Information
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Document No:
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Job No & Stage:
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Estate Name:
- Somerfield Estate, Keysborough
- Heritage Hill Estate, Berwick
- Orchard Views Estate, Clyde North
- Cardinia Village Estate, Officer
- Arden Estate, Pakenham
- Blue Horizons Estate, Pakenham
- Wallara Waters Estate, Wallan
- Katandra Rise Estate, Doreen
- Arnolds Creek Estate, Melton
- Biodiversity Business Park - Cooper Street, Epping
- Westmeadows Lane-Meadow Springs Estate, Truganina
- Callaway Park Estate, Sunshine West
- The Heartlands Estate, Tarneit
- The Reserve Estate, Truganina
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Head Contractor:
- Australand
- Bayport Group
- Brencorp Keysborough
- LOJAC Civil
- Rokon
- Winslow
- Symon Bros
- Cornfoot Bros
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Other: (Specify):
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Water Authority:
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Water Contractor:
- ACPW - Australian Civil and pipeworks
- Adept Drainage
- Allequip Constructions
- Armstrong Constructions
- Azzona
- Califam Constructions
- Clark Constructions
- Comdain Civil Constructions
- DiMartino & Lagana
- Drapers Civil
- DR & JP Stevens
- Foot & Brown
- Harris Civil
- Kaycee Excavations
- MEx Infrastructure
- Quinn Civil
- Sands Plumbing
- Scariff Pipelines
- Tunney & Houlihan
- Thiess Services
- Weinberg & Civil
- Other
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Other: (Specify):
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Sewer Contractor:
- Azzona Drainage Contractors
- MEx Infrastructure
- Tunney & Houlihan
- Comdain
- Delplant
- Califam Constructions
- Crowley Excavations
- Fulton Hogan
- Clark Constructions
- Austane Constructions Pty Ltd
- Pescatore Constructions
- DiMartino & Lagana Pty Ltd
- Allequip
- MFJ Constructions (Vic) Pty Ltd
- Other
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Other: (Specify):
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Conducted on:
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Weather Conditions:
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Prepared By:
- Frank Mendolia
- Haydon Day
- Gordon Templeton
- Richard Brewster
- Benny Di Falco
- John McKernan
- Greg Sheath
- Sam Ravida
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Form: Construction Audit
Project Site Report - Construction
Assess the Contractor
Safety Checklist: To be provided by Contractor prior to release of Progress Payment.
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Copy of Contractors Safety Checklists provided or acknowledge that works adheres to OHS Act 2004:
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Comments:
Occupational Health and Safety
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What PPE is the Contractor using?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Other: (Specify):
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Is there Live Entry Works?
- Confined Space Entry Permits
- Pit Covers/Falls Prevention Grate
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What is the permit number?
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Is there trenching and what is the Contractor doing to make safe?
- Trenching Open
- Benching of Trench
- Shields/Timbers
- Fencing/Para-Web Around Trenching
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Is Traffic Management required and/or in place? What is the Contractor doing to make safe?
- Signs/Control
- Mud on Road
- Dusty
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Other Comments:
Are there Environmental risks on site that are under the Contractor's control?
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Is there a risk of Pollution and what is the Contractor doing to mitigate or minimise?
- Dust Control
- Sediment Control
- Noise Abatement Measures
- Waste Management
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Is there a risk of Significant Flora/Fauna/Cultural and what is the Contractor doing to mitigate or minimise?
- Protection/Fencing
- Fuel/Chemical Storage
- Current Plans/Other Relevant Documents Onsite
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Other: (Specify):
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Comments:
ASSESS THE RISKS TO YOU
Possible Hazards/Risks & Work Instructions
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Risk Matrix
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Ultra Violet Rays - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Construction Vehicles, Equipment, Machinery - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Working in or near excavations - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Remote Work - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Working near Railway - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Objects falling from above - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Needles/Syringes - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Working with lasers - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Heights and falls - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Manual Handling - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Noise - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Snakes, Spiders, Insects - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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High/Long Grass - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Overhead Power Lines - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Lifting Pit Lids Falls Protection Grate (FPG) - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Confined Spaces - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Record Work Permit No:
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Wet/Slippery Conditions - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Dogs/Dangerous Animals - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Fencinig - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Watercourses/Open Drains - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Over Hanging Trees - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Contaminated Soil - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Hazardous Chemicals - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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Hazard Atmosphere - Is this a risk to you?
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What are you doing to protect yourself from this risk?
- Safety Vest
- Helmets
- Eye Protection
- Hearing Protection
- Boots
- Gloves
- Hat
- Sunscreen
- Other
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I/We confirm that prior to commencement of work on site I/We have conducted a hazard/risk assessment and will follow all procedures and will tale all appropriate action to ensure SAFE WORK PRACTICES.
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Select date
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Signature/s:
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DO NOT PLACE YOURSELF OR OTHERS IN A DANGEROUS SITUATION
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Type of Audit?
