Employee Safety Audit (ESA)

• USER GUIDE

  

• (Health & Safety instruction & training is provided to Stowe personnel and the following checks take this and other training into consideration to ensure safe systems of work are understood and implemented).

• Branch:

  Select

• Job Number:

• Project / Site Name::

• Employee Job Title:

  Select Apprentice 1st Year Apprentice 2nd Year Apprentice 3rd Year Apprentice 4th Year Trades Assistant Communications Technician Licensed Electrician Leading Hand Electrician Foreperson Service Technician - Licensed Electrician Service Technician - Communication Only Administrator Plant Operator Driver Other

  • Apprentice 1st Year
  • Apprentice 2nd Year
  • Apprentice 3rd Year
  • Apprentice 4th Year
  • Trades Assistant
  • Communications Technician
  • Licensed Electrician
  • Leading Hand Electrician
  • Foreperson
  • Service Technician - Licensed Electrician
  • Service Technician - Communication Only
  • Administrator
  • Plant Operator
  • Driver
  • Other

• Employee Name:

• Conducted by (Name):

• Conducted on

  Date

Section 1: Yes or No - Tick one box applicable for each question:

• 1. Have you read Stowe Australia's Health and Safety Management Plan for the project / service job you are currently working on?

  Yes

  No

• 2. Can you produce you’re Construction Industry General Safety Induction Card? (Blue, Red, White card etc.)

  Yes

  No

• 3. Do you undertake Hazard Identification, Risk Assessment & implement risk controls before each task?

  Yes

  No

• 4. Have you reviewed & signed on to SWMS for all High-Risk Construction Work (HRCW) before commencing it?

  Yes

  No

• 5. Life Threatening & Severe risks are eliminated as reasonably practicable before work commences?

  Yes

  No

• 6. Are you aware of the Stowe Australia Pty Ltd PROHIBITION of Work ON Energised Electrical Parts & Equipment?

  Yes

  No

• 7. Are you aware of the Stowe Australia's PROHIBITION of Work NEAR Energised Electrical Parts & Equipment unless authorised in writing by your Branch Manager?

  Yes

  No

• 8. Have you received training in Stowe’s Electrical Work Risk Assessment Process (E W R A P)?

  Yes

  No

• 9. Do you understand & comply with Stowe’s E W R A P Flowchart prior to undertaking all electrical work?

  Yes

  No

• 10. When contact with “Energised Electrical Parts / Equipment” is possible, do you use the E W R A P Report form?

  Yes

  No

• 11. Do you understand Stowe Australia’s MANDATORY 4 Stages of Isolation Procedure?

  Yes

  No

• 12. Do you isolate, lock and tag out & test the isolation on all electrical equipment before commencing work on it?

  Yes

  No

• 13. Do you arrange for a competent Safety Observer for testing/fault-finding on energised electrical parts & equipment?<br>

  Yes

  No

• 14. Do you understand an Isolation Register must be used & additional controls implemented for complex isolations?

  Yes

  No

• 15. Do you understand that volt sticks / test pencils are PROHIBITED to be used for verification of isolation tests?

  Yes

  No

• 16. Do you have suitably rated voltage test equipment in your tool kit?

  Select Yes No No I'm not competent to undertake testing

  • Yes
  • No
  • No I'm not competent to undertake testing

• 17. Are you aware of Stowe’s MANDATORY Arc Flash Clothing Standard & do you comply with these requirements?

  Yes

  No

• 18. Do you wear company supplied cotton drill long work clothing & PPE while at work?

  Yes

  No

• 19. Are you competent to use all mandatory PPE including Arc Flash Clothing?

  Yes

  No

• 20. Are you completing ITPs/FIC’s progressively as works occur while – installing / testing / commissioning? (Note: Test Records on a Service Report may be used in place of ITP's/FIC's for reactive service work).

  Yes

  No

Section 2 Multiple Choice - Select one box only applicable to each question

• 21. What do you do if HRCW to be undertaken has hazard(s)/risk(s) not included or adequately controlled in SWMS? (Select 1 below)<br>i) Discuss, Agree & include risk controls into the SMWS prior to commencing the work;<br>ii) Discuss, Agree & include risk controls into the Mandatory Pre-start/General Risk Assessment form prior to commencing;<br>iii) All the above ensuring the risk controls are selected in accordance with the hierarchy of controls as reasonably practicable.<br>

  i).

  ii).

  iii).

• 22. What do you do when changes occur on site/in the workplace or new hazards are introduced? i) Identify Hazards, Assess the Risks, Review current risk controls in SWMS & Safe Work Procedures for adequacy; ii) Let others know as soon as these are identified; iii) Stop work and contact your supervisor if any uncontrolled Life Threatening or Severe risk(s) of harm are identified; iv) All of the above.

  Select i). ii). iii). iv).

  • i).
  • ii).
  • iii).
  • iv).

3. Short Answer

• 23. i) Who do you notify when an incident / accident occurs? & ii) when do you notify them?

• 24. What forms do you complete after an incident / accident?

• 25. Who is the company’s Branch Return to Work Coordinator?

• 26. Who is responsible for your own health & safety?

• 27. When do you fill out either a TCA1 / Certificate of Compliance when doing Data / Electrical work?

• 28. When is an approved EWRAP Report required?

• 29. Who has the authority to allow work to commence under an approved EWRAP Report?

• 30. What is the definition of a “Complex Isolation” (refer: HSMP - "Mandatory Isolation Procedure" / HSE Manual - Safe Electrical Work Practices - Isolation)?

• 31. When is testing / fault finding of energised electrical equipment permitted?

3.0 Employee Comments, if any:

• Comments:

• Employee Signature:

  Sign

4.0 Conductor Comments, if any:

• Comments:

• Conducted by:

  Sign

•