Contract Worksite Audit - Local

• Auditor

• Add location
  Address

• Conducted on

  Date

• Personnel

• Fleet Number

  Select 001 002 003 004 005 006 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 620 621 622 623 624 625 626 627 628 629 630 411 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461

  • 001
  • 002
  • 003
  • 004
  • 005
  • 006
  • 010
  • 011
  • 012
  • 013
  • 014
  • 015
  • 016
  • 017
  • 018
  • 019
  • 020
  • 021
  • 022
  • 023
  • 024
  • 025
  • 026
  • 027
  • 028
  • 029
  • 030
  • 031
  • 032
  • 033
  • 034
  • 035
  • 211
  • 212
  • 213
  • 214
  • 215
  • 216
  • 217
  • 218
  • 219
  • 220
  • 221
  • 222
  • 223
  • 224
  • 225
  • 226
  • 227
  • 228
  • 229
  • 230
  • 231
  • 232
  • 233
  • 234
  • 235
  • 236
  • 237
  • 238
  • 239
  • 601
  • 602
  • 603
  • 604
  • 605
  • 606
  • 607
  • 608
  • 609
  • 610
  • 611
  • 612
  • 613
  • 614
  • 615
  • 616
  • 617
  • 618
  • 620
  • 621
  • 622
  • 623
  • 624
  • 625
  • 626
  • 627
  • 628
  • 629
  • 630
  • 411
  • 420
  • 421
  • 422
  • 423
  • 424
  • 425
  • 426
  • 427
  • 428
  • 429
  • 430
  • 431
  • 432
  • 433
  • 434
  • 435
  • 436
  • 437
  • 438
  • 439
  • 440
  • 441
  • 442
  • 443
  • 444
  • 445
  • 446
  • 447
  • 448
  • 449
  • 450
  • 451
  • 452
  • 453
  • 454
  • 455
  • 456
  • 457
  • 458
  • 459
  • 460
  • 461

SITE RISK MANAGEMENT

All staff on site are familiar with the following:

• The hazards associated with each task

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• The risk exposure involved

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• The control measures being used as per SWMS / JRA

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Personnel on worksite are aware of their roles and responsibilities

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Worksite specific risk assessment conducted and recorded?

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• All persons are inducted upon entering the worksite, including auditor for this audit

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• When conditions or scope of activities change, was a revised job briefing performed and recorded

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

SAFE WORKING ENVIRONMENT

Traffic and Road Management

• Roadway Warning Signage in Place

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Pedestrian Management in Place

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Access to Abutting Properties

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Traffic Control in Place

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Permits/Agreements from Road Management Authority Complied with

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

Site Management

• Safety Management Plan available (SWMS/JRA) being complied with

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Rescue kit in place for climbers

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Competent Assistant on site

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Suitably trained Safety Observer (Electrical) on Site for the work being carried out

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

Preventing Shock Paths and Uncontrolled Currents

• Minimum Safe Approaches Maintained

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Operators understand and Demonstrate Knowledge

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Insulating Tools Used

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Insulating Gloves Worn

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Insulating Tools Clean

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

Test Dates

• Insulated Sticks

  Date

• Insulated Polesaws

  Date

• Hydraulic Hose

  Date

• Truck

  Date

PERSONAL PROTECTIVE EQUIPMENT

• 00 Insulating Gloves Worn

  Yes

  No

  N/A

  Low

• 00 Gloves Test Date

  Date

• Spare 00 Gloves Test Date

  Date

• Fall Arrest Harness Worn

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Fall Arrest Harness Test Date

  Date

• High visibility clothing worn and in good condition?

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Appropriate Footwear Worn and in Good Condition

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Safety Glasses Worn

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Noise Protection used

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• All Operators wearing appropriate High Visibilty Protective Clothing and using appropriate PPE

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• All jewellery etc is removed

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Electrical Officer ID card on site

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Comments

• First Aid Kit Stocked and Available?

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• PPE Comments

• Overall Result

  Poor

  Good

  Excellent

EWP VEHICLE OPERATION

• No visible defects

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Workers and public clear of EWP

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Drop Zone identified

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• EWP kept stationary and clear of energised conductors if a worker needs access to EWP

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• SWL not exceeded

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Wheel chocks and dunnage in place

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• EWP not intruding into running lane

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Battery backup operational

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Deadman operational, not obstructed

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Ground Person kept clear of EWP during tree trimming procedures

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

PERSONNEL

• GROUND OBSERVER

• Name

• Communicates with Operator

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Observes Operator when moving basket

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Not performing other duties

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Not using mobile phone

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Observes Operator when working near apparatus

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Knows hand signals

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• In close proximity to ground controls

