Title Page
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Document No.
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Field Asset type
- Circuit breaker
- Capacitor overhead
- Capacitor banks
- Pillar
- Pole
- Switch - ground
- Switch - OH
- Transformer
- LV UG Reticulation
- Zone Substation
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Network Region
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Specify
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FSP
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Specify
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Are any Job permits in use?
- Access Permit
- Live Line
- Test
- Hot Work
- Confined Sapce
- Other
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Specify
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Type of Work
- Asset Replacement
- Corrective maintenance
- Planned maintenance
- Reactive maintenance
- Connections
- Project
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Old Field Asset #
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Type of Project
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Field Asset # (or WBS if no Field Asset #)
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Vector Workpack # and Name
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FSP Job #
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On-site supervisor
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Conducted on
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Location
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Weather Conditions
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Name & Signature
Audit Section
PLANNING & COMMUNICATION
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Site safety management plan in place, current and adhered to (Eg. hazard Id, JRA, JSA)
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Daily tailgate/toolbox briefings occurring
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Employees signed-on to ensure they understand the work methods
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Visitors signing on/off tailgate or visitors register
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Permits to Work being issued, managed & terminated correctly
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Staff training(including contractors) & competency records/certificates available on site and current eg. WTC/COC, work site safe, Drivers License (sample check and list names)
Permits
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Are any permits in use?
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What type of permit?
- Access Permit
- Live Line
- Test
- Hot Work
- Confined Sapce
- Other
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Permits to Work being issued, managed & terminated correctly
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Have all workers in permit area signed onto permit?
PUBLIC PROTECTION
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Adequate signage around the perimeter (if required)
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Safe access/egress from site
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Site parking controlled (as required)
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Temporary barriers are in place
PERSONAL PROTECTIVE EQUIPMENT & CLOTHING (PPE/PPC)
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Hard Hats worn (where required)
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High visibility clothing worn
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Safety footwear worn that complies with site requirements
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Eye protection worn (where required)
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Face Shields in use (where required)
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Hearing Protection worn
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Respirators or masks worn (where required)
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Appropriate PPE and PPC worn ie. switching jackets & insulating gloves, chemical handling
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PPE & PPC is in good condition
SUBCONTRACTORS
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Are any subcontractors onsite?
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Subcontractors Site Specific Safety Plans in place, agreed & implemented
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Subcontractors have identified significant hazards they are introducing to site and entered on site hazard register
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Subcontractors controlling hazards identified onsite
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Subcontractors informed of our site hazards likely to affect them (inductions, briefings)
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Subcontractors have provided MSDS sheets for all hazardous substances on site (where applicable)
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Subcontractors have provided Equipment Certificates where required
LADDERS
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Are ladders in use?
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Ladder is the most appropriate access solution for the task
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Suitable for the job i.e. commercial/industrial grade not domestic.
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Ladders are in good condition
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Ladders set up on firm level ground
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Ladders secured (base and/or top)
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Ladders at correct angle - 4 up to 1 out
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Ladders project 1m above step off point
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Step ladder lock bars in place
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Operator not working on top two steps of ladder
WORK AT HEIGHT
SAFETY HARNESS & STATIC LINES (this may not be relevant)
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Is height work involving safety harness being carried out? (not including pole work)
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Plan developed for harness use and workers signed onto plan
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Workers briefed and signed onto rescue plan
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Harness uses supervised by worker holding US15757
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Harnesses used and fitted correctly
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Harnesses, anchors, static lines and rescue equipment in good condition
SCAFFOLD
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Is any scaffold in use?
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Wheel brakes fitted and locked when scaffold in use (mobile only)
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Scaf-tag / acu-log tag fitted to scaffold (not req for mobile)
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Harnesses, anchors, and rescue equipment in good condition and controls in place (not req for mobile)
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Harnesses used and fitted correctly
ELEVATED WORK PLATFORMS (Cherry Pickers/Scissor Lifts/Knuckle boom)
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Are any EWPs in use?
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Current certificate of fitness and mechanical test attached to unit (6 monthly)
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Set up on level ground and bonded to earth as required
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Outriggers properly extended before use (where fitted)
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Fall arrest harnesses being worn
-----****BREAK LINE BREAK***----
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Is it a multi-day project site? --(BREAK)--
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Site specific PPE requirements are sign posted and adhered to (where applicable)
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Crossings clear with no obstructions
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Visitor control operating correctly
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Are substations secured against access by unauthorised persons?
