CVL2 - LPI Inspections

• Document No. CVL2-OH-FRM-O14

• Conducted on

  Date

• Prepared by

• Location
  Address

LPI ELEMENT 1 - OFFICE AND AMMENITIES

• Date and Time

  Date

• Area Inspected

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Safety Notice Boards in offices and crib huts and Safety Policy posted in each crib, office or meeting room

  Yes

  No

  N/A

• 2. Appointed persons names/photos displayed (i.e. Safety Reps, First Aid attendants

  Yes

  No

  N/A

• 3. Fire extinguishers available and correctly identified. <br>Fire extinguishers in service

  Yes

  No

  N/A

• 4. Access to fire extinguishers unobstructed?

  Yes

  No

  N/A

• 5. Entry and Exit clearly marked

  Yes

  No

  N/A

• 6. Access and egress unobstructed?

  Yes

  No

  N/A

• 7. Materials stored correctly

  Yes

  No

  N/A

• 8. Emergency exit signs installed and working

  Yes

  No

  N/A

• 9. Bins provided and regularly emptied? (Include recycle bins)

  Yes

  No

  N/A

• 10. Kitchen are clean and tidy

  Yes

  No

  N/A

• 11. Electrical equipment in good working order with current inspection tag

  Yes

  No

  N/A

• 12. Toilets clean and tidy, hand wash, soap, paper towel

  Yes

  No

  N/A

• 13. Tops of cabinets or shelves beside access ways clear of items that may fall

  Yes

  No

  N/A

• 14. Waste segregation measures in place and containers labelled

  Yes

  No

  N/A

• 15. Appropriate bunding of hazardous materials stored

  Yes

  No

  N/A

• 16. Any designated smoking area at least 10m from any opening, door, window

  Yes

  No

  N/A

LPI ELEMENT 2 - FIRST AID AND FACILITIES

• Date and Time of Inspection

  Date

• Area Inspected

• Name and Signature of Inspector

  Sign

• Name and Signature of Inspector

  Sign

• Name and Signature of Inspector

  Sign

• Name and Signature of Inspector

  Sign

• 1. Current first aid equipment list in cabinet

  Yes

  No

  N/A

• 2. Contents within use by dates

  Yes

  No

  N/A

• 3. Emergency Procedures / phone numbers displayed

  Yes

  No

  N/A

• 4. Treatments register at facility

  Yes

  No

  N/A

• 5. Adequate certified first aid personnel available for all shifts

  Yes

  No

  N/A

• 6. Facility easily identified

  Yes

  No

  N/A

• 7. Certified first aid personnel display a green cross on hard hat?

  Yes

  No

  N/A

• 8. Equipment stored correctly

  Yes

  No

  N/A

• 9. Medical waste disposed of correctly

  Yes

  No

  N/A

• Facility clean and tidy

  Yes

  No

  N/A

• 11. Current Inspection tag on electrical equipment

  Yes

  No

  N/A

• 12. Are portable eye wash units available at each workfront.

  Yes

  No

  N/A

LPI ELEMENT 3 - WORKSHOP

• Inspection Date & Time

  Date

• Area Inspected

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Work areas tidy

  Yes

  No

  N/A

• 2. Regular disposal of waste

  Yes

  No

  N/A

• 3. Walkways unobstructed

  Yes

  No

  N/A

• 4. Adequate lighting for work being carried out

  Yes

  No

  N/A

• 5. Sharp objects covered / protected

  Yes

  No

  N/A

• 6. Fire extinguishers identified, checked, unobstructed

  Yes

  No

  N/A

• 7. RCDs on all electrical equipment

  Yes

  No

  N/A

• 8. Current inspection tag on all electrical equipment

  Yes

  No

  N/A

• 9. Tools and Equipment stored correctly

  Yes

  No

  N/A

• 10. Guarding fitted to equipment

  Yes

  No

  N/A

• 11. Sparks contained / welding screens used

  Yes

  No

  N/A

• 12. PPE correct for task

  Yes

  No

  N/A

• 13. Materials stored correctly

  Yes

  No

  N/A

• 14. Tools and equipment correct for task

  Yes

  No

  N/A

• 15. Additional PPE available

  Yes

  No

  N/A

• 16. Spill kits available

  Yes

  No

  N/A

• 17. Eye wash station (or equivalent) readily available and serviceable?

