Information
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Document No.
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Audit Title
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Client/Site
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Conducted on
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Prepared by
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Location
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Please select either, Crew Leader/Supervisor, or
- Keith Conyers (Supervisor)
- Laurie Johnson (Supervisor)
- Mark Conyers (Supervisor)
- Nathan Dobney (Supervisor)
- Nunzio Mantini (Supervisor)
- Richard Atkinson (Supervisor)
- Dean Lach
- Steve Lach
- John Rountas
- Glenn Meredith
- Ken Colbert
- James Bell
- Justin Bretherton
- James Pearton
- Paul O'Shannessy
- Mark Pfister
- Greg Bretherton
- Darren Evans
- Ben Warren
- Rod Allen
- Luke Rose
- Alessandro De Gregorio
- Dale Byrne
- Luke Bryant
- Darren Smart
- Conor Sharvin
- Marc Tasker
- Rhys Owen
- Andrew Jackson
- Michael Gritzalis
- Luke McCrea
- Ross Charlesworth
- Adam White
- David Surace
- David Wayne O'Neil
- Ian Divers
- Jason Griffith
- Keith Warren
- Mariah Marshall
- Mark Ferrari
- Michael Chisholm (Leakage)
- Nathan Webb
- Nicholas Deluca
- Paul Seyffer
- Sam Sanfilippo
- Shane Barclay (Pipeline Patrol)
- Shane Duggin
- Wesley Crocker
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Contractor
- Wilgaz
- Adam Bartle
- Melbore Construction
- Simpkin Services
- South Valley Trenching
- Southern Cross Construction
- Telgas
- Uda & Sons
- Allgas Plumbing
- Beach Front Gas
- Crough Gas & Plumbing
- Cardinia Heating & Plumbing
- D.A. Plumbing & Gasfitting
- D&L Scott Plumbing
- DJ Crough Plumbing
- Eleventh Julwood
- Gasplumb
- Grays Plumbing & Gasfitting
- JC Gas & Plumbing
- Mahon Plumbing
- MET Gas
- MG Consulting
- RJS Gas Services
- Shaunara Nominees
- Specialised Gas Services
- BWB Constructions
- G & G Twin Excavations
- MEX
- MR Utilities
- RAM Boring
- Accelerated
- Aranmore (No Project Work)
- Covcrete
- R & A Excavations
- TAG
- AADD
- Ausconnect
- Australian Horizontal Drilling (No Project Work)
- Construct
- Altus
- Holemasters
- Hoogweld
- Reliable Pipe
- Steve Marshall Contracting
- JDC
- KPS
- Prestige Paving
- Roadsafe Asphalt
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Mat. Code
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Workgroup
1. Site Risk Management
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Are relevant SWMS available and a Daily Pre Start completed for the work?
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Has the Pre Start identified site specific risks, been signed and dated by all crew members and have SWMS for the task been identified?
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Are all identified risk control measures on SWMS and Pre Start assessment in place?
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Have sub-contractors and site visitors been inducted onto the site and signed onto the Daily Pre Start?
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Has the Traffic / Pedestrian Management Plan been identified / created and available on site and documented on the Pre Start?
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Overall, is the site risk assessment / Pre Start adequate for the worksite?
2. Environment & Hazardous Goods
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Are environmental risks identified in the SWMS/Pre Start and controlled on site?
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Are there any chemicals in use and is there a current SDS available for the chemical?
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Are any hazardous materials and dangerous goods separately stored and labelled?
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Are there any control measures to manage spills and leaks? (e.g. spill kit)
3. Skills and Competency
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Are all personnel trained licensed / registered for their functional role?
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Do subcontractors hold appropriate qualifications?
4. Forms/Documentation
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Is there a job file available on site?
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Does the job file contain a daily job sheet / work instruction?
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Does the job file contain current Dial before You Dig information?
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Does the job file contain a sequence of operations? (gas works)
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Does the job file contain design drawings?
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Is a Pipeline Inspector on site or required to be on site?
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Is a hot work permit required and are there any hot work restrictions?
