Field Safety Checklist v0.3

• Audit Title

• Client / Site

• Prepared by

• Conducted on

  Date
• Location
  Address

• PPE AUDIT

PPE

• Bump Caps

  Pass

  Faulty

  Not Applicable

• Disposable Dust Masks

  Pass

  Faulty

  Not Applicable

• Disposable Overalls

  Pass

  Faulty

  Not Applicable

• Overalls

  Pass

  Faulty

  Not Applicable

• Ear Muffs

  Pass

  Faulty

  Not Applicable

• Elbow Pads

  Pass

  Faulty

  Not Applicable

• Knee Pads

  Pass

  Faulty

  Not Applicable

• Gloves (Disposable)

  Pass

  Faulty

  Not Applicable

• Gloves (Leather)

  Pass

  Faulty

  Not Applicable

• Gas Detector & Attachments

  Pass

  Faulty

  Not Applicable

• Helmet

  Pass

  Faulty

  Not Applicable

• Use by Date

  Date

• Manhole Guards

  Pass

  Faulty

  Not Applicable

• Safety Bags

  Pass

  Faulty

  Not Applicable

• Safety Belt / Harness / Safety Line

  Pass

  Faulty

  Not Applicable

• Use by Date

  Date

• Safety Shoes with Heels

  Pass

  Faulty

  Not Applicable

• Safety Spectacles / Goggles

  Pass

  Faulty

  Not Applicable

• Safety Vest

  Pass

  Faulty

  Not Applicable

• Sharps Kit

  Pass

  Faulty

  Not Applicable

• Sun Cream

  Pass

  Faulty

  Not Applicable

• Jointers Umbrella

  Pass

  Faulty

  Not Applicable

Vehicle Equipment

• Esky Coolers (Storing Aerosol / Gas Can)

  Pass

  Faulty

  Not Applicable

• Insulated Rods

  Pass

  Faulty

  Not Applicable

• Pedestrian / Traffic Barried Signs

  Pass

  Faulty

  Not Applicable

Electrical Equipment

• Gloves (Electrical)

  Pass

  Faulty

  Not Applicable

• Residual Current Detector (10amp, Tested / Tagged)

  Pass

  Faulty

  Not Applicable

• Torch

  Pass

  Faulty

  Not Applicable

• Other

  Pass

  Faulty

  Not Applicable

• Handtool Audit

Handtools

• Power Tools / Electrical Equipment<br>Checked 240 Testing Done & Tagged

  Pass

  Faulty

  Not Applicable

• Cordless Power Tools<br>Tool is safe to use as per operation instructions

  Pass

  Faulty

  Not Applicable

• Diagonal Cutters, Pliers, Crimps

  Pass

  Faulty

  Not Applicable

• Screwdriver

  Pass

  Faulty

  Not Applicable

• Chisels

  Pass

  Faulty

  Not Applicable

• Hand Saws

  Pass

  Faulty

  Not Applicable

• Scanners, Sockets

  Pass

  Faulty

  Not Applicable

• Knives<br>Approved knives only

  Pass

  Faulty

  Not Applicable

• Hammers

  Pass

  Faulty

  Not Applicable

• Insulated Tools

  Pass

  Faulty

  Not Applicable

• Soldering tools

  Pass

  Faulty

  Not Applicable

• Excavating Tools (Shovels, Picks, Crowbars etc)

  Pass

  Faulty

  Not Applicable

• Duct Rods

  Pass

  Faulty

  Not Applicable

• Other

  Pass

  Faulty

  Not Applicable

• Ladder Audit
Ladder

• Select Type

  Select Timber Fibreglass Metal Single Extention Step MDF

  • Timber
  • Fibreglass
  • Metal
  • Single
  • Extention
  • Step
  • MDF

• Is The Ladder?

  Telstra Ladder

  Non Telstra Ladder

• Asset / Tool No.

• Inspection Label Applied?

