EWP Audit Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Site Image Whole

  Media

• Have all employees got utility Id cards on them?

  Yes

  No

  N/A

Paperwork

• Operators EWP manual on Vehicle

  Yes

  No

  N/A

• Wash Log Book available & up to date

  Yes

  No

  N/A

• EWP Pre-Op Inspections carried out & entered into logbook

  Yes

  No

  N/A

• SWMS/JSA on vehicle and sighted by auditor

  Yes

  No

  N/A

• HAC (JSA) signed and understood by all crew members & sighted by auditor

  Yes

  No

  N/A

• Hazards particular to site have been identified and effective controls implemented

  Yes

  No

  N/A

• EWP < 10 years old or rebuilt, evidence on vehicle

  Yes

  No

  N/A

• Electrical test certificate < 6 months old (sighted), note Test Date, add image if possible.

  Yes

  No

  N/A

• Weight test certificate < 12 months (sighted), note test date, add image if possible

  Yes

  No

  N/A

• monthly, 3 monthly and 6 monthly inspections carried out (sighted)

  Yes

  No

  N/A

• Vehicle registration current

  Yes

  No

  N/A

• View operators licenses. image

  Yes

  No

  N/A

Equipment

• First Aid Kit (Check Contents via contents list) (1 required)

  Yes

  No

  N/A

• First Aid sticker outside vehicle

  Yes

  No

  N/A

• Earth Chain fitted (1 metre on ground)

  Yes

  No

  N/A

• Flashing light on elbow (optional)

  Yes

  No

  N/A

• Flashing lights (optional) directional arrow fitted.

  Yes

  No

  N/A

• Wheel chocks (2 required)

  Yes

  No

  N/A

• Stabiliser Pads (1 per leg)

  Yes

  No

  N/A

• EWP lanyards (including Shock absorber. AS labeled (2)

  Yes

  No

  N/A

• EWP Harness (AS labeled) (2 required)

  Yes

  No

  N/A

Traffic Managment

• Symbolic Worker Ahead (digger man) (900x600) (2 required)

  Yes

  No

  N/A

• Prepare to stop signs (900x600) (2 required)

  Yes

  No

  N/A

• Chevron (direction arrow) (2 required)

  Yes

  No

  N/A

• Stands for signs (4 required)

  Yes

  No

  N/A

• Stop/Slow bats (2 required)

  Yes

  No

  N/A

• Witches Hats (12 required)

  Yes

  No

  N/A

BOOM/s

• Level indicators to be fitted (2 required)

  Yes

  No

  N/A

• Duplicate controls to be fitted (basket & turret)

  Yes

  No

  N/A

• Controls to be clearly marked (basket & turret)

  Yes

  No

  N/A

• Dead man to be fitted

  Yes

  No

  N/A

• Emergency stop to be fitted

  Yes

  No

  N/A

• CDD's fitted (2 required)

  Yes

  No

  N/A

• Anchorage points for harness in basket

  Yes

  No

  N/A

• SWL clearly marked on basket

  Yes

  No

  N/A

• Means of emergency escape required

  Yes

  No

  N/A

Herbicide / Dangerous Substances

• Herbicide stored securely (dispenser/refill)

  Yes

  No

  N/A

• Water container with water

  Yes

  No

  N/A

• Spill Kits available

  Yes

  No

  N/A

• All chemicals and containers appropriately labeled

  Yes

  No

  N/A

• All relevant MSDS located on vehicle

  Yes

  No

  N/A

Fire Season Equipment

• Knapsack (1 required)

  Yes

  No

  N/A

• Rake / Hoe (1 required)

  Yes

  No

  N/A

Safe Use of EWP

• Min 2 employees to be trained and authorised

  Yes

  No

  N/A

• Keep uninsulated bottom boom of EPV clear of LV

  Yes

  No

  N/A

• Regularly inspect for "dead man" operation

  Yes

  No

  N/A

• Safety harness worn and attached

  Yes

  No

  N/A

• CCD is ready for use

  Yes

  No

  N/A

• EWP set up - Park Brake

  Yes

  No

  N/A

• EWP set up - Stabilizers

  Yes

  No

  N/A

• EWP set up - Earth Chain Lowered

  Yes

  No

  N/A

• EWP set up - Wheel Chocks on slopped terrain

  Yes

  No

  N/A

• SAFETY OBSERVER posted and > 6m from EWP when near live apparatus

  Yes

  No

  N/A

• Observer within a position where communication with the cutter is effective, whistle on site and available at all times

  Yes

  No

  N/A

• Drop Zone controlled & no unauthorized persons entered the work place

  Yes

  No

  N/A

• EWP setup working to the TMP & maintaining safe operating distance of 600mm as per Plan

  Yes

  No

  N/A

PPE and Clothing

• Non Conductive Shirt, Jumpers and Coats worn and in good repair

  Yes

  No

  N/A

• Ear protection worn

  Yes

  No

  N/A

• Eye Protection worn

  Yes

  No

  N/A

• LV Gloves available and in suitable containers

  Yes

  No

  N/A

• Hard Hat worn and Issue date clearly shown.

  Yes

  No

  N/A

• General Comments,

Sign Off

• Person Conducting Audit

  Sign

• Select date

  Date

• Leading Hand / Supervisor

  Sign

• Select date

  Date

• other persons involved

  Sign

• Select date

  Date

Corrective actions required

• Item 1

• Item 2

• Item 3

• Item 4

• Corrective actions completed by

  Sign