SYSTEMS & FACILITIES
PLANNING & COMMUNICATION
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Daily tailgate briefings occurring
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Employees signed-on to ensure they understand the work methods
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Assembly areas established & displayed on site
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Visitors signing on/off tailgate or visitors register
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Site-specific inductions being carried out for all site staff
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Permits to Work being issued, managed & terminated correctly
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Staff training(including contractors) & competency records/certificates available on site and current eg. WTC/COC, work site safe, Drivers License (sample check and list names)
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Copy of CAR on site?
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Copy of relevant consents on site?
PROJECT HAZARD MANAGEMENT
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Site Hazard Board in place
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Hazard register current and reflect site hazards
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Worksite being reviewed daily for new/changed/removed conditions
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Regular site safety meetings held and minuted
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Significant or specialised (non-routine) tasks been identified and SWMS (Safe Work Method Statement) or JSA(Job Safety Analysis) documented
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Safety inspection roster used and implemented
HEALTH & ENVIRONMENT
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Hazardous substances have been identified (toxins, biological, lead, asbestos) and controlled
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There materials on site to deal with spillages (oil dry etc)
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Noise levels controlled and monitored
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Dust controlled and monitored
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Workers provided with the appropriate environmental protection ie. hydration, cover, sunblock
EMERGENCY PROCEDURES
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There is an emergency response plan
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Emergency procedures established & available on site
SITE ACCOMMODATION
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Site Sheds installed correctly (Level/Stable/Height)
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Site sheds display current electrical certificates (6 monthly)
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Site sheds appliances display current electrical certification (3 monthly)
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Waste and drainage conforms to requirements (safe & Sanitary)
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Site offices clean & tidy
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Toilet areas clean & tidy
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Lunch room & food prep area clean - hand washing facilities been provided
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Adequate lighting
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Safe Access/egress provided to site accommodation and evacuation point identified
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First aid kits in place & well stocked
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Fire extinguishers available, charged & current (Serviced 12 monthly)
GENERAL SAFETY
SITE ACCESS/EGRESS
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Access routes adequately sign posted where required
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Access routes kept clear and free of obstructions
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Access routes have fall protection where required
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Ramps and stairs conform (grade, handrails etc)
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Good access provided to the workface
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Unloading/storage/material handling being controlled
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Wheel wash facilities operating where required
HOUSEKEEPING & ENVIRONMENT
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Work areas clean & tidy
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Materials stacked safely
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Rubbish bins provided (where required)
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Combustible materials stowed
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Hazardous materials controlled
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Slips & trips controlled
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All electronic devices used on site are work related and not taken into exclusion zones
GENERAL HAZARDS
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Loads being manually handled/moved correctly (Mechanical devices used where possible)
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Machinery moving parts properly guarded
VEHICLES & MECHANICAL PLANT
SITE VEHICLES/MACHINES (Quarry Trucks, Hiabs, Dozers etc)
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Competent operators/drivers
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Vehicle loads are secure when travelling
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Outriggers extended where required
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Feet on stable ground
CRANES
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Current certificate of fitness
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There ia a radius chart in the cab
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Safe load indicator fitted/operational
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There is enough clear room for operation
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Slings, chains, lifting beams regularly checked/tested
LIFTING EQUIPMENT
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Slings and shackles load rated and 'In test' tag attached
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Soft Slings in good condition: no fraying
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Wire/Chain Slings in good condition: no kinks
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Slings in good condition: Eyes not stretched, bent or fraying
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Shackles in good condition: shackle pins aligned, threads ok
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Adequate storage of lifting equipment
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Hooks in good condition. Not distorted or damaged
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Hook safety catches in good condition/operational
HELICOPTER
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All workers are signed on to the Pilot Safety briefing
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All workers are in the Pilot's line of sight
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All loose objects have been secured including hard hats
MACHINERY & TOOLS
ELECTRICAL
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Lockout procedure developed for permanent supply
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Lockout procedure in use where appropriate
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No work on “Live” electrical equipment
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Main switchboard door locked
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ELCB’s/RCD’s/Transformers used where required.