Item Checklist

• Stiles

  Pass

  Faulty

  Not Applicable

• Ropes

  Pass

  Faulty

  Not Applicable

• Braces / Spreaders

  Pass

  Faulty

  Not Applicable

• Hinges

  Pass

  Faulty

  Not Applicable

• Guides / Stops

  Pass

  Faulty

  Not Applicable

• Rungs / Steps

  Pass

  Faulty

  Not Applicable

• Pulleys

  Pass

  Faulty

  Not Applicable

• Safety Feet

  Pass

  Faulty

  Not Applicable

• Bolts / Rivets

  Pass

  Faulty

  Not Applicable

• Chain / Bow

  Pass

  Faulty

  Not Applicable

• Vehicle Mounted Winch Audit

• Notes:
  (1) All items on checklist are visual checks only.
  (2) Ensure that the yellow winch warning decal is attached to bullbar and is legible. Replacement decals are available from each state Telstra Fleet office.
  (3) Checks must only be carried out by persons who have received Telstra approved training in winch operation and have read and fully understood the winch's Operations Manual.

Vehicle Details

• Vehicle Domestic No.

• Vehicle Registration No.

Wiring Connections

• Check that all winch wiring and connections at winch, battery, winch control box and remote control are secure and free from corrosion.

  Pass

  Faulty

  Attention

Batteries

• Check batteries are securely mounted and that the mounting and securing brackets are free from cracks and corrosion.

  Pass

  Faulty

  Not Applicable

• Check batteries electrolyte level is within specification.

  Pass

  Faulty

  Attention

Winch Control Box

• Check condition of body.

  Pass

  Faulty

  Attention

• Check socket for remote control plug is clean and free of corrosion.

  Pass

  Faulty

  Attention

Remote control

• Start vehicle and test the operation of the winch-in and winch-out switch.

  Pass

  Faulty

  Attention

• Check condition of hand piece and lead.

  Pass

  Faulty

  Attention

• Check condition of plug's connecting pins.

  Pass

  Faulty

  Attention

• <br>Check remote control plug connection at winch control box.

  Pass

  Faulty

  Attention

• Leave winch cable out approximately 1 metre. Switch vehicle off. Unplug remote control.

Bull Bar / Recover Hooks

• Ensure the bar is mounted securely and free from damage and cracks.

  Pass

  Faulty

  Attention

• Check Fairlead is securely mounted and clean.

  Pass

  Faulty

  Attention

• Check Fairlead guide rollers spin freely.

  Pass

  Faulty

  Attention

• Check vehicle front and rear recovery hooks are in good condition and securely fixed to the chassis.<br>Note: Refer to Fleet Engineering document E2345 for Recovery Point Locations.

  Pass

  Faulty

  Attention

Winch Assembly

• Check winch assembly is securely mounted to bullbar.

  Pass

  Faulty

  Attention

• Check winch is not physically damaged, and is clean and free of corrosion.

  Pass

  Faulty

  Attention

• Using clutch lever, engage the clutch.<br>Check winch drum does not free-spool.

  Pass

  Faulty

  Attention

• Using clutch lever, disengage the clutch.<br>Check winch drum does free-spool.

  Pass

  Faulty

  Attention

• Pull winch cable all the way out.

Winch Rope Hook

• Inspect hook - distort, cracked, secure, swivels.

  Pass

  Faulty

  Attention

• Inspect safety hook (if fitted) - Bent, cracked, secured.

  Pass

  Faulty

  Attention

Winch Cable

• Inspect cable clamp secured at hook.

  Pass

  Faulty

  Attention

• Inspect cable - broken strands, core exposed, crushed or bulging cable.

  Pass

  Faulty

  Attention

• Ensure winch cable and drum are clean.

  Pass

  Faulty

  Attention

• Check winch cable at drum end is correctly secured.

  Pass

  Faulty

  Attention

Winch Operation

• Start vehicle - secure winch cable to a capable anchorage point - re-spool cable under light load.
  Note:
  (1) Ensure all people not involved in re-spooling operation are clear of area.
  (2) Ensure a recovery damper is used on wire rope during re-spooling operation.

• Check winch system operates freely.

  Pass

  Faulty

  Attention

• Check no unusual noises are present.

  Pass

  Faulty

  Attention

• Check winch for signs for over heating.

  Pass

  Faulty

  Attention

• Check cable is re-spooled tight and cable is correctly layered.

  Pass

  Faulty

  Attention

Winch Recovery Accessories

• Note: all winch recovery accessories are to be supplied, managed and maintained by the business unite not Telstra Fleet.
  Inspect the following equipment for cleanliness, serviceability and correct rating.

