F04_Vector Health & Safety Assessment

• Document No.

• Work Description

• Field Asset type

  Select Circuit breaker Capacitor overhead Capacitor banks Pillar Pole Switch - ground Switch - OH Transformer LV UG Reticulation Zone Substation HV Underground Gas

  • Circuit breaker
  • Capacitor overhead
  • Capacitor banks
  • Pillar
  • Pole
  • Switch - ground
  • Switch - OH
  • Transformer
  • LV UG Reticulation
  • Zone Substation
  • HV Underground
  • Gas

• Network Region

  Select E-Northern E-Auckland Other

  • E-Northern
  • E-Auckland
  • Other

• Specify

• FSP

  Select Electrix Northpower Treescape Other

  • Electrix
  • Northpower
  • Treescape
  • Other

• Specify

• Are any Job permits in use?

  Select Access Permit Live Line Test Hot Work Confined Space Close Approach Consent - Electricity Close Approach Consent - Gas Live Gas Safety Evaluation Other

  • Access Permit
  • Live Line
  • Test
  • Hot Work
  • Confined Space
  • Close Approach Consent - Electricity
  • Close Approach Consent - Gas
  • Live Gas Safety Evaluation
  • Other

• Specify

• Type of Work

  Select Asset Replacement Corrective maintenance Planned maintenance Reactive maintenance Connections Project

  • Asset Replacement
  • Corrective maintenance
  • Planned maintenance
  • Reactive maintenance
  • Connections
  • Project

• Old Field Asset #

• Type of Project

  Select Capital Faults (RRP) Customer (CIP, ESAM, RNF) Growth (EBD or RNF) Integrity (APF, APP, ARF, ARP, ASC or PAC) Relocations (REL)

  • Capital Faults (RRP)
  • Customer (CIP, ESAM, RNF)
  • Growth (EBD or RNF)
  • Integrity (APF, APP, ARF, ARP, ASC or PAC)
  • Relocations (REL)

• Field Asset # (or WBS if no Field Asset #)

• Vector Workpack # and Name

• FSP Job #

• On-site supervisor

• Conducted on

  Date
• Location
  Address

• Weather Conditions

• Name & Signature

  Sign

HEALTH AND SAFETY

PLANNING & COMMUNICATION

• Site safety management plan in place, current and adhered to (Eg. hazard Id, JRA, JSA)

  Yes

  No

  N/A

• Daily tailgate/toolbox briefings occurring

  Yes

  No

  N/A

• Employees signed-on to ensure they understand the work methods

  Yes

  No

  N/A

• Visitors signing on/off tailgate or visitors register

  Yes

  No

  N/A

• Staff training (Incl. contractors) & competency records/certificates available on site and current to relevant job/task eg. WTC,COC, Drivers License, Crane Operator (sample check and list names)

  Yes

  No

  N/A

• Resource consent available on site? Verify consent conditions.

  Yes

  No

  N/A

PROJECT RISK MANAGMENT

• Is this a long term project site?

  N/A

  Yes

  Yes but N/A

Project Risk, Hazard Managment

• Site Hazard Board in place with relevant site hazards

  Yes

  No

  N/A

• Risk register current and reflect site risks & hazards

  Yes

  No

  N/A

• Worksite being reviewed daily for new/changed/removed conditions

  Yes

  No

  N/A

• Drug and alcohol policy communicated and testing implemented

  Yes

  No

  N/A

• Regular site safety meetings held and minuted

  Yes

  No

  N/A

• Incident near miss register

  Yes

  No

  N/A

• Site specific SWMS / JSA’s available on site for high risk activities?

  Yes

  No

  N/A

• Are work hours being monitored for fatigue

  Yes

  No

  N/A

• Emergency procedures available and includes specific incident scenarios that could occur with suitable emergency response

  Yes

  No

  N/A

• EMP available and meet Resource consent conditions? e.g. erosion and sediment control

  Yes

  No

  N/A

• Site Specific Waste Management plan available

  Yes

  No

  N/A

SITE ACCESS/EGRESS

• Access routes adequately sign posted where required

  Yes

  No

  N/A

• Access routes kept clear and free of obstructions

  Yes

  No

  N/A

• Unloading/storage/material handling being controlled

  Yes

  No

  N/A

SITE ACCOMMODATION

• Is there temporary site accommodation?

