Field Services Tasmania - Safety, Quality and knowledge - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Site Address?
  Address

• Site location - Street, Premises, Other?

• Date of Audit?

  Date

General

• Start Cards filled out?

  Yes

  No

  N/A

• Can you talk through all the hazards onsite. Show me on the start card where you would put any hazards if not covered by the SWMS?

  Yes

  No

  N/A

• Blue book onsite and available?

  Yes

  No

  N/A

• Can you tell me where in the blue book would you find MSDS, Emergency Contact Details, SWMS, Calibration records, Ladder Inspection Records.

  Yes

  No

  N/A

• Yes

  No

  N/A

• Do all members of crew have White cards, First aid certs, ID(enable), Traffic management Tickets, Working At Heights, Pole Top Rescue, EP licence or any other mandatory tickets onsite and available?

  Yes

  No

  N/A

• Are First aid kits onsite and all items in date?

  Yes

  No

  N/A

• Is there a sharps kit onsite?

  Yes

  No

  N/A

• Is there a spill kit onsite?

  Yes

  No

  N/A

Civil

• Does one member of the crew have a valid implement traffic management ticket

  Yes

  No

  N/A

• Is traffic management set up according to a scenario from the blue book

  Yes

  No

  N/A

• Have you done a Walk\Drive through? ( to ensure the site makes sense to the public - Pedestrian and vehicular)

  Yes

  No

  N/A

• Pedestrian management accounted for ?(pedestrians not put in danger or directed in an un safe manner)

  Yes

  No

  N/A

• Are all areas barricaded and safe to the public?

  Yes

  No

  N/A

• Is there a Dig permit onsite and filled out correctly?

  Yes

  No

  N/A

• Have you performed a pre start for any plant and is the plant register up to date.?

  Yes

  No

  N/A

• Can you explain what you do if conditions change? (weather, traffic, third party crew starts to work near by)?

  Yes

  No

  N/A

• Is all plant service history onsite and in date?

  Yes

  No

  N/A

• Gas detector onsite, Calibrated and in blue book register?

  Yes

  No

  N/A

• Is there a cable locator onsite?

  Yes

  No

  N/A

• Is PPE being worn, i.e hard hats near plant, Safety Glasses, Gloves, steel cap boots in good condition

  Yes

  No

  N/A

• Is there any ACM onsite, are their trained people and site set up safe. including correct signage, Supervisor within 20min and licence available?

  Yes

  No

  N/A

• Are the DBYD onsite and on a readable device?

  Yes

  No

  N/A

• Please explain the local assets in relation to the DBYD?

  Yes

  No

  N/A

• Can you explain one of the symbols on the DBYD?

  Yes

  No

  N/A

• Is the lic dug to depth, 300mm from top of conduit to ground level.?<br>If digging in the street network is it to depth 450mm from top of conduit to ground level?

  Yes

  No

  N/A

• Is the lic placed in accordance with the PCD guidelines. i.e 100mm from corners, 150mm from taps, 150mm from power sources, 1000mm from gas meters and 1500mm from gas bottles?

  Yes

  No

  N/A

• Is the reinstatement up to an acceptable level?

  Yes

  No

  N/A

• Is the customer aware of the works onsite?

  Yes

  No

  N/A

• Are pit entry/exits compliant regarding location and spigots fit flush with pit wall

  Yes

  No

  N/A

Aerial

• Do both members of the crew have like for like qualification i.e. Electrical practitioners, linesmen

  Yes

  No

  N/A

• Do both members of the crew have IP tickets?

  Yes

  No

  N/A

• Are LV gloves being used and in test (12 months)?

  Yes

  No

  N/A

• Do both members of the crew hold valid pole top rescue(12 months) and working at heights qualifications(2 years)

  Yes

  No

  N/A

• Can you explain the SAD's zone i.e zone 1, Zone 2 safe approach distance (no closer than 600mm from LV)

  Yes

  No

  N/A

• Can you tell me what the TS-02 is? What does it mean to me?

  Yes

  No

  N/A

• Is there a rescue kit onsite and placed at the base of the pole?

  Yes

  No

  N/A

• Are ladders Tas networks tested and no signs of physical wear?

  Yes

  No

  N/A

• Traffic management tickets held and onsite.

  Yes

  No

  N/A

• Traffic management setup to plan

  Yes

  No

  N/A

• Height safety equipment (harnesses in date and visually tested)

  Yes

  No

  N/A

Internal Installer

• Have you spoken to the EU about NTD locations and run through the 10 min guide?

  Yes

  No

  N/A

• Have you asked the EU about any unknown hazards, i.e pipes in render etc.?

  Yes

  No

  N/A

• is the roof space or sub floor access needed? Has the power been isolated, tagged and the EU made aware?

  Yes

  No

  N/A

• Do you know how to isolate the power, i.e sub boards, no main isolation switches

  Yes

  No

  N/A

• Do you have a bore scope and stud\electricity finder?<br>

  Yes

  No

  N/A

• Will any services pose a hazard to you during the installation, if so is there a better cable path?

  Yes

  No

  N/A