Field Inspection - Macarthur Gas Pty Ltd

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Pre Start #

• TMP #

• Hazardous Task #

• Contractor Group

  Construction

  Supply

  Alliance Partner

• Stage of Work

  Set Up

  Construction

  Testing

  Clean Up

HSE CHECKLIST

• Administrative Controls

  Yes

  No

  N/A

• Site Housekeeping & Materials

  Yes

  No

  N/A

• PPE & First Aid

  Yes

  No

  N/A

• Public Protection

  Yes

  No

  N/A

• Manual Handling

  Yes

  No

  N/A

• Prevention Of Falls

  Yes

  No

  N/A

• Mobile Plant & Equipment

  Yes

  No

  N/A

• Electrical

  Yes

  No

  N/A

• Excavation / Boring / Trenching

  Yes

  No

  N/A

• Welding

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

TECHNICAL CHECKLIST

• Operators Authorised in Critical Skills

  Yes

  No

  N/A

CONSTRUCTION

• Depth Of Cover

  Yes

  No

  N/A

• Boring

  Yes

  No

  N/A

• Clearances Between Assets

  Yes

  No

  N/A

• Insertion

  Yes

  No

  N/A

• Pipe Jointing

  Yes

  No

  N/A

• Tracer Wire / Marker Tape

  Yes

  No

  N/A

• Service Riser

  Yes

  No

  N/A

• Pipe Bedding

  Yes

  No

  N/A

• Backfill & Reinstatement

  Yes

  No

  N/A

• Pressure Testing

  Yes

  No

  N/A

• Tie in to Existing Mains

  Yes

  No

  N/A

• Protection of Bare Steel

  Yes

  No

  N/A

• Testing of Steel Pipe Coating

  Yes

  No

  N/A

• Internal Cleaning of Pipes

  Yes

  No

  N/A

• Pipeline Markers

  Yes

  No

  N/A

• Recording of Services

  Yes

  No

  N/A

CONNECTION

• Meter Installation

  Yes

  No

  N/A

• Meter Change / Regulator Change

  Yes

  No

  N/A

• Meter Locks

  Yes

  No

  N/A

• Supply Investigation

  Yes

  No

  N/A

• Refix Relight

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

MAINTENANCE

• Escape Investigation

  Yes

  No

  N/A

• Escape Repair

  Yes

  No

  N/A

• Alteration Main / Service

  Yes

  No

  N/A

• Pipeline Patrol / Inspection

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Field Issues Number ( where NCR is raised)

• Comments