  Yes

  No

  N/A

LPI ELEMENT 4 - HOUSEKEEPING, ACCESS/EGRESS

• Date and Time

  Date

• Area Inspected

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Materials stacked safely and correctly

  Yes

  No

  N/A

• 2. Laydown areas clean and tidy

  Yes

  No

  N/A

• 3. Signage erected to identify hazardous storage / disposal areea

  Yes

  No

  N/A

• 4. Signs and barricading erected and maintained around hazard areas

  Yes

  No

  N/A

• 5. Solid barricading erected around potential fall areas

  Yes

  No

  N/A

• 6. Barricading complies with site requirements (i.e. Hard barricading where required).-

  Yes

  No

  N/A

• 7. Sharp objects capped (e.g. star pickets and reobar)

  Yes

  No

  N/A

• 8. High housekeeping standards maintained

  Yes

  No

  N/A

• 9. Bin locations prominent, adequate and emptied regularly

  Yes

  No

  N/A

• 10. Waste segregation measures in place and containers labelled

  Yes

  No

  N/A

• 11. Access and egress points clear of obstruction

  Yes

  No

  N/A

• 12. Access to elevated work areas complies with site requirements

  Yes

  No

  N/A

• 13. Handrails installed on ramps and stairs (and where required)

  Yes

  No

  N/A

• 14. Sharp edges are covered on walkways/access ways

  Yes

  No

  N/A

• 15. Ladders are secured. 1 to 4 metre lean, ladder projects 1 metre above the platform

  Yes

  No

  N/A

LPI 5 - FALL PREVENTION GMR 5 Working at Height - To prevent people and objects falling from height

• Date and Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. All fall prevention equipment recorded on register.

  Yes

  No

  N/A

• 2. Current quarterly inspection tag fitted to all fall prevention equipment

  Yes

  No

  N/A

• 3. Equipment is in sound condition with no visible damage

  Yes

  No

  N/A

• 4. Range of equipment available is adequate for the work scope/s and is set up correctly

  Yes

  No

  N/A

• 5. Equipment inspected prior to use by competent/experienced person

  Yes

  No

  N/A

• 6. TRA's specific for high fall potential activity (i.e. written for specific task) - Note: Refer GMR 5

  Yes

  No

  N/A

• 7. Grid mesh permits in use for grid mesh removal and reinstallation

  Yes

  No

  N/A

• 8. Personnel comply with safety requirements

  Yes

  No

  N/A

• 9. Personnel trained and competent in use of all equipment

  Yes

  No

  N/A

• 10. Fall arrest systems installed by competent person

  Yes

  No

  N/A

• 11. Anchor point/s comply with safety requirements

  Yes

  No

  N/A

• 12. Safety harness/es stored correctly when not used

  Yes

  No

  N/A

• 13. Safety harness fitted correctly to personnel

  Yes

  No

  N/A

• 14. Fall arrest / restraints for all works > 2m

  Yes

  No

  N/A

• 15. Step ladders maximum height 1.8m

  Yes

  No

  N/A

LPI ELEMENT 6 - LIFTING OPERATIONS GMR 3. Lifting Operations - To prevent harm to people from the risks associated with lifting operations

• Date & Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. All lifting equipment is recorded on a register

  Yes

  No

  N/A

• 2. SWL marked on all lifting equipment

  Yes

  No

  N/A

• 3. Current quarterly inspection tag or colour displayed<br>(GMR 3.4 Cranes and lifting appliances must be regularly inspected, certified, tested and maintained, and comply with current Australian Standards)

  Yes

  No

  N/A

• 4. Equipment stored correctly

  Yes

  No

  N/A

• 5. Daily pre-start inspections and/or function tests must be completed for cranes and lifting appliances. Where defects are identified, equipment must be immediately tagged out of service. (GMR3.8)

