Title Page

  • Contract Number

  • Contract Company

  • Conducted on

  • Prepared by

  • Location
  • Personnel / Vehicles

  • Worksite Audit

  • Baseline Audit

Documentation

  • Is the HAC completed correctly?

  • Have you (as a visitor to the site) been advised of site hazards and controls?

  • Are there improvements that can be made?

  • List Improvements

  • Is equipment identified on the HAC?

  • Are temporary subcontractors used on the site?

  • Are they noted on the HAC and temporary subcontractors form filled out?

  • Are there environmental issues for the site?

  • Have they been identified on the HAC?

  • Are there Safe Work Method Statements/Process Control Plans on site?

  • Is there a copy of “RMS stand & operate permit” on site?

  • Is there a need for traffic management or control?

  • Is the traffic management or control plan on site?

  • Is there a need for pedestrian management?

  • Is the pedestrian management or control plan on site?

  • Are the measures identified in the plan(s) in place?

  • Are there any access permit situations on site (eg, electrical)?

  • Access Permit #:

  • Is there a copy of Vehicle registration / Vehicle log book?

  • Electrical Insulation test certificates for plant and equipment (6 monthly) available?

  • Do plant and equipment comply with test certificate details?

  • Is there a copy of NS209 Operating Cranes & Plant in Proximity to OH Powerlines on site?

  • Is there a copy of DG148 Close Approach Tree Trimming Tech & Training on site?

  • Are there any hazardous substances on site?

  • Are substances labelled, identifiable and in appropriate containers?

  • Is the SDS current (5 years old or less) and readily accessible on site?

  • Is the SDS being followed?

  • Are the chemical segregation requirements being met?

Training

  • Are passports on site?

  • Has General Construction Induction been completed and proven?

  • Has the Ausgrid Induction been completed?

  • Has an Ausgrid Authorisation been completed?

  • Are qualifications / training appropriate and current?

  • Do contractor have current Ausgrid photo identification or ID cards?

  • Is a temporary subcontractor on site (Hire in T/C, Crain, Machinery)?

  • Has a site induction for temporary workers been filled out?

  • Do the employees know the emergency evacuation procedures for this site?

  • Are there any persons trained in first aid on the site (minimum 1 onsite)?

  • Do the workers know where the nearest doctor/hospital is?

  • Is there safe manual handling practices observed?

Equipment

  • Is there any plant or equipment on site?

  • Is the maintenance and daily check complete?

  • Photo of Plant / Equipment

  • Strobes / Rotating Amber lights working on moving plant?

  • Are there any spills or leaks from the hydraulic system?

  • Is there a environmental spill kit and equipment onsite (Size 110% of the hydraulic oil)?

  • Is there a environmental spill kit and equipment onsite (Size 110% of the hydraulic oil)?

  • Are there any ladders being used on site?

  • Are they stable, tied top and bottom, at the correct angle (4:1)?

  • Is there a pole top rescue box deployed?

  • Is a non-conducting ladder used?

  • Is EWP on site?

  • Condition of EWP compliant to AS1418.10?

  • NS209 Table A and B plates in EWP basket and at base controls?

  • EWP & plant emergency stop fitted, identifiable and working?

  • EWP Dead man switch / base controls in working order?

  • Can observer operate?

  • Have clearances near exposed mains, overhead power lines etc. been observed?

  • Is there a suitable first aid kit on site?

  • Is there a burns kit available on site?

  • Are fire extinguisher(s) on site?

  • Has the fire extinguisher(s) been checked and tagged within the last six months?

  • Take a picture of the tag

  • Is the work area tidy and well kept?

  • Is there warning signs erected?

  • Is there a work in progress sign with contact details?

Personal Protective Equipment

  • Are contractors wearing appropriate PPE within the work location?

  • Protective clothing – neck to ankle to wrist, flame retardant.

  • Helmet 2 yrs – not painted, in current issue.

  • Helmet Expiry

  • Safety boots – in good condition.

  • High visibility vest – especially around traffic.

  • Hearing protection – where required, check SWMS.

  • Eye protection and/or face shield.

  • Fall arrest equipment.

  • Manual handling Gloves being used?

  • Electrical Working Gloves in date and working order (2yrs)?

  • Rescue electrical gloves in date and working order (5yrs)?

  • Is sunscreen available on site?

Work Practices

  • Personnel aware of relevant environmental, heritage or cultural issues?

  • Pruning techniques are in accordance with standard set in the contract?

  • Access permit procedures in place where appropriate?

  • HV CATT procedures in place where appropriate?

  • Application of herbicides are in accordance with relevant legislation?

  • Has chemical application record been filled out?

  • Appropriate management of cut materials?

  • Site cleaned up?

Observations

  • Site Safety Issues?

  • Site Safety Issues

  • Contractor Signature

  • Contractor Signature

  • Comments including any positive observations

  • Ausgrid Contract Officer

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