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Is a Confined Space permit required and are crew members involved in CSE signed onto the permit?
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Is a Road Opening Permit required and is it on site?
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If the intention is for trenches to be greater than 1.5m deep has the "Trenching notification" been submitted to Work Safe?
5. Traffic and Pedestrian Management
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Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?
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Does the actual traffic / pedestrian layout reflect the Traffic / Pedestrian Management Plan?
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Is pedestrian traffic safely controlled through the worksite?
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Are traffic signs and devices legible and undamaged?
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Are suitable barriers provided to protect the public from the work site?
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Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?
6. Personnel Protective Equipment
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Is PPE in accordance with site requirements?
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Is required PPE within inspection or replacement dates?
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Is other appropriate PPE utilised as required and in good condition? (e.g. Harness, Life lines etc.)
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Is PPE in an adequate condition?
7. Vehicles/Plant
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Are all plant operators licensed as required?
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Are logbooks available for all plant on site and have they been maintained appropriately?
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Have pre-start checklists been completed?
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Are all vehicles on site registered?
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Are all vehicles/plant within their service range?
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Are all vehicles/plant in acceptable condition in terms of cleanliness? What is the general condition of the vehicles/plant (cleanliness)?
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Is all equipment carried on vehicles adequately secured?
8. First Aid
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Is there an intact First Aid kit?
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Is the kits location marked on the vehicle?
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Do the contents appear to be complete, in good condition and within expiry dates?
10. Tools and Equipment: Testing and Condition
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Are all electrical tools, generators, leads, RDCs tagged and within their test date range?
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Is Poly Fusion equipment within calibration dates?
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Is the gas detector within calibration date?
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Are Oxygen analysers within calibration date?
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Is the voltage tester fit for purpose and tested prior to use?
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Is Oxy acetylene equipment in good condition and within test date? (AS 4839 section 8)
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Are the gas bottles within expiry date and stored appropriately?
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Is lifting equipment in good condition and within test date?
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Is fire extinguisher charged and within test dates?
11. Worksite/Work Practices
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Are there an appropriate number of trained and competent crew members on site for task?
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Are Effective Safety Observers in place?
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Are No-Go Zones being adhered to?
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Has pipework been tested for stray current?
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Are cross bonding leads required and used?
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Are the appropriate numbers of fire extinguisher/s on site and placed in appropriate locations?
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Have other authority assets been located and / or exposed by hand prior to mechanical excavation?
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Are all gas grid materials stored to prevent damage or deterioration?
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Have standards (including covers, clearances, offsets and bedding materials) been maintained?
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Are stop off of Mains and Services methods in line with client procedures?
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Is the site tidy with no obvious tripping or other hazards?
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Are trenches appropriately battered / shored?
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Is spoil placed in excess of 0.5 from excavation wall?
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Is a ladder or steps used to access excavation?
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Is confined space rescue equipment on site and set up as required?
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Are pits / man holes protected to prevent falls?
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Does reinstatement and compaction meet VicRoads, Local Council and property owner’s requirements?
12. Housekeeping
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Is crush rock laid, level and compacted?
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Is there any evidence of debris or rubbish?
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Is there any evidence of subsidence in compound and around entry exit points?
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Is the interior of compound clear of fire hazards and tidy?
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Is the exterior of compound clear of fire hazards and tidy?
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Is fire protection in place? Are fire extinguishers in place and within test dates?
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Is there acceptable security of compound fence and gates?
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Are warning signs and emergency contact details in place with current information?
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Are PPE signs in place?
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Are Silt traps in place?
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Is refuelling of equipment in line with EMP?
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Are there effective erosion and / or sediment controls in place?
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Has waste been segregated for reuse / recycle / disposal as per EMP?
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Is Waste Water treated and disposed of as per EMP?
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Is material containing Asbestos treated as per EMP and VWCA 2007 OHS regulations?
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Has flora, fauna and culture heritage issues been identified and controlled as per EMP?
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Is spoil removed from site tested and disposed of in line with EPA requirements and are certificates available?