  Yes

  No

  N/A

• 6. Slings adequately protected i.e. packing

  Yes

  No

  N/A

• 7. Tag lines used on all loads (16mm natural fibre rope)

  Yes

  No

  N/A

• 8. Lifting equipment used correctly

  Yes

  No

  N/A

• 9. TRA's and start cards reflect tasks, are current and have been reviewed by Safety

  Yes

  No

  N/A

• 10. Person(s) authorised and competent to use equipment (GMR3.7)<br>(GMR 3.2 All lifts must be planned and managed by a competent person in accordance with the JHG Lift Planning Matrix)

  Yes

  No

  N/A

• 11. PPE is correct for the task

  Yes

  No

  N/A

• 12. Materials to be lifted have been correctly stored

  Yes

  No

  N/A

• 13. Round soft slings not used as head slings or temporary support of pipes etc

  Yes

  No

  N/A

• 14. Round soft slings not used for lifting other than pipework

  Yes

  No

  N/A

• 15. Exclusion zones (where applicable) are adequate<br>(GMR 3.10: Physical barriers and/or other suitable controls must be used to exclude unauthorised persons from lifting operations. No loads must be lifted or suspended over people)

  Yes

  No

  N/A

LPI ELEMENT 7 - CRANES GMR 3 Lifting Operations - To prevent harm to people from the risks associated with lifting operations

• PLANT ID NUMBER:

• SITE LOCATION:

• Date and Time

  Date

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Exclusion zone erected around slew area

  Yes

  No

  N/A

• 2. Outriggers fully extended on timber support

  Yes

  No

  N/A

• 3. Adequate ground bearing support / level surface clear of excavations

  Yes

  No

  N/A

• 4. Daily checklist completed / Safety devices checked

  Yes

  No

  N/A

• 5. Crane Operators / Riggers communication methods clear

  Yes

  No

  N/A

• 6. Precautions for lifting overhead in place and known

  Yes

  No

  N/A

• 7. Daily inspection / maintenance log books completed by operator

  Yes

  No

  N/A

• 8. Operators manual in cab

  Yes

  No

  N/A

• 9. Lift log and/or evaluation completed by operator

  Yes

  No

  N/A

• 10. Chains removed / secured when travelling

  Yes

  No

  N/A

• 11. Rigger / dogman carrying out spotters duties as required e.g. interface with moving load and personnel

  Yes

  No

  N/A

• 12. Man cage permit in place and complied with

  Yes

  No

  N/A

• 13. Spill kit in or near crane

  Yes

  No

  N/A

• 14. Dust mitigation in area

  Yes

  No

  N/A

LPI ELEMENT 8 - SCAFFOLDING

• Date and Time

  Date

• Area Inspected

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Scaftag fitted at all access points and clearly visible

  Yes

  No

  N/A

• 2. Access built to requirements

  Yes

  No

  N/A

• 3. Scaffold within the 30 day inspection period

  Yes

  No

  N/A

• 4. Competent and authorised person erecting/modifying/dismantling scaffold

  Yes

  No

  N/A

• 5. Where erecting, modifying

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

LPI ELEMENT 9 - ELECTRICAL EQUIPMENT GMR 4. Electrical Safety - to ensure that people are protected from the risk of electric shock

• Date & Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Leads elevated above ground level on non-conductive support or material

  Yes

  No

  N/A

• 2. Lead stands covered in non-conductive material<br>

  Yes

  No

  N/A

• 3. Leads are NOT obstructing access and egress ways

  Yes

  No

  N/A

• 4. Are lead plugs in sound condition

  Yes

  No

  N/A

• 5. Leads not secured or tied off directly to scaffolding or handrails

  Yes

  No

  N/A

• 6. Are all connection and plugs clean and fitting correctly

  Yes

  No

  N/A

• 7. Are handles and guards fitted in good condition (e.g. grinders and drills)

  Yes

  No

  N/A

• 8. Are the correct disks for the job being used (i.e. grinding disk for grinding and cutting disk for cuttiing)