  N/A

  Yes

  Yes but N/A

• Site Sheds installed correctly (Level/Stable/Height)

  Yes

  No

  N/A

• Site sheds display current electrical certificates (6 monthly) - Is the Warrant of Electrical Fitness available for the Site shed

  Yes

  No

  N/A

• Site sheds appliances display current electrical certification (3 monthly)

  Yes

  No

  N/A

• Waste and drainage conforms to requirements (safe & Sanitary)

  Yes

  No

  N/A

• Site offices clean & tidy

  Yes

  No

  N/A

• Toilet areas clean & tidy

  Yes

  No

  N/A

• Lunch room & food prep area clean - hand washing facilities been provided

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• Safe Access/egress provided to site accommodation and evacuation point identified

  Yes

  No

  N/A

• First aid kits in place & well stocked

  Yes

  No

  N/A

• Fire extinguishers available, charged & current (Serviced 12 monthly)

  Yes

  No

  N/A

• Welfare facilities on site, toilet, lunch area, drinking water, hand washing

  Yes

  No

  N/A

PUBLIC PROTECTION

• Adequate signage around the perimeter (if required)

  Yes

  No

  N/A

• Safe alternate route for public

  Yes

  No

  N/A

• Site parking controlled (as required)

  Yes

  No

  N/A

• Worksite protection i.e. Temporary barriers, TTMP installed, External fences

  Yes

  No

  N/A

• Is network equipment secured against unauthorised access

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT & CLOTHING (PPE/PPC)

• Hard Hats worn (where required)

  Yes

  No

  N/A

• Full Cover, High Visibility, Fire Retardant / Arc-rated clothing worn

  Yes

  No

  N/A

• Safety footwear worn that complies with site requirements

  Yes

  No

  N/A

• Manual handling work gloves used (where required)

  Yes

  No

  N/A

• Eye protection worn (where required)

  Yes

  No

  N/A

• Face Shields in use (where required)

  Yes

  No

  N/A

• Hearing Protection worn (where required)

  Yes

  No

  N/A

• Respirators or masks worn (where required)

  Yes

  No

  N/A

• Appropriate PPE and PPC worn for task and current test date

  Yes

  No

  N/A

• PPE & PPC is in good condition

  Yes

  No

  N/A

SUBCONTRACTORS

• Are there any subcontractors onsite?

  N/A

  Yes

  Yes but N/A

• Subcontractors Site Specific Safety Plans in place, agreed & implemented

  Yes

  No

  N/A

• Subcontractors have identified significant hazards they are introducing to site and entered on site hazard register

  Yes

  No

  N/A

• Subcontractors informed of our site hazards likely to affect them (inductions, briefings)

  Yes

  No

  N/A

• Subcontractors have provided MSDS sheets for all hazardous substances on site (where applicable)

  Yes

  No

  N/A

• Subcontractors have provided Equipment Certificates where required

  Yes

  No

  N/A

LADDERS

• Are ladders in use?

  N/A

  Yes

  Yes but N/A

• Ladder is the most appropriate access solution for the task

  Yes

  No

  N/A

• Suitable for the job i.e. commercial/industrial grade not domestic.