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Commercial splitter boxes & double adaptors only in use with RCD.
HAZARDOUS ACTIVITIES
EXCAVATIONS & TRENCHES
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Notification sent if deeper than 1.5 metres
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If greater than 1.5m, there is an entry/exit plan implemented
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Underground services location drawings on site prior to ground works
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Underground services located/marked prior to excavating
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Underground services located by potholing at frequent intervals as required
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Permit to excavate held at work face (if applicable)
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Shoring methodology developed. (ensure workers not in danger installing)
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Sides battered/benched for trench or excavations >1.5m deep or in friable ground
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Machines working safe distance from edge of excavation.
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Overburden/machinery well clear of the edge (600mm)
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Daily inspections for stability – especially during wet weather
CONFINED SPACES
WORKING ON THE ROAD
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TMP has been approved by Road Controlling Authority (NZTA, local authority
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There is a copy of the TMP on site
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The site/project setup conforms to the TMP
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There a qualified Traffic Controller on site
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An STMS has been appointed for the work and wearing the correct high visibility vest
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The supervisors know who the STMS is and how to contact them
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All workers wearing NZTA approved hi-vis clothing ie. in good condition and worn appropriately
CHEMICAL HANDLING/STORAGE
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MSDS’s available for all chemicals/solvents/hazardous materials (dated < 5years?)
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Hazardous material clearly identified
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Hazardous materials properly stored
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Hazardous materials properly handled/used
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Chemicals stored in approved containers
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Users of hazardous materials properly informed
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Adequate ventilation provided (where necessary)
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Chemical container/residue disposal properly controlled
WORK PROGRESS
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The scope of works is being followed
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The work is being performed to network standards
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Issues are being identified and communicated
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The work is progressing to programme
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Quality assurance standards are being met
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If Live Line, is the work in accordance with the Live Line proposal and permit?
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If isolated, is the isolation in accordance with the Switching Plan?
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Has the Testing & Commissioning checklist been completed?
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Are MADs being observed where applicable?
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Does live line work meet ECP46 / EOS 006?
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Has existing/new conductors been isolated/earthed during stringing of additional conductors?
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Are all person clear from the cross-arm of the pole during strining and tensioing?
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GENERAL COMMENTS
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ASSESSORS SECTION
SYSTEMS & FACILITIES
PLANNING & COMMUNICATION
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Site safety management plan and/or tailgate in place, current and adhered to
-
Daily tailgate briefings occurring
-
Employees signed-on to ensure they understand the work methods
-
Assembly areas established & displayed on site
-
Visitors signing on/off tailgate or visitors register
-
Site-specific inductions being carried out for all site staff
-
Permits to Work being issued, managed & terminated correctly
-
Staff training(including contractors) & competency records/certificates available on site and current eg. WTC/COC, work site safe, Drivers License (sample check and list names)
-
Copy of CAR on site?
-
Copy of relevant consents on site?
HEALTH & ENVIRONMENT
-
Hazardous substances have been identified (toxins, biological, lead, asbestos) and controlled
-
There materials on site to deal with spillages (oil dry etc)
-
Noise levels controlled and monitored
-
Dust controlled and monitored
-
Workers provided with the appropriate environmental protection ie. hydration, cover, sunblock
SUBCONTRACTORS
-
Subcontractors Site Specific Safety Plans in place, agreed & implemented
-
Subcontractors have identified significant hazards they are introducing to site and entered on site hazard register
-
Subcontractors controlling hazards identified onsite
-
Subcontractors informed of our site hazards likely to affect them (inductions, briefings)
GENERAL SAFETY
PUBLIC PROTECTION
-
Adequate signage around the perimeter (if required)
-
Safe access/egress from site
-
Site parking controlled (as required)
-
Visitor control operating correctly
-
Temporary barriers are in place
-
Are substations secured against access by unauthorised persons?