- Road & Drainage
- Sewer
- Water & Recycled Water
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Are current plans onsite?
Road & Drainage
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Tree Clearing
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Comments
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Stripping
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Comments
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Bulk Earthworks
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Comments
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Boxing
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Comments
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Drainage
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Comments
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Pits
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Comments
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Subgrade Improvement
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Comments
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Subsoil Drains
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Comments
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Sub Base FCR
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Comments
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Upper Sub Base FCR
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Comments
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Base FCR
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Comments
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Asphalt
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Comments
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Conduits (Road Crossings)
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Comments
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House Drains
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Comments
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Electrical Works
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Comments
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Telstra Works
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Comments
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Kerb & Channel
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Comments
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Footpath
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Comments
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Crossings
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Comments
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Sewer
1. Protection of People, Property & Environment
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1.01. Trenching Operations (Benching & Shields) - Cl13.5
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1.02. Site Plant & Equipment
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1.03. Helmets if appropriate
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1.04. steel capped Boots
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1.05. Safety Vests
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1.06. Parawebbing of Non Working Open Trenches
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1.07. Egress From Site - Traffic Control?
2. Materials Inspection
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2.01. Storage and Handling of Materials
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2.02. Materials and Products Meet Authorised Purchase Specification
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2.03. Delivery Inspection of Products and Materials
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2.04. Are current plans /specifications onsite
3. Excavations
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3.01. Visual Inspection of Survey Set Out
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3.02. Shoring, Benching, Battering
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3.03. Excavation Tolerances
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3.04. De-watering, Bulkheads & Trench Drainage
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3.05. Blasting Compliance
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3.06. Foundation Improvement Required
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3.07. Stockpiling of Excavated Material
4. Installation of Pipelines
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4.01. Accredited Main Layer on site
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4.02. Trench Floor Preparation & Bedding Placement
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4.03. Pipe Jointing - Cleaning, Inspection, and Preparation
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4.04. Pipe Laying to Required Line and level
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4.05. Property Connection Sewers & Marker Tape to standard
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4.06. Trenchfill: Approved Material Only & Layered
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4.07. Compaction to Standard
5. Structures
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5.01. Pre Cast Conforming - Dimensions, Cover, Frame, Collar/Taper
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5.02. In Situ Conforming - Dimensions, Cover & Frame
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5.03. Shaft Assembled with Steps and & Spacing Correct
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5.04. Sealant, Make Up Rings 7 Lids to Standard
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5.05. Concrete Type to Specification
6.0 Connection to Existing Manholes
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6.01. All Relevant QA Documentation Previously Provided
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6.02. Approved Personnel Conducting Works
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6.03. OH&S Requirements are being met - copy of Live Entry Permit on site - Entry No. and Expiry Date & Time
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6.04. Connection to Live Sewer - Existing Junction / Cut in Junction
7. Practical Completion Inspection
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7.01. Site Cleared and Restored
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Water
1. Protection of People, Property and Environment
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1.01. Trenching Operations (Benching & Shields)
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1.02. Helmets
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1.03. Steel Capped Boots
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1.04 Safety Vests
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1.05. Parawebbing of Non Working Open Trenches
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1.06. Egress From Site - Traffic Control?
2. Product and Materials
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2.01. Transportation, Handling and Storage of Products and Materials
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2.02. Materials and Products Meet Authorised Purchase Specification and Plan Requirements
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2.03. Delivery Inspection of Products and Materials
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2.04. Current Plan on Site / Specification on Site
3. Excavations
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3.01. Visual Inspection of Survey Set Out
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3.02. Shoring, Benching
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3.03. Excavation Tolerances / Excessive Excavation Treatment
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3.03(ii). Trenchless Excavation
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3.04. De-Watering Drainage
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3.05. Blasting Compliance
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3.06. Foundation Improvement
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3.07. Stockpiling of Excavated Material
4. Installation of Pipelines
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4.01. Accredited Main Layer on Site
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4.02. Trench Floor Preparation & Bedding Placement
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4.03. Pipe Jointing - Cleaning, Inspection, and Preparation
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4.04. Pipe Laying to Required Line and Level
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4.05. Thrust Restraints and Anchor Blocks
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4.06. Valves, hydrants & Surface Fittings Installed
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4.07. Marking Tapes
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4.08. Water Tapping Bands Aligned Correctly
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4.09. Trench fill Approved Material Only & Layered
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4.09(ii). Trenchless Excavations fill
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4.10. Compaction to Standard
5. Acceptance Testing
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5.01. Chlorination/Swabbing – As Marked Up on Attached Plan
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5.02. Pressure Testing – As marked Up on Attached Plan
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5.03. Visual Inspection
6. Connection to Existing Watermain
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6.01. All Relevant QA Documentation Previously Provided
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6.02. Accredited Personnel Conducting Works
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6.03. Under Pressure Connections
7. Practical Completion Inspection
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7.01. Site Cleared and Restored
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