Future Grid Safe Work Check Sheet

• Document No.

• Audit Title (please use MP number and street address in title)

• Conducted on

  Date
• Location
  Address

• Personnel

• ESI Passports on site

  Yes

  No

  N/A

• Prepared by

• Task Information

• Tower, String, Site?

Check Sheet Items

• JOB ANALYSIS / JOB START: (Permits? Procedures? Checklists?)

  Yes

  No

  N/A

• AMENITIES: (Available, clean, repair)

  Yes

  No

  N/A

• FIRE FIGHTING / RESCUE: (Available, suitable, charged, tested within last 6 months)

  Yes

  No

  N/A

• FIRST AID: (Kit & contents, sharps container, first aider, eye wash/shower, nearest medical centre)

  Yes

  No

  N/A

• HOUSEKEEPING: (Layout, clean, secure)

  Yes

  No

  N/A

• ACCESS & EGRESS: (Available, clear, lights, emergency)

  Yes

  No

  N/A

• HEIGHTS: (Procedure, equipment, dropped objects, emergency)

  Yes

  No

  N/A

• ELECTRICAL: (Test and tag – due date is on tag, RCD’s, HV/LV, batteries, cables)

  Yes

  No

  N/A

• COMPRESSED GASES: (Secured, hoses, flashback, upright)

  Yes

  No

  N/A

• PLANT, EQUIPMENT & VEHICLES: (Log books – filled in, condition, guards, licences and Certificate of competence, separate from people, Spotter/guide, registration current, vehicle folder)

  Yes

  No

  N/A

• PPE: (Suitable, serviceable, UV, electrical rating, sleeves down)

  Yes

  No

  N/A

• ALL CHEMICALS: (MSDS, signs, labels, spray records, emergency)

  Yes

  No

  N/A

• MANUAL HANDLING: (Repetition, force, twist, reach, team lift)

  Yes

  No

  N/A

• ENVIRONMENTAL: (Emissions, waste, spill kit, waste water, vehicle wash point)

  Yes

  No

  N/A

• TRAFFIC MANAGEMENT: (Speed, barrier, signs, pedestrians, permit, devices comply with the approved traffic management / control plan in respect to location as well as erection)

  Yes

  No

  N/A

• LIFTING: (SWL, slings, people, load, test date – tested within twelve months)<br><br><br> <br>pants,etc

  Yes

  No

  N/A

• WELDING & GRINDING: (Screen, fire watch, fire ban permit, outdoors permit)

  Yes

  No

  N/A

• TOOLS: (Condition, guards)

  Yes

  No

  N/A

• EXCAVATION WORK: (Services, barriers, trench/hole collapse, emergency)

  Yes

  No

  N/A

• CONFINED SPACE: (JA on hand? Gas tester? Entry Permit?)

  Yes

  No

  N/A

• PARTS STORAGE & HANDLING: (Secure? Protected? Tidy?)

  Yes

  No

  N/A

• LAND LIASION: (Records on site? Pre-work photos available? All specific requirements met?)

  Yes

  No

  N/A

• CULTURAL: (Is this a sensitive site? Special requirements being adhered to?

  Yes

  No

  N/A

• FAUNA: (Known site? Special requirements being adhered to?)

  Yes

  No

  N/A

• QA CHECKS: (Pole erection, foundations, hardware, string set up, sagging, jointing, earthing)

  Yes

  No

  N/A

• OTHER:

  Yes

  No

  N/A

• Please add photos of any unsafe conditions/equipment/procedures found onsite.

  Media

• Add signature

  Sign