CCA EQS FIELD SERVICE SAFETY EVALUATION AUDIT

• CCA EQS In-Field Technician OHS Audit

• Evaluation Auditor

  Select Phil Dawson Shaun Robinson Chris Rowell Richard Petty Angelo Lazzaro Anton Orsini

  • Phil Dawson
  • Shaun Robinson
  • Chris Rowell
  • Richard Petty
  • Angelo Lazzaro
  • Anton Orsini

• State

  Select South Queensland North Queensland New South Wales Victoria Tasmania South Australia Western Australia Northern Territory

  • South Queensland
  • North Queensland
  • New South Wales
  • Victoria
  • Tasmania
  • South Australia
  • Western Australia
  • Northern Territory

• Queensland Technician

  Select Marcus Bourke Damian Carter Josh Williams Scott Hammond Jason Clarke Ross Henzell John Peachy Andrew Whittaker Anthony Fitzgerald Damien Allen John Gray Miles Cleary Ray Bentley Shaun Fletcher Shaun Parker Sid Trajkovski Tom Esparon Tony Ahmed Wayne Fordyce Alan Lang Justin Ryan Harvey Nash Paul Jones Neil Daines Brayden Cook Rodney Hoare Shane Atwell Scott Warwick-Day Alistair Raw Nico Harmen Michael Braszell Mark Craven

  • Marcus Bourke
  • Damian Carter
  • Josh Williams
  • Scott Hammond
  • Jason Clarke
  • Ross Henzell
  • John Peachy
  • Andrew Whittaker
  • Anthony Fitzgerald
  • Damien Allen
  • John Gray
  • Miles Cleary
  • Ray Bentley
  • Shaun Fletcher
  • Shaun Parker
  • Sid Trajkovski
  • Tom Esparon
  • Tony Ahmed
  • Wayne Fordyce
  • Alan Lang
  • Justin Ryan
  • Harvey Nash
  • Paul Jones
  • Neil Daines
  • Brayden Cook
  • Rodney Hoare
  • Shane Atwell
  • Scott Warwick-Day
  • Alistair Raw
  • Nico Harmen
  • Michael Braszell
  • Mark Craven

• Western Australia Technician

  Select Marcus Bourke Damian Carter Josh Williams Scott Hammond Jason Clarke Ross Henzell John Peachy Andrew Whittaker Anthony Fitzgerald Damien Allen John Gray Miles Cleary Ray Bentley Shaun Fletcher Shaun Parker Sid Trajkovski Tom Esparon Tony Ahmed Wayne Fordyce Alan Lang Justin Ryan Harvey Nash Paul Jones Neil Daines Brayden Cook Rodney Hoare Shane Atwell Scott Warwick-Day Alistair Raw Nico Harmen Michael Braszell Mark Craven

  • Marcus Bourke
  • Damian Carter
  • Josh Williams
  • Scott Hammond
  • Jason Clarke
  • Ross Henzell
  • John Peachy
  • Andrew Whittaker
  • Anthony Fitzgerald
  • Damien Allen
  • John Gray
  • Miles Cleary
  • Ray Bentley
  • Shaun Fletcher
  • Shaun Parker
  • Sid Trajkovski
  • Tom Esparon
  • Tony Ahmed
  • Wayne Fordyce
  • Alan Lang
  • Justin Ryan
  • Harvey Nash
  • Paul Jones
  • Neil Daines
  • Brayden Cook
  • Rodney Hoare
  • Shane Atwell
  • Scott Warwick-Day
  • Alistair Raw
  • Nico Harmen
  • Michael Braszell
  • Mark Craven

• Type Technician Name

• Conducted on

  Date

GENERAL

• Technicians General Appearance and Tidiness 1-10

• Vehicle External Appearance Generally clean and Tidy 1-10

• Vehicle Interior Appearance Generally Clean and Tidy 1-10

• Is there adequate First Aid Supplies for the Technician carried in the vehicle?

  Yes

  No

  N/A

• Is the First Aid Kit in Date?

  Yes

  No

  N/A

• Are all SDS's Available Up to Date and accessible?

  Yes

  No

  N/A

• Is the Technicians Logbook In Use and up to date?

  Yes

  No

  N/A

PPE Personal Protective Equipment

• Does the Technician have all the Required PPE to Perform his Daily required Duties?

  Yes

  No

  N/A

• PPE Checklist

  Select CO2 Monitor Safety Glasses Hearing Protection Safety Boots Gloves Barrier Rails Safety Cones Respiratory Mask Face Shield Hi Vis Vest Hard Hat Lock Out Kit PELCB

  • CO2 Monitor
  • Safety Glasses
  • Hearing Protection
  • Safety Boots
  • Gloves
  • Barrier Rails
  • Safety Cones
  • Respiratory Mask
  • Face Shield
  • Hi Vis Vest
  • Hard Hat
  • Lock Out Kit
  • PELCB

• Does the Technician carry a Co2 Monitor?

