

• Has all set tasks been completed?

  Yes

  No

  N/A

• Has the candidate completed a minimum of 200hrs?

  Yes

  No

  N/A

• Photograph of final page with signatures.

  Media

• Comments

Task Preparation

• Photograph of overall task to be completed

  Media

• Did the candidate fill out the HV Live work permit?

  Yes

  No

• Has the candidate signed onto the HV Live work permit?

  Yes

  No

• Did the candidate inspect the condition of their PPE prior to commencing the task?

  Yes

  No

• Is the candidates’ PPE in good condition and within next test date?

  Yes

  No

• Gloves and Sleeves next test date

  Date

• Does the candidate understand the task to be completed?

  Yes

  No

• What procedure(s) are to be used for the task to be completed? (List procedure(s) number(s) in notes).

  Select Stick Glove & Barrier

  • Stick
  • Glove & Barrier

• Are the procedure(s) correct for the task?

  Yes

  No

• Does the candidate understand the Worksite Hazard and Risk Assessment and has their name been listed as a worker?

  Yes

  No

• Add Photograph(s) or screenshot(s) of WHRA and HV Live Work Permit

  Media

• Voltage(s)

  Select 11kV 22kV 33kV 66kV

  • 11kV
  • 22kV
  • 33kV
  • 66kV

• Rating of insulation used

  Select Class 2 Class 3 Class 4 N/A - 66kV

  • Class 2
  • Class 3
  • Class 4
  • N/A - 66kV

• Has the correct rated insulation been selected for the task?

  Yes

  No

  N/A - 66kV

• The insulation that is being applied, is it sufficient for the task to be completed safely?

  Yes

  No

  N/A - 66kV

• Has the candidate performed the procedure(s) correctly?

  Yes

  No

• Are minimum approach distances (MAD) being maintained?

  Yes

  No

• Did the candidate complete the task utilising safe work practices?

  Yes

  No

• Rating of communication between the candidate and other crew members.

  Excellent

  Good

  Needs improvement

  Non-existent

• Photographs of work in progress

  Media

Logbook

• > 200hrs

• All listed tasks completed? (If answer is no list in notes reasons etc...)

  Yes

  No

Preparation

• PPE

• PPE preparation

Paperwork

• WHRA completed

• HV Live Work Permit Completed

Final Sign Off

• Competent / Not yet competent

  Competent

  Not yet competent

• Assessor

  Sign

• Comments

• Candidate

  Sign

• Comments