  Yes

  No

  N/A

• Ladders are in good condition

  Yes

  No

  N/A

• Ladders set up on firm level ground

  Yes

  No

  N/A

• Ladders secured (base and/or top)

  Yes

  No

  N/A

• Ladders at correct angle - 4 up to 1 out

  Yes

  No

  N/A

• Ladders project 1m above step off point

  Yes

  No

  N/A

• Step ladder lock bars in place

  Yes

  No

  N/A

• Operator not working on top two steps of ladder

  Yes

  No

  N/A

• Do extendable ladders comply with relevant standards and in test

  Yes

  No

  N/A

WORK AT HEIGHT

SAFETY HARNESS & STATIC LINES

• Is height work involving safety harness being carried out? (not including pole work or EWP)

  N/A

  Yes

  Yes but N/A

• Plan developed for harness use and workers signed onto plan

  Yes

  No

  N/A

• Workers briefed and signed onto rescue plan

  Yes

  No

  N/A

• Harness uses supervised by worker holding US15757

  Yes

  No

  N/A

• Harnesses used and fitted correctly

  Yes

  No

  N/A

• Harnesses, anchors, static lines and rescue equipment in good condition and in test

  Yes

  No

  N/A

SCAFFOLD

• Is any scaffold in use?

  N/A

  Yes

  Yes but N/A

• Wheel brakes fitted and locked when scaffold in use (mobile only)

  Yes

  No

  N/A

• Scaf-tag / acu-log tag fitted to scaffold (not req for mobile)

  Yes

  No

  N/A

• Harnesses, anchors, and rescue equipment in good condition and controls in place (not req for mobile)

  Yes

  No

  N/A

• Harnesses used and fitted correctly

  Yes

  No

  N/A

• Harness used for erection of scaffold

  Yes

  No

  N/A

• Has design verification been obtained by a Chartered Professional Engineer (CPEng)?<br>(Consider: heavy loads, shrink wrap (environmental factor), unusual shapes, load bearing capacity of the ground or supporting structures, height)

  Yes

  No

  N/A

EWP, CRANE, HELICOPTER, LIFTING, HEAVY MACHINES

• Are any EWP's, Cranes, helicopters, earth moving or lifting machinery in use?

  N/A

  Yes

  Yes but N/A

ELEVATED WORK PLATFORMS (Cherry Pickers/Scissor Lifts/Knuckle boom)

• Current certificate of fitness and mechanical test attached to unit (6 monthly)

  Yes

  No

  N/A

• Set up on level ground and bonded to earth as required

  Yes

  No

  N/A

• Outriggers properly extended before use (where fitted)

  Yes

  No

  N/A

• Fall arrest harnesses being worn

  Yes

  No

  N/A

SITE VEHICLES/MACHINES (Quarry Trucks, Hiabs, Dozers etc)

• Competent operators/drivers

  Yes

  No

  N/A

• Vehicle loads are secure when travelling

  Yes

  No

  N/A

• Outriggers extended where required

  Yes

  No

  N/A

• Feet on stable ground

  Yes

  No

  N/A

CRANES

• Current certificate of fitness

  Yes

  No

  N/A

• Safe load indicator fitted/operational

  Yes

  No

  N/A

• There is enough clear room for operation

  Yes

  No

  N/A

• Slings, chains, lifting beams regularly checked/tested

  Yes

  No

  N/A

LIFTING EQUIPMENT

• Slings and shackles load rated and 'In test' tag attached

  Yes

  No

  N/A

• All lifting equipment, slings, chains, shackles, safety catches etc in good condition

  Yes

  No

  N/A

• Adequate storage of lifting equipment

  Yes

  No

  N/A

HELICOPTER

• All workers are signed on to the Pilot Safety briefing

  Yes

  No

  N/A

• All workers are in the Pilot's line of sight

  Yes

  No

  N/A

• All loose objects have been secured including hard hats

  Yes

  No

  N/A

ELECTRICAL

ELECTRICAL - SUBSTATION, UNDERGROUND OR GROUND MOUNT

• Is any electrical work being carried out underground, ground mount or in a substation?

  N/A

  Yes

  Yes but N/A

• Equipment to be worked on is clearly identified?

  Yes

  No

  N/A

• No work on “Live” electrical equipment or cables

  Yes

  No

  N/A

• Boundary markings and signs for permits in ODS as per SM-EI 3.413

  Yes

  No

  N/A

• Permits to Work being issued, managed & terminated correctly

  Yes

  No

  N/A

• Are all workers accessing conductors or within MAD signed onto an access permit or test permit or live line permit?

