Critical Controls Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

CTW, PPE and Initial Work Design

• Card in pouch and hazard board understood

  Yes

  No

  N/A

• Correct PPE worn for the situation and in good condition

  Yes

  No

  N/A

• Employee understands the task they have been given

• Work order document on person

• Correct functional location

Electrocution

• Design and integrity; Installation tested to AS3000

  Yes

  No

  N/A

• Exposure to live electrical conductors is controlled

  Yes

  No

  N/A

• Compliant tools and in good working order

  Yes

  No

  N/A

• Isolation and proving process followed (including test before touch)

  Yes

  No

  N/A

• LV PPE is being utilised where needed

  Yes

  No

  N/A

• Adherence to permit conditions (job is within scope of work order/SWI)

  Yes

  No

  N/A

• Adherence to controls when working in lighting prone environment

  Yes

  No

  N/A

Arc Blast

• Correct PPE being worn, and firm understanding of why

  Yes

  No

  N/A

• Remote racking used

  Yes

  No

  N/A

• Correct isolation and proving and earthing process followed

  Yes

  No

  N/A

• Maintenence mode used

  Yes

  No

  N/A

• Relevant qualifications to perform the task

  Yes

  No

  N/A

Electrical Statutory

• Work is tested and proven to be AS3000 and WAPL compliant

  Yes

  No

  N/A

Work at Heights, Dropped objects

• Agreed anchor points being used, 100% hookup, equipment fitted correctly, tagged and compliant to site standard.

  Yes

  No

  N/A

• EWP's; prestart has been completed properly (fuel, oil, dry run) Operator confident.

  Yes

  No

  N/A

• Dropped objects hazard is controlled; minimal risk of dropping objects below, or having objects dropped from other workgroups above.

  Yes

  No

  N/A

• Adequate barricade in place

  Yes

  No

  N/A

• Personnel trained and competent for WAH

  Yes

  No

  N/A

Confined Space

• Positive Isolation; Covers work scope, all energy sources included.

  Yes

  No

  N/A

• Safe atmosphere; Ventilation plan in place, current atmospheric test, no introduced hazards.

  Yes

  No

  N/A

• Stored energy managed, hangups, dropped object potential etc

  Yes

  No

  N/A

• Access points have hard barricading and signs, standby person to be used and conpetent

  Yes

  No

  N/A

• All personnel involved are confined space trained

  Yes

  No

  N/A

Isolation of Hazardous Energy

• Recipient has checked isolation points exist and are locked and check integrity

  Yes

  No

  N/A

• Equipment ID tag hung on correct equipment

  Yes

  No

  N/A

• Electricians are Isolation officer trained if doing isolations

  Yes

  No

  N/A

• WOLE: All conditions of WOLE are being met

  Yes

  No

  N/A

• Task Photo

  Media