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Able to lower basket to ground for rescue

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Only performing other duties when a ground observer is not required

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

• OPERATOR

• Name

• Performs regular checks on functionality of safety / rescue equipment

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Safety harness attached to anchor point

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Communicates with Ground Observer

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Knows hand signals

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Aware of location of energised conductors / equipment in relation to basket / boom

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

• DRIVER LICENSE DETAILS

• Name

• Number

• Class

  Select C MR HR HC MC

  • C
  • MR
  • HR
  • HC
  • MC

• Expiry

  Date

• DRIVER LICENSE DETAILS

• Name

• Number

• Class

  Select C MR HR HC MC

  • C
  • MR
  • HR
  • HC
  • MC

• Expiry

  Date

• DRIVER LICENSE DETAILS

• Name

• Number

• Class

  Select C MR HR HC MC

  • C
  • MR
  • HR
  • HC
  • MC

• Expiry

  Date

• ENERGEX ID CARD SIGHTED

• Comments

ENVIRONMENT

• Fire Ant precautions in place

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Oil spills managed correctly

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Cut vegetation in manageable lengths and managed correctly

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Sediment control / barriers in place and used effectively

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Site management controls in place

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Overall Result

  Poor

  Good

  Excellent

TREE PRUNING TECHNIQUES

• Correct equipment selected for use

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Clearance from OH mains maintained

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Site debris safely stacked / disposed of

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Pruning to AS4373 Standard

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Required clearing profile achieved

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Private property undamaged

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

TRAINING

• Staff have the current training for jobs performed

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Additional training and/or detests required

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Extra Training Required

EWP / TRUCK CHECK

• Fleet number

  Select 001 002 003 004 005 006 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 620 621 622 623 624 625 626 627 628 629 630 411 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461

  • 001
  • 002
  • 003
  • 004
  • 005
  • 006
  • 010
  • 011
  • 012
  • 013
  • 014
  • 015
  • 016
  • 017
  • 018
  • 019
  • 020
  • 021
  • 022
  • 023
  • 024
  • 025
  • 026
  • 027
  • 028
  • 029
  • 030
  • 031
  • 032
  • 033
  • 034
  • 035
  • 211
  • 212
  • 213
  • 214
  • 215
  • 216
  • 217
  • 218
  • 219
  • 220
  • 221
  • 222
  • 223
  • 224
  • 225
  • 226
  • 227
  • 228
  • 229
  • 230
  • 231
  • 232
  • 233
  • 234
  • 235
  • 236
  • 237
  • 238
  • 239
  • 601
  • 602
  • 603
  • 604
  • 605
  • 606
  • 607
  • 608
  • 609
  • 610
  • 611
  • 612
  • 613
  • 614
  • 615
  • 616
  • 617
  • 618
  • 620
  • 621
  • 622
  • 623
  • 624
  • 625
  • 626
  • 627
  • 628
  • 629
  • 630
  • 411
  • 420
  • 421
  • 422
  • 423
  • 424
  • 425
  • 426
  • 427
  • 428
  • 429
  • 430
  • 431
  • 432
  • 433
  • 434
  • 435
  • 436
  • 437
  • 438
  • 439
  • 440
  • 441
  • 442
  • 443
  • 444
  • 445
  • 446
  • 447
  • 448
  • 449
  • 450
  • 451
  • 452
  • 453
  • 454
  • 455
  • 456
  • 457
  • 458
  • 459
  • 460
  • 461

• Vehicle Manual

• Washing Water / Hand Cleaner

• Stop/slow baton x1

• Pedestrian Sign

• Workmen Ahead signs x2

• Safety Cones

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18

• Wheel Chocks

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18

• 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

  Select 001 002 003 004 005 006 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 620 621 622 623 624 625 626 627 628 629 630 411 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461

  • 001
  • 002
  • 003
  • 004
  • 005
  • 006
  • 010
  • 011
  • 012
  • 013
  • 014
  • 015
  • 016
  • 017
  • 018
  • 019
  • 020
  • 021
  • 022
  • 023
  • 024
  • 025
  • 026
  • 027
  • 028
  • 029
  • 030
  • 031
  • 032
  • 033
  • 034
  • 035
  • 211
  • 212
  • 213
  • 214
  • 215
  • 216
  • 217
  • 218
  • 219
  • 220
  • 221
  • 222
  • 223
  • 224
  • 225
  • 226
  • 227
  • 228
  • 229
  • 230
  • 231
  • 232
  • 233
  • 234
  • 235
  • 236
  • 237
  • 238
  • 239
  • 601
  • 602
  • 603
  • 604
  • 605
  • 606
  • 607
  • 608
  • 609
  • 610
  • 611
  • 612
  • 613
  • 614
  • 615
  • 616
  • 617
  • 618
  • 620
  • 621
  • 622
  • 623
  • 624
  • 625
  • 626
  • 627
  • 628
  • 629
  • 630
  • 411
  • 420
  • 421
  • 422
  • 423
  • 424
  • 425
  • 426
  • 427
  • 428
  • 429
  • 430
  • 431
  • 432
  • 433
  • 434
  • 435
  • 436
  • 437
  • 438
  • 439
  • 440
  • 441
  • 442
  • 443
  • 444
  • 445
  • 446
  • 447
  • 448
  • 449
  • 450
  • 451
  • 452
  • 453
  • 454
  • 455
  • 456
  • 457
  • 458
  • 459
  • 460
  • 461