  Yes

  No

  N/A

• 9. Current quarterly inspection tags fitted to all electrical equipnment

  Yes

  No

  N/A

• 10. 240v leads do not exceed 30m

  Yes

  No

  N/A

• 11. Double adaptors/ Piggy back leads not used

  Yes

  No

  N/A

• 12. Are electrical hand tools, machines and leads stored correctly when not in use

  Yes

  No

  N/A

• 13. Temporary power boxes located clear of hazards and obstructions

  Yes

  No

  N/A

• 14. Are switchboards correctly labelled

  Yes

  No

  N/A

• 15. Are RCD`s tested and operational

  Yes

  No

  N/A

LPI ELEMENT 10 - MOBILE PLANT GMR 1 Traffic, Plant and People - To prevent injury caused by the use of mobile plant and vehicles

• Date and Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Daily Prestart Inspection (on checklist form) completed by operator

  Yes

  No

  N/A

• 2. Faults identified and signed off

  Yes

  No

  N/A

• 3. Operator competencies verified , Register current (reviewed quarterly)

  Yes

  No

  N/A

• 4. Safety devices fitted and operational - seatbelts, fire extinguisher, reverse alarms, machine guards, brakes

  Yes

  No

  N/A

• 5. SWL (Safe Working Load) charts in place and legible

  Yes

  No

  N/A

• 6. Vehicles and trucks maintained to manufacturers specifications

  Yes

  No

  N/A

• 7. Operators manual on site and available to operator

  Yes

  No

  N/A

• 8. Mobile plant being used correctly e.g. use of spotters, not overloaded

  Yes

  No

  N/A

• 9. Flashing light (beacon) operational

  Yes

  No

  N/A

• 10. Motion alarms fitted and operational

  Yes

  No

  N/A

• 11. Mobile plant not blocking access ways

  Yes

  No

  N/A

• 12. Spill kit available

  Yes

  No

  N/A

• 13. Dust mitigation in area

  Yes

  No

  N/A

• 14. Is effective verbal (UHF) communication being used, not just visual cues

  Yes

  No

  N/A

• 15. Is there adequate lighting to conduct the task safely?

  Yes

  No

  N/A

• 16. Is vehicle authorised to be on the site. Identification decals legible

  Yes

  No

  N/A

LPI ELEMENT 11 - EMPLOYEE CONDUCT

• Date & Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• ** HAS START CARD BEEN COMPLETED? HAS IT BEEN COMPLETED CORRECTLY

  Yes

  No

  N/A

• 1. Employee authorised and qualified to operate the equipment?

  Yes

  No

  N/A

• 2. Workplace/site speed limits complied with?

  Yes

  No

  N/A

• 3. No throwing / dropping tools, equip, material waste

  Yes

  No

  N/A

• 4. Working in compliance with site safety requirements

  Yes

  No

  N/A

• 5. Tools being used are right for the job

  Yes

  No

  N/A

• 6. Tools are being used correctly

  Yes

  No

  N/A

• 7. Individual job planning evident

  Yes

  No

  N/A

• 8. Adequate PLUS minimum mandatory PPE for the task is utilised

  Yes

  No

  N/A

• 9. Positive Supervisor response to rectifications

  Yes

  No

  N/A

• 10. Employee exposed to overexertion

  Yes

  No

  N/A

• 11. Eliminate exposure to falling objects

  Yes

  No

  N/A

• 12. Eliminate exposure to falling (also see LPI 5 )

  Yes

  No

  N/A

• 13. Eliminate exposure to being caught between items/objects

  Yes

  No

  N/A

• 14. Eliminate exposure to being struck by object

  Yes

  No

  N/A

LPI ELEMENT 12 - TRA`S AND START CARDS

• Date & Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Start card completed suitably for the task by each team member

  Yes

  No

  N/A

• 2. Start Card correctly lists date, task specified and hazards

  Yes

  No

  N/A

• 3. Is there a TRA available for the task being carried out

  Yes

  No

  N/A

• 4. Is the TRA authorised by the relevant supervisor and HS ?