  Yes

  No

  N/A

• If under permit are workers aware of isolation points and safety measures?

  Yes

  No

  N/A

• Are MADs being observed where applicable?

  Yes

  No

  N/A

• ELCB’s/RCD’s/Transformers used where required.

  Yes

  No

  N/A

• Leads, test equipment are in test?

  Yes

  No

  N/A

• Commercial splitter boxes & double adaptors only in use with RCD.

  Yes

  No

  N/A

ELECTRICAL SWITCHING

• Is any HV or LV switching being carried out?

  N/A

  Yes

  Yes but N/A

• Switching operator has current competencies for equipment being switched?

  Yes

  No

  N/A

• Lockout procedure in use where appropriate, lock and tag applied?

  Yes

  No

  N/A

• If isolated, is the isolation in accordance with the Switching Plan?

  Yes

  No

  N/A

• Correct safety measures have been applied

  Yes

  No

  N/A

• Are MADs being observed where applicable?

  Yes

  No

  N/A

• Access Permit holder supervisor understand responsibilities and is continuously supervising

  Yes

  No

  N/A

• Verify access permit area is understood by all workers

  Yes

  No

  N/A

• Verify understanding of MAD’s i.e. Inadvertent falling, stretched arm including tool length in hand

  Yes

  No

  N/A

OVERHEAD LINE WORK

• Is there any overhead line work being carried out?

  N/A

  Yes

  Yes but N/A

ELECTRICAL OH

• No work on “Live” electrical equipment or cables

  Yes

  No

  N/A

• Permits to Work being issued, managed & terminated correctly

  Yes

  No

  N/A

• Are all workers accessing conductors or within MAD signed onto an access permit or test permit or live line permit?

  Yes

  No

  N/A

• If under permit are workers aware of isolation points and safety measures?

  Yes

  No

  N/A

• If Live Line, is the work in accordance with the Live Line proposal and permit?

  Yes

  No

  N/A

• EPZ zone created, portable earths and dielectric bods

  Yes

  No

  N/A

• Are MADs observed and understood i.e. Inadvertent falling, stretched arm including tool length in hand?

  Yes

  No

  N/A

• Cover up aplied to lower circuit as required

  Yes

  No

  N/A

• Are all person clear from the cross-arm of the pole during strining and tensioing?

  Yes

  No

  N/A

• Insulating component of EWP cleaned and safety marker visible while in contact area

  Yes

  No

  N/A

• All second points of contact covered and safety observer identified and in place

  Yes

  No

  N/A

• Live line cover up inspected and in "test" and correct class

  Yes

  No

  N/A

• Does live line work meet ECP46 / EOS 006?

  Yes

  No

  N/A

HAZARDOUS ACTIVITIES

EXCAVATIONS & TRENCHES

• Are there any excavations being worked in?

  N/A

  Yes

  Yes but N/A

• Notification sent if deeper than 1.5 metres

  Yes

  No

  N/A

• If greater than 1.5m, there is an entry/exit plan implemented

  Yes

  No

  N/A

• Underground services location drawings on site prior to ground works

  Yes

  No

  N/A

• Underground services located/marked prior to excavating

  Yes

  No

  N/A

• Underground services located by potholing at frequent intervals as required

  Yes

  No

  N/A

• Permit to excavate held at work face (if applicable)

  Yes

  No

  N/A

• Shoring methodology developed. (ensure workers not in danger installing)

  Yes

  No

  N/A

• Sides battered/benched for trench or excavations where required by risk assessment

  Yes

  No

  N/A

• Machines working safe distance from edge of excavation i.e. using stop blocks

  Yes

  No

  N/A

• Zone of influence considered for Machinery / material away from edge? (Excavation depth plus 1 meter)

  Yes

  No

  N/A

• Daily inspection for excavation structural stability (In writing or electronic check sheet)

  Yes

  No

  N/A

• Excavation appropriately barricaded? i.e. Solid or Tiger tails 2m away

  Yes

  No

  N/A

• Safe access provided for workers to enter and exit excavation

  Yes

  No

  N/A

• Emergency Response plan available for workers and others safety covering each incident scenario

  Yes

  No

  N/A

CONFINED SPACES

• Are there any confined or restricted spaces being worked in?