• Tyre / wear / damage

  Yes

  No

  N/A

  Low

• Oil leaks detected

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Oil level

  Select Yes No N/A Low

  • Yes
  • No
  • N/A
  • Low

• Spare blades

  Yes

  No

  N/A

  Low

• All lights working

  Yes

  No

  N/A

  Low

• Ring feeder / bolts etc

  Yes

  No

  N/A

  Low

• Hydraulic Oil level

  Yes

  No

  N/A

  Low

• Safety Chain

  Yes

  No

  N/A

  Low

• Wheel Chocks

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18

• Safety cones, signs

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18

Operators were observed carrying out the following tasks

• Tasks observed

  Select chipping observing climbing cutting planting spraying other

  • chipping
  • observing
  • climbing
  • cutting
  • planting
  • spraying
  • other

• 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

  Yes

  No

  N/A

  Low

• Observations and or recommendations

• Immediate corrective action

• Long term corrective action

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

  Drawing

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

  Drawing

• Provide photo of site if applicable

  Media

• Provide photo of site if applicable

  Media

• Discussed with staff on site

  Yes

  No

  N/A

  Low

• Discussed with Site Supervisor<br>

  Yes

  No

  N/A

  Low

• Audit form sent to QEST Manager

  Yes

  No

  N/A

  Low

• Actions to be completed by

  Date

• Follow up recommendations are actioned and working

  Date

• Recommendations Actioned and Working

  Yes

  No

  N/A

  Low

• COMMENTS

• Auditor Name and Signature

  Sign

• Select date

  Date

AUDIT ACTIONS

• Auditor

  Sign

• Date

  Date

• Date of Original Audit

  Date

• Fleet Number

  Select 001 002 003 004 005 006 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 620 621 622 623 624 625 626 627 628 629 630 411 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461

  • 001
  • 002
  • 003
  • 004
  • 005
  • 006
  • 010
  • 011
  • 012
  • 013
  • 014
  • 015
  • 016
  • 017
  • 018
  • 019
  • 020
  • 021
  • 022
  • 023
  • 024
  • 025
  • 026
  • 027
  • 028
  • 029
  • 030
  • 031
  • 032
  • 033
  • 034
  • 035
  • 211
  • 212
  • 213
  • 214
  • 215
  • 216
  • 217
  • 218
  • 219
  • 220
  • 221
  • 222
  • 223
  • 224
  • 225
  • 226
  • 227
  • 228
  • 229
  • 230
  • 231
  • 232
  • 233
  • 234
  • 235
  • 236
  • 237
  • 238
  • 239
  • 601
  • 602
  • 603
  • 604
  • 605
  • 606
  • 607
  • 608
  • 609
  • 610
  • 611
  • 612
  • 613
  • 614
  • 615
  • 616
  • 617
  • 618
  • 620
  • 621
  • 622
  • 623
  • 624
  • 625
  • 626
  • 627
  • 628
  • 629
  • 630
  • 411
  • 420
  • 421
  • 422
  • 423
  • 424
  • 425
  • 426
  • 427
  • 428
  • 429
  • 430
  • 431
  • 432
  • 433
  • 434
  • 435
  • 436
  • 437
  • 438
  • 439
  • 440
  • 441
  • 442
  • 443
  • 444
  • 445
  • 446
  • 447
  • 448
  • 449
  • 450
  • 451
  • 452
  • 453
  • 454
  • 455
  • 456
  • 457
  • 458
  • 459
  • 460
  • 461

• Crew Names

• Actioned by

• Position

  Select QEST Manager Fleet Manager Safety Officer Operations Manager Manager Project Manager

  • QEST Manager
  • Fleet Manager
  • Safety Officer
  • Operations Manager
  • Manager
  • Project Manager

• Action Required

• Date to be completed by

  Date

• Actioner to sign once completed and return to Auditor

  Sign

• Date

  Date

• Auditor to sign off

  Sign

• Date

  Date