  Yes

  No

  N/A

• 5. Is the TRA immediately accessible

  Yes

  No

  N/A

• 6. Is the TRA registered with HS? Is there an Initial Review (JHTC-OH-FRM-122)

  Yes

  No

  N/A

• 7. Does the TRA reflect the current job steps?

  Yes

  No

  N/A

• 8. Are the hazards correctly identified with the correct controls?

  Yes

  No

  N/A

• 9. Was the work group involved in the development of the TRA

  Yes

  No

  N/A

• 10. TRA Review - Has the TRA been reviewed and signed by all off the crew? Have any revisions been registered with HS?

  Yes

  No

  N/A

• 11. Are TRA`s being re-signed by work crew at each review

  Yes

  No

  N/A

• 12. Are controls adequate and in place

  Yes

  No

  N/A

• 13. Is the TRA Current

  Yes

  No

  N/A

• 14. Does the TRA link to other documentation? Is that attached

  Yes

  No

  N/A

• 15. Is there a weatherproof workpack or information box that contains permits, TRA`s etc

  Yes

  No

  N/A

LPI ELEMENT 20 - ELECTRICAL ISOLATIONS GMR 4. Electrical Safety - To ensure that people are protected from the risk of electrical shock. GMR 8. Isolation - To prevent harm caused by exposure to energy sources.

• Date & Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. A test for zero energy has been conducted by Competent and Verified person/s prior to commencing works (GMR8.3)

  Yes

  No

  N/A

• 2. Retests for zero energy conducted following and break or change in conditions (GMR8.6)

  Yes

  No

  N/A

• 3. Working on live conductors assessed bas the only practicable solution and approved by the Client (JKC)

  Yes

  No

  N/A

• 4. Minimum of 2 persons when working on live exposed conductors

  Yes

  No

  N/A

• 5. All isolation points must be clearly identified, proven, tagged and controlled to prevent inadvertent energising. (GMR8.4)

  Yes

  No

  N/A

• 6. Isolations are identified on System Schematic

  Yes

  No

  N/A

• 7. Isolations locked and tagged (GMR8.4)

  Yes

  No

  N/A

• 8. Persons undertaking Electrical work have been assessed and are competent and authorised to carry out the work

  Yes

  No

  N/A

• 9. An isolation list is in place at the work site

  Yes

  No

  N/A

• 10. Isolation authorities have been authorised by the client (JKC)

  Yes

  No

  N/A

• 11. De-isolations are conducted by competent and authorised person/s

  Yes

  No

  N/A

• 12. Personnel are aware that where changes to work practices have been identified, work is to cease, the Supervisor is to be notified and changes are to be recorded in TRA`s and work crews informed

  Yes

  No

  N/A

LPI ELEMENT 26 - BARRICADING

• Date & Time

  Date

• Area

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• Name and Signature

  Sign

• 1. Soft/Hard/Rigid barricading maintained to a high standard. i.e. taught and level position, hard barricade ledgers placed end to end. - Specify type of barricading in comments section

  Yes

  No

  N/A

• 2. Orange Flagging - General site delineation such as lay down area within an established work area

  Yes

  No

  N/A

• 3. Earthen Bunding - no greater than 1 metre from the edge of the hazard/excavation

  Yes

  No

  N/A

• 4. Barricading for Working at Height - Prevention of dropped objects

  Yes

  No

  N/A

• 5. Barricade requirements for specific work activities: <br>Crane safety, Vehicle / pedestrian protection, scaffolding, steel erection and rigging, EWP`s, excavations, openings in flooring / gridmesh, pneumatic testing

  Yes

  No

  N/A

• 6. Signage - appropriate signage communicating Hazard and Activity

  Yes

  No

  N/A

• 7. Information Tags - provided on all facets of the barricading, and fully completed

  Yes

  No

  N/A

• 8. Designated Access Points - Sign "Designated Access Point - Authorised Entry Only"

  Yes

  No

  N/A

Actions required. Note any corrective action request (CAR) to be raised in OMS / JHET

• Audit item number.

• Yes

  No

  N/A