• Gloves

  Pass

  Faulty

  Attention

• Bow Shackles 4.7t

  Pass

  Faulty

  Attention

• Snatch Block 8t - damaged, wheel spins freely and greased.

  Pass

  Faulty

  Attention

• Tree Trunk Protector

  Pass

  Faulty

  Attention

• Winch Extension Strap

  Pass

  Faulty

  Attention

• Snatch Strap

  Pass

  Faulty

  Attention

• Recovery Damper

  Pass

  Faulty

  Attention

• All equipment is rated, tagged, stamped, labelled, marked.

  Pass

  Faulty

  Attention

• Trailer Audit Including self-powered hydraulic units

• Trailer Fleet No. / Registration No.:

General

• Is servicing and maintenance up to date?

  Yes

  No

  Not Applicable

• Does the trailer tow in a predictable manner with no abnormal noises or vibrations?

  Yes

  No

  Not Applicable

• Are all 'Caution' and 'Warning' labels in place, legible & do you understand them?

  Yes

  No

  Not Applicable

• Has annual gas inspection been carried out on caravan's LPG appliances & other fittings?

  Yes

  No

  Not Applicable

• Has annual inspection been carried out on caravan's 240 Volt lights/RCDs/appliances etc.?

  Yes

  No

  Not Applicable

• Is registration label current and number plates legible and undamaged ?

  Yes

  No

  Not Applicable

Driver

• Is your daily routine free from anything that prevents your from driving safely?

  Yes

  No

  Not Applicable

• Are you competent to tow and / or operate trailer?<br>(Competency can be based on experience and / or training)

  Yes

  No

  Not Applicable

• Do the following accompany the trailer or are they readily accessible?<br>- Operator's Manuals<br>- Plant Safety Summary Card (PSSC) & Plant safety Data Sheet (PSDS)<br>Note: PSSC & PSDS available at - http://www.in.telstra.com.au/ism/fleet/productsafetydata.asp

  Yes

  No

  Not Applicable

• Have you read and fully understood all the above including your responsibility in relation to maintenance?

  Yes

  No

  Not Applicable

• Do you understand all 'Caution' and 'Warning' labels on trailer?

  Yes

  No

  Not Applicable

• Do you check the trailer connections and the trailer loads are secure before towing?

  Yes

  No

  Not Applicable

• Are Telstra decals, including the “1800 800 437” sticker affixed and visible?

  Yes

  No

  Not Applicable

Trailer - Exterior

• Are the tyres inflated to the pressure recommended on either compliance plate or stencilled on trailer mudguard?

  Yes

  No

  Not Applicable

• Are tyres, including the spare, in good condition ie even tread depth of at least 3mm in depth and free of cuts, flat spots or foreign bodies?

  Yes

  No

  Not Applicable

• Are all lights, including indicator lights, working and lenses clean?

  Yes

  No

  Not Applicable

• Is the tow coupling secure & in good condition i.e. no cracks, damage or excessive movement?

  Yes

  No

  Not Applicable

• Is the draw bar securely attached to trailer frame and is it in good condition i.e. no cracking or damage?

  Yes

  No

  Not Applicable

• Are the towing safety chains in good condition and securely attached?

  Yes

  No

  Not Applicable

• Are wheel rims, studs and nuts secure and in good condition?

  Yes

  No

  Not Applicable

• If fitted, are all steps and handholds in good condition and clean?

  Pass

  Faulty

  Not Applicable

• Are anchor points & all load securing devices in good condition & suitable for load carried?

  Yes

  No

  Not Applicable

• Are all axle assembly & suspension components in good condition and securely mounted?<br>Typical components include axles, springs, shackles, links & U bolts. <br>

  Yes

  No

  Not Applicable

• Is the jockey wheel operating correctly, in good condition and securely attached?

  Yes

  No

  Not Applicable

Safety Equipment and Fittings

• Are all air hoses, couplings and brake linkages in good condition?

  Yes

  No

  Not Applicable

• Are brakes, including park brake, working correctly?

  Yes

  No

  Not Applicable

• Have only 'Telstra Fleet approved' modifications been made to the Trailer?

  Yes

  No

  Not Applicable

• Are all safety guards fitted and in good condition?