  N/A

  Yes

  Yes but N/A

• Restricted space atmosphere has been tested before and during work

  Yes

  No

  N/A

• Confined space has been permanently sign posted

  Yes

  No

  N/A

• A confined space entry permit has been issued, displayed and current

  Yes

  No

  N/A

• An assigned safety standby employee is outside the confined space

  Yes

  No

  N/A

• Appropriate emergency response and first aid procedures and provisions have been planned and established

  Yes

  No

  N/A

• Safe entry/egress maintained to the confined space, including entry & descent equipment ( ladders, steps or tripods)

  Yes

  No

  N/A

• There is a record of each person entering a confined space including person required for stand-by purposes

  Yes

  No

  N/A

• Natural or mechanical ventilation is provided before anyone enters the confined space( where applicable)

  Yes

  No

  N/A

• The gas detector is in good condition, display a current calibration certificate and personal gas detectors being worn

  Yes

  No

  N/A

• Where flammable atmospheres exist, precautions have been taken to eliminate all sources of ignition

  Yes

  No

  N/A

• If the confined space is below the ground and near areas where vehicles, plant or generators will be operating; vehicle exhaust or carbon monoxide is unable to enter the space

  Yes

  No

  N/A

• The atmosphere inside the confined space is frequently tested or continuously monitored during work for oxygen levels, flammable/explosive LEL's and any other airborne contaminant identified during risk assessment

  Yes

  No

  N/A

• Atmospheric readings are recorded at regular intervals

  Yes

  No

  N/A

WORKING ON THE ROAD

• Is work being undertaken on or near the road requiring traffic management?

  N/A

  Yes

  Yes but N/A

• TMP has been approved by Road Controlling Authority (NZTA, local authority

  Yes

  No

  N/A

• There is a copy of the TMP on site

  Yes

  No

  N/A

• The site/project setup conforms to the TMP

  Yes

  No

  N/A

• There a qualified Traffic Controller on site

  Yes

  No

  N/A

• An STMS has been appointed for the work and wearing the correct high visibility vest

  Yes

  No

  N/A

• The supervisors know who the STMS is and how to contact them

  Yes

  No

  N/A

• Is STMS or TC onsite and diligent/active, site being pro-actively managed

  Yes

  No

  N/A

• All workers wearing NZTA approved hi-vis clothing ie. in good condition and worn appropriately

  Yes

  No

  N/A

• On-Site Record and two hourly site due diligent checks completed by STMS / TC

  Yes

  No

  N/A

GAS WORK SITE

• Is this a Gas work site?

  N/A

  Yes

  Yes but N/A

• A personal gas detector is worn and 'in-calibration' (where applicable)

  Yes

  No

  N/A

• All test and safety equipment is calibrated and certified for use

  Yes

  No

  N/A

• Has a pre-entry and subsequent atmosphere tests been recorded (where applicable)?

  Yes

  No

  N/A

• All electronic devices used on site are work related and not taken into exclusion zones

  Yes

  No

  N/A

• Non-Routine Operation approved?

  Yes

  No

  N/A

• Correct isolation procedures followed?

  Yes

  No

  N/A

• Has live gas work been pre-approved?

  Yes

  No

  N/A

• Any gas venting or purging being done correctly?

  Yes

  No

  N/A

• Full requirement of fire extinguishers on site?

  Yes

  No

  N/A

• All electrical equipment safe to use? i.e. Test & Tag/RCD etc

  Yes

  No

  N/A

• No electrical equipment being used in gaseous atmosphere?

  Yes

  No

  N/A

• All ignition sources identified and appropriately controlled?