  Yes

  No

  N/A

• Has the Co2 Monitor been checked, Calibrated and is within date?

  Yes

  No

  N/A

• Co2 Monitor Calibration Date

  Date

HOUSEKEEPING

• Has the Technician ensured he has checked and identified any potential hazards and risks to himself or anybody else on the job

  Yes

  No

  N/A

• Does the Technician erect Safety Barriers when appropriate to do so?

  Yes

  No

  N/A

• Is trash, scrap and debris picked up from the work area and safely disposed of straight away?

  Yes

  No

  N/A

CHEMICAL and FIRE

• Are Fire Extinguishers in place and in date?

  Yes

  No

  N/A

• Fire Extinguisher test Date

  Date

• Are any and all flammables and chemicals stored and handled in approved containers and stored safely within the van?

  Yes

  No

  N/A

MATERIAL and MANUAL HANDLING

• Doer the Technician use correct posture when lifting, pulling, pushing and sitting?

  Yes

  No

  N/A

• Does the Technician take breaks from Sustained Awkward Positions?

  Yes

  No

  N/A

• Does the Technician provide himself with a clear and unobstructed position to work?

  Yes

  No

  N/A

• Is the Technician's Trolley in Good Working Order?

  Yes

  No

  N/A

TOOLS

• Are all Power Tools and Extension Leads in good condition and have a current Test and Tag attached?

  Yes

  No

  N/A

• Are all Technician's Tool in good Working Order?

  Yes

  No

  N/A

ELECTRICAL

• Is all the Technicians Equipment correctly Tested and Tagged?

  Yes

  No

  N/A

• Are all Technician's Equipment test dates current?

  Yes

  No

  N/A

• Does the Technician have and use Lock Out Tags?

  Yes

  No

  N/A

• Does the Technician use an appropriate RCD and has it been tested and tagged?<br>

  Yes

  No

  N/A

• RCD Test and Tag Date

  Yes

  No

  N/A

• Have all Tool Tests and RCD tests been recorded in vehicle Log Book?

  Yes

  No

  N/A

LADDERS

• Does the Technician use the Ladder in the Correct way?

  Yes

  No

  N/A

• Does the Ladder have a unique number? (Technician Number)

  Yes

  No

  N/A

• Does the Ladder signage clearly state usage and load limits? (Eg, industrial - 120kg)

  Yes

  No

  N/A

• The Ladder has NOT been modified in any way?

  Safe

  At Risk

  N/A

• Treads are free from any damage or corrosion?

  Safe

  At Risk

  N/A

• All bolts and rivets are free from damage or rust?

  Safe

  At Risk

  N/A

• The ladder is the correct type for the job? (Eg, Fibreglass for Electrical)

  Safe

  At Risk

  N/A

TECHNICIAN INFORMATION CHECKLIST

• Licences and Inductions

  Select Drivers Licence Electrical Licence ARC Licence (If Req) Working at Heights Confined Space Safety Construction Card Coles Induction Card Kmart Induction Card Woolworths Induction Card

  • Drivers Licence
  • Electrical Licence
  • ARC Licence (If Req)
  • Working at Heights
  • Confined Space
  • Safety Construction Card
  • Coles Induction Card
  • Kmart Induction Card
  • Woolworths Induction Card

• Does the Technician have access to copies of JSA's and SWP's required for safe execution of the job?

  Yes

  No

  N/A

• Is all mandatory training current for the Technician?

  Yes

  No

  N/A

CUSTOMER EVALUATION of the TECHNICIAN

• Did the Technician Sign in where applicable?

  Yes

  No

  N/A

• Did the Technician explain exactly what he was going to do within your outlet?

  Yes

  No

  N/A

• How was the Technicians attitude towards you, was he polite and courteous?

  Yes

  No

  N/A

• Did the Technician carry out his work in a safe manner?

  Yes

  No

  N/A

• Did the Technician explain what was completed, and were you happy with the outcome?

  Yes

  No

  N/A

• Did the Technician leave the Equipment and Surrounding area clean, tidy and safe state?

  Yes

  No

  N/A

• Scores
  75-100% Meeting all competencies and expectation
  50- 74% Meeting most competencies,specific coaching required
  0 - 49% Performance below expectations.Significant coaching/SMART action plan required

• Auditor Signature

  Sign

• Select Phil Dawson Shaun Robinson Chris Rowell Richard Petty Angelo Lazzaro Anton Orsini

  • Phil Dawson
  • Shaun Robinson
  • Chris Rowell
  • Richard Petty
  • Angelo Lazzaro
  • Anton Orsini