Information

  • Site:

  • Audit Scope:

  • Auditor:

  • Date & Time:

  • Audit Number:

  • DPM Project Number:

  • Water Authority:

  • Water Authority Reference No:

  • Principal Contractor:

  • Water Contractor:

Administration

  • Does the construction crew have a copy of the latest version of the "construction issue" plan on site? <br> (Photo Required)

  • Are the Company's SWMS relevant to the task and with the crew on site? (Can be in Electronic Format) <br> (Photo Required)

  • Are the crew members the same as the last Audit?

  • Are the Key personnel nominated on the precommencement form on site? <br> (i.e. Pipe layer, Maintenance hole builder, Operator)

  • Can Operators produce their licence when asked? <br> (Can be in Electronic Format)

  • Is the licence valid and current? <br> (Photo Required)

  • Is the prestart check list kept with the machine? <br> (Can be in Electronic Format)

  • Has the prestart check list been completed? <br> (Photo Required)

  • Are the machines flashing light and reverse beepers operating correctly? <br> (If not has it been recorded in the prestart check list)

  • Are personnel wearing their PPE where required and according to their SWMS / JSA? <br> (Photo Required)

Safety - Excavations

  • Type of work being carried out

  • Are personnel using the equipment in a safe manner according to their SWMS / JSA?

  • Is the spoil heap far enough away from the edge of the trench to prevent sliding back into the excavation? <br> (Photo Required)

  • Are trenches barricaded and made safe to prevent access to the excavation site when left open?

Safety-Lifting

  • If slings are being used are they in a sound condition with no fraying, cuts, nicks and rated to carry loads? <br> (Photo Required)

  • If chains are being used, are they tagged and rated to lift the loads? <br> (Photo required)

Materials and Storage, Potable and Recycled Pipe and fittings

  • Are any Materials stored on site?

  • Are the Materials on site correct for the works being carried out as specified on the plans and specifications? <br> (Photo Required of Delivery Dockets for Bedding, Backfill, Concrete, Pipes and fittings)

  • Are pipes and other fittings being stored free from contamination in a position that prevents damage?

  • Are the stockpiles of Bedding material and Backfill material kept separate with no mixing or contamination? <br> (Photo Required)

Site Works - Pipelaying, Potable and Recycled

  • Is there any pipe works taking place?

  • Are trench widths in accordance with the Design requirements and suitable for the pipe size / type? <br> (Photo Required)

  • Is the bedding material the correct type and placed in accordance to the Design and Specifications? <br> (Photo Required)

  • Is the correct pipe and fittings type, size and Colour according to the Design and specifications being used? <br> (Photo Required)

  • Are pipes and fittings being installed in accordance with design specification, manufacturers recommendations and are approved products? <br> (Photo Required)

  • Are thrust Restraints installed as per the Design and Specifications? (Photo Required)

  • Are clearances to other services being maintained as per specification and design? <br> (Photo Required)

  • If DICL is being used have fittings been wrapped in approved labelled plastic according to the Design, Specifications and Manufactories recommendations? <br> (Photo Required)

Site Works - Backfilling, Potable and Recycled

  • Is Back Filling taking place?

  • Does the backfill material conform to the Design and Specifications? <br> (Photo Required)

  • If the backfill material is Clay, has the material been sifted to remove rocks? <br> (Photo Required)

  • Does the Clay backfill have the correct Clay / Rock ratio as per Design and Specifications? <br> (Photo Required)

Site Works - Property Connections, Main to Meter, Potable and Recycled

  • Have Property Connections Main to Meter been Constructed?

  • Have the Property Connections Main to Meter been constructed according to the Design, Specifications and MRWA Standards? <br> (Photo Required)

  • Has 100mm PVC pipe been used as a conduit for passing under all Footpaths, Roadways or where indicated on the Design and Specifications? <br> (Photo Required)

  • Has each property have a Potable and Recycled connection point as per Design, Specifications and MRWA Standards? <br> (Photo Required)

  • Has the connection been Terminated within the property boundaries as per Design, Specification and MRWA Standards? <br> (Photo Required)

General Comments

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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.