  Yes

  No

  Not Applicable

Storage - Housekeeping

• Is the trailer free from sharp edges and unnecessary protrusions?

  Yes

  No

  Not Applicable

• Is the trailer clean and in good condition?

  Yes

  No

  Not Applicable

• Is the trailer free from slipping and tripping hazards?

  Yes

  No

  Not Applicable

• Audits - Tractor/Trencher/Crane/Forklift Reference to ' Plant ' in Self Check includes any attachments (trencher, cable layer, rock breaker etc).

• Purpose
  Your safety and the safety of others is of paramount importance to Telstra. Because regular servicing of plant does not cover all safety aspects, additional plant safety checks must be carried out by all employees operating Telstra plant.
  
  This self-check is aimed at ensuring you maintain the safety of your plant and must be carried out every six months.
  

• Tractor/Trencher/Crane/Forklift Domestic No. / Registration No.:

Operator

• Is your daily routine free from anything that prevents you from operating plant safely?

  Yes

  No

  Not Applicable

• Are you trained and hold the correct licences for this plant?

  Yes

  No

  Not Applicable

• Do all Operator's Manuals accompany the plant or are they readily accessible?

  Yes

  No

  Not Applicable

• Have you read and fully understood all Operator's Manuals including your responsibilities in relation to operating, lubricating and maintaining this plant?

  Yes

  No

  Not Applicable

• Have you ensured that the plant has been properly maintained in accordance with the Operator's Manuals?

  Yes

  No

  Not Applicable

• Are all 'Caution' and 'Warning' labels in place, legible & do you understand them?

  Yes

  No

  Not Applicable

• Is the plant operating correctly and in a predictable manner?

  Yes

  No

  Not Applicable

• Do you wear appropriate Personal Protective Equipment (PPE) when operating plant?

  Yes

  No

  Not Applicable

Safety Equipment and Fittings

• Is the seat in good condition and operating correctly?

  Yes

  No

  Not Applicable

• Is the seat belt in good condition, operating correctly and do you wear it?

  Yes

  No

  Not Applicable

• Have only Telstra Fleet approved modifications been made to the plant?

  Yes

  No

  Not Applicable

• Does the plant have appropriate fire fighting equipment as required by the region?

  Yes

  No

  Not Applicable

• Is audible reversing alarm working correctly?

  Yes

  No

  Not Applicable

• Are all warning lights working correctly?

  Yes

  No

  Not Applicable

Plant – Exterior

• Are all lifting slings, shackles, hooks in good condition and inspected before use?

  Yes

  No

  Not Applicable

• Are all lifting and/or tie down points clearly marked, securely attached to machine, and in good condition?

  Yes

  No

  Not Applicable

• Are all safety guards fitted and in good condition?

  Yes

  No

  Not Applicable

• Are all steps and handholds in good condition and clean?

  Yes

  No

  Not Applicable

• Are cabin windows clean to provide maximum visibility?

  Yes

  No

  Not Applicable

• Are all lights, including indicator lights, working and lenses clean?

  Yes

  No

  Not Applicable

• Are all tyres inflated correctly as per tyre placard?

  Yes

  No

  Not Applicable

• Are all tyres in a good condition i.e. even tread at least 3mm depth, free of cuts, flat spots or foreign bodies?

  Yes

  No

  Not Applicable

• Is the plant free from any of the following:

• • slipping/tripping hazards?

  Yes

  No

  Not Applicable

• • oil leaks that present a hazard?

  Yes

  No

  Not Applicable

• • excessively worn components that may become a hazard?

  Yes

  No

  Not Applicable

• • any defects/faults that make the plant hazardous?

  Yes

  No

  Not Applicable

• Are all fittings securely attached?

  Yes

  No

  Not Applicable

• Where applicable, is engine oil, coolant, brake fluid, hydraulic fluid, battery electrolyte, power steering and windscreen washer fluid levels checked according to the “operator’s handbook”?

  Yes

  No

  Not Applicable

Storage - Housekeeping

• Is the plant cleaned regularly inside and out?

  Yes

  No

  Not Applicable

• Is the cab free from unnecessary items? ( Unrestrained items can cause injury )

  Yes

  No

  Not Applicable