Title Page
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Contract Number
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Contract Company
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Conducted on
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Prepared by
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Location
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Personnel / Vehicles
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Worksite Audit
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Baseline Audit
Documentation
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Is the HAC completed correctly?
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Have you (as a visitor to the site) been advised of site hazards and controls?
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Are there improvements that can be made?
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List Improvements
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Is equipment identified on the HAC?
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Are temporary subcontractors used on the site?
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Are they noted on the HAC and temporary subcontractors form filled out?
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Are there environmental issues for the site?
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Have they been identified on the HAC?
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Are there Safe Work Method Statements/Process Control Plans on site?
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Is there a copy of “RMS stand & operate permit” on site?
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Is there a need for traffic management or control?
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Is the traffic management or control plan on site?
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Is there a need for pedestrian management?
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Is the pedestrian management or control plan on site?
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Are the measures identified in the plan(s) in place?
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Are there any access permit situations on site (eg, electrical)?
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Access Permit #:
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Is there a copy of Vehicle registration / Vehicle log book?
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Electrical Insulation test certificates for plant and equipment (6 monthly) available?
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Do plant and equipment comply with test certificate details?
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Is there a copy of NS209 Operating Cranes & Plant in Proximity to OH Powerlines on site?
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Is there a copy of DG148 Close Approach Tree Trimming Tech & Training on site?
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Are there any hazardous substances on site?
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Are substances labelled, identifiable and in appropriate containers?
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Is the SDS current (5 years old or less) and readily accessible on site?
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Is the SDS being followed?
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Are the chemical segregation requirements being met?
Training
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Are passports on site?
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Has General Construction Induction been completed and proven?
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Has the Ausgrid Induction been completed?
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Has an Ausgrid Authorisation been completed?
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Are qualifications / training appropriate and current?
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Do contractor have current Ausgrid photo identification or ID cards?
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Is a temporary subcontractor on site (Hire in T/C, Crain, Machinery)?
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Has a site induction for temporary workers been filled out?
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Do the employees know the emergency evacuation procedures for this site?
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Are there any persons trained in first aid on the site (minimum 1 onsite)?
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Do the workers know where the nearest doctor/hospital is?
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Is there safe manual handling practices observed?
Equipment
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Is there any plant or equipment on site?
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Is the maintenance and daily check complete?
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Photo of Plant / Equipment
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Strobes / Rotating Amber lights working on moving plant?
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Are there any spills or leaks from the hydraulic system?
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Is there a environmental spill kit and equipment onsite (Size 110% of the hydraulic oil)?
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Is there a environmental spill kit and equipment onsite (Size 110% of the hydraulic oil)?
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Are there any ladders being used on site?
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Are they stable, tied top and bottom, at the correct angle (4:1)?
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Is there a pole top rescue box deployed?
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Is a non-conducting ladder used?
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Is EWP on site?
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Condition of EWP compliant to AS1418.10?
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NS209 Table A and B plates in EWP basket and at base controls?
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EWP & plant emergency stop fitted, identifiable and working?
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EWP Dead man switch / base controls in working order?
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Can observer operate?
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Have clearances near exposed mains, overhead power lines etc. been observed?
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Is there a suitable first aid kit on site?
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Is there a burns kit available on site?
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Are fire extinguisher(s) on site?
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Has the fire extinguisher(s) been checked and tagged within the last six months?
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Take a picture of the tag
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Is the work area tidy and well kept?
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Is there warning signs erected?
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Is there a work in progress sign with contact details?
Personal Protective Equipment
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Are contractors wearing appropriate PPE within the work location?
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Protective clothing – neck to ankle to wrist, flame retardant.
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Helmet 2 yrs – not painted, in current issue.
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Helmet Expiry
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Safety boots – in good condition.
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High visibility vest – especially around traffic.
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Hearing protection – where required, check SWMS.
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Eye protection and/or face shield.
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Fall arrest equipment.
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Manual handling Gloves being used?
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Electrical Working Gloves in date and working order (2yrs)?
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Rescue electrical gloves in date and working order (5yrs)?
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Is sunscreen available on site?
Work Practices
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Personnel aware of relevant environmental, heritage or cultural issues?
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Pruning techniques are in accordance with standard set in the contract?
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Access permit procedures in place where appropriate?
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HV CATT procedures in place where appropriate?
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Application of herbicides are in accordance with relevant legislation?
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Has chemical application record been filled out?
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Appropriate management of cut materials?
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Site cleaned up?
Observations
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Site Safety Issues?
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Site Safety Issues
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Contractor Signature
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Contractor Signature
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Comments including any positive observations
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Ausgrid Contract Officer