Information

  • Safety, Quality and knowledge

  • Contractor

  • Conducted on

  • Prepared by

  • Location
  • Person conduction Audit

General

  • Start Cards filled out?

  • 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?

  • Blue book onsite and available?

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

  • Is the SWMS signed onto and re-inducted?

  • 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?

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

  • Is there a sharps kit onsite?

  • Is there a spill kit onsite?

Civil

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

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

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

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

  • Are all areas barricaded and safe to the public?

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

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

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

  • Is all plant service history onsite and in date?<br>

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

  • Is there a cable locator onsite?

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

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

  • Are the DBYD onsite and on a readable device?<br>

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

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

  • 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?

  • 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?

  • Is the reinstatement up to an acceptable level?

  • Is the customer aware of the works onsite?

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

Aerial

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

  • Do both members of the crew have IP tickets?

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

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

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

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

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

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

  • Traffic management tickets held and onsite.

  • Traffic management setup to plan

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

Internal Install

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

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

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

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

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

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

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

  • Do you have a sharps kit?<br>

  • Are all ladders fibreglass and stickers intact?

  • Is the Internal cable attached at 500mm intervals and secure?

  • Is the NTD fitted 300mm from the floor and not higher than 1700mm

  • Is the NTD fitted in a dry, dust free environment?

Questions?

  • What can I do for you?

  • Click, how are you going and do you require any help?

  • Pre-Scopes, Do you feel you have them under control? Can you describe the correct process for retargeting

  • What would you do if click isn't working?

  • Auditor to sign

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.