Rural Fire Field Safety Audit, PPE and Safety Equipment Check

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

L.A.C.E.S

• Effective lookouts in place

  Yes

  No

  N/A

• Reliable anchor points in effect

  Yes

  No

  N/A

• Communications, to ask for assistance or warned of hazards

  Yes

  No

  N/A

• Uncompromised Escape routes to allow easy and timely evacuation

  Yes

  No

  N/A

• Safe zones of adequate size (4x flame height to 8x flame height on a slope)

  Yes

  No

  N/A

Local and site hazards

• Weather hazards identified

• Constant wind direction

  Yes

  No

  N/A

• Decreasing wind speed

  Yes

  No

  N/A

• Known local wind effects

  Yes

  No

  N/A

• Stable atmosphere

  Yes

  No

  N/A

• Rain or increased rh

  Yes

  No

  N/A

• Known temperature range through the next 12 hours

  Yes

  No

  N/A

• Low fwi

  Yes

  No

  N/A

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Rugged uneven terrain

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Steep slopes

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Fuel hazard extreme

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Flame length over 2mtrs

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Limited/no local knowledge

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Hazardous trees in area

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Railway

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Powerlines

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Airborne debris/ ember transfer

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Chemical hazards

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Hazardous material

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Bio hazards

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Asbestos

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Enclosed spaces

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Structurally compromised infrastructure

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Bees, Wasps

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Livestock

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Aircraft Operations

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

• Heavy Machinery

• Minimise or mitigation measure in place (state what)

  Yes

  No

  N/A

Effective PPE

• Helmets

  Yes

  No

  N/A

• Footwear

  Yes

  No

  N/A

• Suitable level clothing

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Respirator/ breathing mask

  Yes

  No

  N/A

• Torch or headlamp if working at night

  Yes

  No

  N/A

• First aid kit available (carried by crew or crew leader)

  Yes

  No

  N/A

• Sun block and insect repellant in crew

  Yes

  No

  N/A

• Flagging tape carried

  Yes

  No

  N/A

• Issues raised and addressed

  Yes

  No

  N/A

• Issues raised and addressed

  Yes

  No

  N/A

• Issues raised and addressed

  Yes

  No

  N/A

• Issues raised and addressed

  Yes

  No

  N/A

Effective controls

• Qualified crew leaders in place

  Yes

  No

  N/A

• Flight risk assessment completed

  Yes

  No

  N/A

• Qualified chainsaw operators

  Yes

  No

  N/A

• Safe approach systems in place

  Yes

  No

  N/A

• Route for digger or bulldozer has been flagged

  Yes

  No

  N/A

• Traffic controls in effect

  Yes

  No

  N/A

• Seat belts worn<br>

  Yes

  No

  N/A

• Roll over protection

  Yes

  No

  N/A

• Plant operating gaurds

  Yes

  No

  N/A

Documentation

• Field Hazards discussed with Crew Leaders and Hazard I.d board updated

• Recommendations

  Yes

  No

  N/A

• Risk scale rating considered and communicated

• Recommendations

  Yes

  No

  N/A

• Hazards managed or mitigated

• Recommendations

  Yes

  No

  N/A

• Hazards considered within incident action plan

• Recommendations

  Yes

  No

  N/A

• Evacuation plan

• Recommendations

  Yes

  No

  N/A

• Medical plan documented

• Recommendations

  Yes

  No

  N/A

• GSMEAC document prepared for hand over

• Recommendations

  Yes

  No

  N/A