  Yes

  No

  N/A

ENVIRONMENT

HOUSEKEEPING

• Work areas clean & tidy

  Yes

  No

  N/A

• Rubbish bins or skip provided (where required)

  Yes

  No

  N/A

• Slips & trips controlled

  Yes

  No

  N/A

HEALTH MANAGEMENT

• Noise levels controlled and monitored

  Yes

  No

  N/A

• Work area identified as a noise restricted area

  Yes

  No

  N/A

• Dust controlled and monitored i.e. watering

  Yes

  No

  N/A

• Workers provided with the appropriate environmental protection ie. hydration, cover, sunblock

  Yes

  No

  N/A

• Dust masks available and worn i.e. Concrete cutting, Asbestos exposure, neighbouring activities

  Yes

  No

  N/A

ENVIRONMENTAL MANAGEMENT

• Have environmental risks been identified within the daily Tailgate or Environmental Management Plan?

  Yes

  No

  N/A

• Appropriate silt/substance protection installed to prevent soil sediments from entering any drains and waterways?

  Yes

  No

  N/A

• Disposal of waste in an appropriate manner?

  Yes

  No

  N/A

• Resource consent available to discharge water in storm water and sewer system?

  Yes

  No

  N/A

CHEMICAL HANDLING/STORAGE

• Hazardous substances have been identified (toxins, biological, lead, asbestos) and controlled

  Yes

  No

  N/A

• Are any chemicals onsite?

  N/A

  Yes

  Yes but N/A

• All workers trained in the handling, storage of all hazardous substances

  Yes

  No

  N/A

• Materials on site to deal with spillages (oil dry etc)

  Yes

  No

  N/A

• All workers trained in the use of the spill kit

  Yes

  No

  N/A

• Disposal procedure available for contaminated spill kit contents

  Yes

  No

  N/A

• SDS’s available for all chemicals/solvents/hazardous materials (dated < 5years?)

  Yes

  No

  N/A

• Hazardous material clearly identified

  Yes

  No

  N/A

• Hazardous materials properly stored

  Yes

  No

  N/A

• Hazardous materials properly handled/used

  Yes

  No

  N/A

• Chemicals stored in approved containers

  Yes

  No

  N/A

• Users of hazardous materials properly informed

  Yes

  No

  N/A

• Adequate ventilation provided (where necessary)

  Yes

  No

  N/A

• Inventory available for all hazardous substances on site

  Yes

  No

  N/A

QUALITY

WORK PROGRESS

• The scope of works is being followed

  Yes

  No

  N/A

• The work is being performed to network standards

  Yes

  No

  N/A

• Issues are being identified and communicated

  Yes

  No

  N/A

• The work is progressing to programme

  Yes

  No

  N/A

• Quality assurance standards are being met

  Yes

  No

  N/A

• Have the Testing & Commissioning checklists been completed?

  Yes

  No

  N/A

PROJECT QM

• Is this a multi day project site requiring quality checks?

  N/A

  Yes

  Yes but N/A

• Service providers quality management plan in place

  Yes

  No

  N/A

• Project management plan is in place

  Yes

  No

  N/A

• Service providers HS&E management plan is in place

  Yes

  No

  N/A

• Service providers risk management plan is in place

  Yes

  No

  N/A

• Is the service provider carrying out quality control and health and safety audits

  Yes

  No

  N/A

• Are weekly progress reports being submitted

  Yes

  No

  N/A

• Weekly site meetings with key personnel are taking place

  Yes

  No

  N/A

• Construction and testing to vectors standards

  Yes

  No

  N/A

• Installation and Test Plan ITP signed off prior to commissioning

  Yes

  No

  N/A

• Test reports are submitted and approved

  Yes

  No

  N/A

• All equipment used and installed onsite is fit for purpose

  Yes

  No

  N/A

• Commissioning plan specific to site is in use

  Yes

  No

  N/A

• All equipment installed on site commissioned according to manufacturer’s and Vectors specification

  Yes

  No

  N/A

• Hand over meetings are taking place with key personnel

  Yes

  No

  N/A

• Site as-built records are well managed

  Yes

  No

  N/A

GENERAL COMMENTS

• GENERAL COMMENTS

  Yes

  No

  N/A