Title Page
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Site conducted
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Contract Title and #
- Augmentation of Pressure Mains LG314/690/15/023
- Pimpama to Coombabah STP Recycled Water Main Augmentation LG314/1211/18/071
- Sewer Relining LG/314/1211/18/100
- DWFS LG314/621/18/023
- DMA LG/314/1211/17/015
- Other
- CO13 Sewer Vacuum pump station upgrade LG314/1211/20/005
- Merrimac/ Elanora STP process tank refurbishment LG314/1211/19/101
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Contractor
- NTS
- DIONA
- CC
- TSA
- DEMACS
- Pipelining
- other
- Liquitek
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Location
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Date & Time of Visit
Overview
Visible Workers on Site
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Foreman
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Construction Workers
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Concreters
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Plant Operators
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Surveyors
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Traffic Controllers
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Vac truck operators
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Other
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Describe other
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Describe other
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Describe other
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Describe other
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Describe other
Visible Plant on Site
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Bobcats
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Concrete Trucks
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Excavator(s)
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Excavator(s)Tonnage
- 2
- 3
- 4
- 5
- 8
- 12
- 14
- 20
- >20
- Other
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Line Markers
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Tip-Trucks
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Tool-Trucks
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Traffic Control vehicles
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Utes
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Vac Trucks
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Other
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Other Plant Description
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Other Plant Description
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Other Plant Description
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Other Plant Description
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Other Plant Description
Weather Conditions
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Temperature
- Very hot
- Hot
- Mild
- Cold
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Fine, Rain or Light Showers
- Fine
- Rain
- Light Showers
- Windy
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Overcast
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Work Stopped Due to Weather
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Describe Conditions
Activity
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Concreting
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Earthworks
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Electrical
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Excavation
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Formwork
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Manhole works
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Pipelining
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Pipework
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Pot-Holing
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Restoration Works
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Road Works
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Signs, Lines, etc.
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Site Works
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Steel fixing
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Storm Water Works
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Testing
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Other
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Describe Activity
Process
Process
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Has the Contractor performed and documented a pre start
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Why not?
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Visual check of licences and induction
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Why not?
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Check that the Safe work method statement (SWMS)/work method statement (WMS) are on site, relate to the work and have been implemented
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Why not?
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Safe Work Australia
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https://www.safeworkaustralia.gov.au/
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Check Environmental Management Plan (e.g. dewatering acid sulphate soil)
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Why not?
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Have underground services been identified (e.g. Dial before you dig &/or potholing)
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Why not?
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Have all energy sources been isolated (LOTO)
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Why not?
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Are relevant spotters on-site
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Why not?
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Have the required Traffic Management Plans (TMP’s) been approved by the relevant authority (Council, DTMR etc.)
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Why not?
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MUTCD QLD Part 3: Works on Roads November 2018
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https://www.tmr.qld.gov.au/-/media/busind/techstdpubs/Traffic-management/Manual-of-Uniform-Traffic-Control-Devices/MUTCD-Pt-3-Works-on-Roads.pdf?la=en
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Supplement - MUTCD QLD Part 3: Works on Roads November 2018 (Example diagrams)
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https://www.tmr.qld.gov.au/-/media/busind/techstdpubs/Traffic-management/Manual-of-Uniform-Traffic-Control-Devices/MUTCD-Pt-3-Supplement.pdf?la=en
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Are control measures in place (barricading signs,) for both vehicle traffic & pedestrians, & in accordance with the approved TMP
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Why not?
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Fire ant soil management in place (where relevant)
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Why not?
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Check that all permits and risk assessments have been filled out and implemented
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Why not?
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PPE in good condition and being worn
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Why not?
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Housekeeping adequate (including rubbish), all personnel must be mindful when working in public areas as you are representing GCWW.
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Why not?
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Any safety or environmental concerns
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Describe concerns
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Notes
Sign off
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Verified by