LADDERS
-
Ladder is the most appropriate access solution for the task
-
Ladders are in good condition
-
Ladders set up on firm level ground
-
Ladders secured (base and/or top)
-
Ladders at correct angle - 4 up to 1 out
-
Operator not working on top two steps of ladder
HOUSEKEEPING & ENVIRONMENT
-
Work areas clean & tidy
-
Materials stacked safely
-
Rubbish bins provided (where required)
-
Hazardous materials controlled
-
Slips & trips controlled
-
All electronic devices used on site are work related and not taken into exclusion zones
PERSONAL PROTECTIVE EQUIPMENT & CLOTHING (PPE/PPC)
-
Hard Hats worn (where required)
-
High visibility clothing worn
-
Safety footwear worn that complies with site requirements
-
Eye protection worn (where required)
-
Face Shields in use (where required)
-
Hearing Protection worn
-
Respirators or masks worn (where required)
-
Appropriate PPE and PPC worn ie. switching jackets & insulating gloves, chemical handling
-
PPE & PPC is in good condition
GENERAL HAZARDS
-
Loads being manually handled/moved correctly (Mechanical devices used where possible)
VEHICLES & MECHANICAL PLANT
SITE VEHICLES/MACHINES (Quarry Trucks, Hiabs, Dozers, Cranes etc)
-
Competent operators/drivers and operator safety precautions in place
-
Vehicle loads are secure when travelling
-
Outriggers extended where required
-
Feet on stable ground and chasis bonded to earth where required
-
Current certificate of fitness
-
There ia a radius chart in the cab
LIFTING EQUIPMENT
-
Lifting equipment load rated and 'In test' tag attached
-
Wire/Chain/Slings in good condition: no kinks, fraying, streched or bent
-
Shackles in good condition: shackle pins aligned, threads ok
-
Adequate storage of lifting equipment
HELICOPTER
-
All workers are signed on to the Pilot Safety briefing
-
All workers are in the Pilot's line of sight
-
All loose objects have been secured including hard hats
MACHINERY & TOOLS
ELECTRICAL
-
Lockout procedure developed in use, access and test permits and live line permits
-
Lockout procedure in use where appropriate equipment isolated locked and tagged
-
EPZ zone created, portable earths and dielectric bods
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Live line cover up inspected and in "test" and correct class
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All second points of contact covered and safety observer identified and in place
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Insulating component of EWP cleaned and safety marker visible while in contact area
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Cover up aplied to lower circuit as required
HAZARDOUS ACTIVITIES
EXCAVATIONS & TRENCHES
-
Notification sent if deeper than 1.5 metres. If greater than 1.5m, there is an entry/exit plan implemented
-
Underground services location drawings on site prior to ground works
-
Underground services located/marked prior to excavating
-
Underground services located by potholing at frequent intervals as required
-
Permit to excavate held at work face (if applicable)
-
Shoring methodology developed. (ensure workers not in danger installing)
-
Sides battered/benched for trench or excavations >1.5m deep or in friable ground
-
Machines working safe distance from edge of excavation.
-
Overburden/machinery well clear of the edge (600mm)
-
Daily inspections for stability – especially during wet weather
WORKING ON THE ROAD
-
TMP has been approved by Road Controlling Authority (NZTA, local authority
-
There is a copy of the TMP on site
-
The site/project setup conforms to the TMP
-
There a qualified Traffic Controller on site
-
An STMS has been appointed for the work and wearing the correct high visibility vest
-
The supervisors know who the STMS is and how to contact them
-
All workers wearing NZTA approved hi-vis clothing ie. in good condition and worn appropriately
CHEMICAL HANDLING/STORAGE
-
MSDS’s available for all chemicals/solvents/hazardous materials (dated < 5years?)
-
Hazardous material clearly identified
-
Hazardous materials properly stored
-
Hazardous materials properly handled/used
-
Users of hazardous materials properly informed
-
Adequate ventilation provided (where necessary)
-
Emergency proceedures identified and documented
WORK PROGRESS
-
The scope of works is being followed
-
The work is being performed to network standards
-
Issues are being identified and communicated
-
The work is progressing to programme
-
Quality assurance standards are being met
-
If Live Line, is the work in accordance with the Live Line proposal and permit?
-
If isolated, is the isolation in accordance with the Switching Plan?
-
Has the Testing & Commissioning checklist been completed?
-
Are MADs being observed where applicable?
-
Does live line work meet ECP46 / EOS 006?
-
Has existing/new conductors been isolated/earthed during stringing of additional conductors?
-
Are all person clear from the cross-arm of the pole during strining and tensioing?
-
GENERAL COMMENTS