Audit

SITE RISK MANAGEMENT
All staff on site are familiar with the following:
The hazards associated with each task
The risk exposure involved
The control measures being used as per SWMS / JRA
Personnel on worksite are aware of their roles and responsibilities
Worksite specific risk assessment conducted and recorded?
All persons are inducted upon entering the worksite, including auditor for this audit
When conditions or scope of activities change, was a revised job briefing performed and recorded

Overall Result

SAFE WORKING ENVIRONMENT
Traffic and Road Management
Roadway Warning Signage in Place
Pedestrian Management in Place
Access to Abutting Properties
Traffic Control in Place
Permits/Agreements from Road Management Authority Complied with

Overall Result

Site Management
Safety Management Plan available (SWMS/JRA) being complied with
Rescue kit in place for climbers
Competent Assistant on site
Suitably trained Safety Observer (Electrical) on Site for the work being carried out

Overall Result

Preventing Shock Paths and Uncontrolled Currents
Minimum Safe Approaches Maintained
Operators understand and Demonstrate Knowledge
Insulating Tools Used
Insulating Gloves Worn
Insulating Tools Clean

Overall Result

Test Dates
Insulated Sticks
Insulated Polesaws
Hydraulic Hose
Truck
PERSONAL PROTECTIVE EQUIPMENT

00 Insulating Gloves Worn

00 Gloves Test Date
Spare 00 Gloves Test Date
Fall Arrest Harness Worn
Fall Arrest Harness Test Date
High visibility clothing worn and in good condition?
Appropriate Footwear Worn and in Good Condition
Safety Glasses Worn
Noise Protection used
All Operators wearing appropriate High Visibilty Protective Clothing and using appropriate PPE
All jewellery etc is removed
Electrical Officer ID card on site

Comments

First Aid Kit Stocked and Available?

PPE Comments

Overall Result

EWP VEHICLE OPERATION
No visible defects
Workers and public clear of EWP
Drop Zone identified
EWP kept stationary and clear of energised conductors if a worker needs access to EWP
SWL not exceeded
Wheel chocks and dunnage in place
EWP not intruding into running lane
Battery backup operational
Deadman operational, not obstructed
Ground Person kept clear of EWP during tree trimming procedures

Overall Result

PERSONNEL

GROUND OBSERVER

Name

Communicates with Operator
Observes Operator when moving basket
Not performing other duties
Not using mobile phone
Observes Operator when working near apparatus
Knows hand signals
In close proximity to ground controls
Able to lower basket to ground for rescue
Only performing other duties when a ground observer is not required

Overall Result

OPERATOR

Name

Performs regular checks on functionality of safety / rescue equipment
Safety harness attached to anchor point
Communicates with Ground Observer
Knows hand signals
Aware of location of energised conductors / equipment in relation to basket / boom

Overall Result

DRIVER LICENSE DETAILS

Name

Number

Class
Expiry

DRIVER LICENSE DETAILS

Name

Number

Class
Expiry

DRIVER LICENSE DETAILS

Name

Number

Class
Expiry

ENERGEX ID CARD SIGHTED

Comments

ENVIRONMENT
Fire Ant precautions in place
Oil spills managed correctly
Cut vegetation in manageable lengths and managed correctly
Sediment control / barriers in place and used effectively
Site management controls in place

Overall Result

TREE PRUNING TECHNIQUES
Correct equipment selected for use
Clearance from OH mains maintained
Site debris safely stacked / disposed of
Pruning to AS4373 Standard
Required clearing profile achieved
Private property undamaged
TRAINING
Staff have the current training for jobs performed
Additional training and/or detests required

Extra Training Required

EWP / TRUCK CHECK
Fleet number

Vehicle Manual

Washing Water / Hand Cleaner

Stop/slow baton x1

Pedestrian Sign

Workmen Ahead signs x2

Safety Cones
Wheel Chocks

Spill Kit

ARS handsaw

Rescue Tool kit

20m Ropes x3

Chevron x1

Over Gloves x2

Safety Triangle

Fuel Can - Oil/ Fuel

Blower

200T Chainsaw

Grease Gun

Wrench

Allen Key

CHIPPER
Fleet Number

Tyre / wear / damage

Oil leaks detected
Oil level

Spare blades

All lights working

Ring feeder / bolts etc

Hydraulic Oil level

Safety Chain

Wheel Chocks
Safety cones, signs
Operators were observed carrying out the following tasks
Tasks observed

Other

All Procedures were being conformed to at the time of the Audit

POSITIVE OBSERVATIONS

Note Positive Observations

AT RISK OBSERVATIONS IF IDENTIFIED

Note at risk observations

Observations and or recommendations

Immediate corrective action

Long term corrective action

Provide a sketch of the area of concern if applicable to support findings
Provide a sketch of the area of concern if applicable to support findings
Provide photo of site if applicable
Provide photo of site if applicable

Discussed with staff on site

Discussed with Site Supervisor

Audit form sent to QEST Manager

Actions to be completed by
Follow up recommendations are actioned and working

Recommendations Actioned and Working

COMMENTS

Auditor Name and Signature
Select date
AUDIT ACTIONS
Auditor
Date
Date of Original Audit
Fleet Number

Crew Names

Actioned by

Position

Action Required

Date to be completed by
Actioner to sign once completed and return to Auditor
Date
Auditor to sign off
Date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.