Title Page

  • COWAL UNDERGROUND EXPANSION PROJECT - 60668781

  • Conducted on

  • Prepared by

  • Site location

  • Name of work area?

  • TASK UNDERTAKEN:

  • SWMS / JHA USED:

  • Have all persons working signed onto SWMS / JHA?

  • CONTRACTOR OBSERVED

  • Name of Contractor?

  • SHIFT

  • WAS PLANT & EQUIPMENT INSPECTED? (Take photo of the prestart)

  • Scope: To eliminate or apply above the line controls to minimise risks of fatalities, injuries and incidents resulting from working with, in and around mobile plant and equipment

5.1 Mobile plant is selected, equipped, operated, inspected and maintained in a way that enables safe operation

  • The plant is approved for use onsite and has a site induction sticker. (Take photo of induction sticker)

  • Mobile plant is fitted with operational safety devices such as reversing alarms, rotating flashing lights, seat belts and fire extinguishers.

  • Prestart completed by the operators prior to the start of shift

  • The stability of the ground has been assessed and is suitable for loads imposed by the plant including impact on buried services. This includes tramming and travel routes where relevant risk may exist.

  • An assessment has taken place to ensure plant has not been set up over underground services (where applicable).

  • Mobile plant is not observed working within the operating radius of another without formal risk assessment.

  • Mobile plant is observed switched off and GET are lowered prior to approach by pedestrians or machine left unoccupied.

  • Take 5 risk assessment completed.

  • Mobile Plant has a documented procedure in place for the rescue and retrieval of plant operators in an emergency (where applicable).

5.2 Operators are trained, competent and authorised

  • Only authorised operators who are fit for duty, and meet jurisdictional requirements operate mobile plant.

  • VOCs are in place, current and specific to the item of plant.

  • High Risk Licences are held by applicable personnel at the task location or captured in a SWMS, Permit or Training Register.

  • Personnel required to load / unload equipment are licensed as a minimum in the equipment involved.

5.3 A Traffic Management Plan or equivalent is in place

  • Work is conducted in accordance with the applicable traffic management plan or has been addressed in a suitable risk assessment.

  • Loading / unloading zones, park up and refuelling areas are clearly delineated with hard barricading to prevent unauthorised access.

5.4 Plant and people are separated, defined exclusion zones are maintained, and entry to work areas is controlled

  • Planning has sought to eliminate people and plant interaction or task is working in accordance with an applicable barricading standard.

  • Physical (solid barrier) separation from mobile plant operations are used to protect personnel wherever practicable (including spotters).

  • Exclusion zones are clearly defined, communicated and setup for individual work fronts / tasks.

  • Clear signage and designated entry points are in place with instruction on safe entry for work areas, workshops, restricted areas, authorised areas etc.

  • Safe access for pedestrian movement is in place with adequate housekeeping standards.

  • Seatbelts are being worn by personnel in moving mobile plant.

NOTIFICATIONS

  • Does anyone need to be notified of the actions identified in this report?

  • Select name/s of who needs to be notified.

INSPECTION TEAM

  • NAME & SIGN

  • NAME & SIGN

  • NAME & SIGN

  • NAME & SIGN

  • NAME & SIGN

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.