Gas Dist. Field Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Yes

  No

  N/A

• Site address

  UE

  MG

• Region

  North

  South

• Contractor/s / Staff onsite

• Job Description

• Date

  Date

• Time

  Date

1. Site Risk Management

• Are relevant work instructions available and a Site Risk Assessment completed for the work?

  Yes

  No

  N/A

• Has the JSA/site risk assessment identified site specific risks, been signed and dated by all crew members and have SWMS/ WI for task been identified?

  Yes

  No

  N/A

• Are all identified risk control measures on JSA/site risk assessment in place?

  Yes

  No

  N/A

• Have sub-contractors, site visitors been inducted onto the site and signed onto the Risk Assessment?

  Yes

  No

  N/A

• Has the relevant Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?

  Yes

  No

  N/A

• Overall, is the site risk assessment/ JSA adequate for the worksite?

  Yes

  No

  N/A

2. Skills and Competency

• Do all personnel have COCs on site?

  Yes

  No

  N/A

• Are the COCs current?

  Yes

  No

  N/A

• Are COCs relevant for the task at hand?

  Yes

  No

  N/A

• Do subcontractors hold appropriate qualifications?

  Yes

  No

  N/A

3. Forms/Documentation

• Is there a job pack available on site?

  Yes

  No

  N/A

• Does the job pack contain an approved and relevant scope/ methodology in line with approved standards?

  Yes

  No

  N/A

• Does the job pack contain site specific Dial before You Dig / utility plans information?

  Yes

  No

  N/A

• Is a strategic or transmissions pipelines work permit required and are there any restrictions - are they being followed?

  Yes

  No

  N/A

• Is a sub trans or power pole permit required and available - is it valid and the restrictions being adhered to?

  Yes

  No

  N/A

• Are any other permits to work required and onsite - eg confined space, non routines, etc...?

  Yes

  No

  N/A

• Is a CAR/ WAP required and is it on site and in date?

  Yes

  No

  N/A

• Does the excavation require a hazardous works notification for depth/ shoring - and have Work Safe been notified?

  Yes

  No

  N/A

• Are MSDS available on site for all chemicals/fuels?

  Yes

  No

  N/A

4. Traffic and Pedestrian Management

• Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?

  Yes

  No

  N/A

• Does the actual traffic/pedestrian layout reflect the Traffic/Pedestrian Management Plan?

  Yes

  No

  N/A

• Is pedestrian traffic safely controlled through the worksite?

  Yes

  No

  N/A

• Are traffic signs and devices legible and undamaged?

  Yes

  No

  N/A

• Are suitable barriers provided to protect the public from the work site?

  Yes

  No

  N/A

• Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?

  Yes

  No

  N/A

5. Personnel Protective Equipment

• Is PPE in accordance with GSD PPE matrix?

  Yes

  No

  N/A

• Is required PPE within inspection or replacement dates?

  Yes

  No

  N/A

• Is other appropriate PPE utilised as required and in good condition? (E.g. Harness, Life lines)?

  Yes

  No

  N/A

• Is PPE in an adequate condition?

  Yes

  No

  N/A

6. Vehicles/Plant

• Are all plant operators licensed as required?

  Yes

  No

  N/A

• Are logbooks available for all plant on site and have they been maintained appropriately?

  Yes

  No

  N/A

• Have pre-start checklists been completed?

  Yes

  No

  N/A

• Are all vehicles on site registered?

  Yes

  No

  N/A

• Are all vehicles/plant within their service range?

  Yes

  No

  N/A

• What is the general condition of the vehicles/plant (cleanliness)?

  Yes

  No

  N/A

• Is all equipment carried on vehicles adequately secured?

  Yes

  No

  N/A

• Is there appropriate identification / branding on contractor vehicles?

  Yes

  No

  N/A

7. First Aid

• Is there an intact First Aid kit?

  Yes

  No

  N/A

• Is the kits location marked on the vehicle?

  Yes

  No

  N/A

• Do the contents appear to be complete, in good condition and within expiry dates?

  Yes

  No

  N/A

8. Gas Escape/Outage Management

• Is the Service Providers level of response consistent with emergency protocols under the conditions observed on site?

  Yes

  No

  N/A

• Have personnel attended to the outage within the guidelines of the response times?

  Yes

  No

  N/A

• Has the service provider isolated the area required?

  Yes

  No

  N/A

• Has the Service Provider assessed the number of customers effected?

  Yes

  No

  N/A

• Has service provider turned off effected customers?

  Yes

  No

  N/A

• Is there evidence of a satisfactory area covered for leakage location and identification?

  Yes

  No

  N/A

• Have all other utilities assets been located/proved prior to excavation?

  Yes

  No

  N/A

9. Tools and Equipment: Testing and Condition

• Are all electrical tools, generators, leads, RDCs tagged and within their test date range?

  Yes

  No

  N/A

• Is Poly Fusion equipment within calibration dates?

  Yes

  No

  N/A

• Is the gas detector within calibration date?

  Yes

  No

  N/A

• Are Oxygen analysers within calibration date?

  Yes

  No

  N/A

• Is voltage tester fit for purpose and tested prior to use?

  Yes

  No

  N/A

• Is fire extinguisher charged and in test date?

  Yes

  No

  N/A

10. Worksite/Work Practices

• Is appropriate number of trained and competent crew members on site for task?

  Yes

  No

  N/A

• Effective Spotter/Safety Observers in place?

  Yes

  No

  N/A

• Are cross bonding leads required and used?

  Yes

  No

  N/A

• Are the appropriate numbers of fire extinguisher/s on site and placed in appropriate locations?

  Yes

  No

  N/A

• Have all utilities been located and /or exposed by hand prior to mechanical excavation and/ or cross over ?

  Yes

  No

  N/A

• Are jointing techniques in line with Electrix WIs?

  Yes

  No

  N/A

• Have Electrix standards (including covers, clearances, offsets and bedding materials) been maintained?

  Yes

  No

  N/A

• Is the site tidy with no obvious tripping or other hazards?

  Yes

  No

  N/A

• Are trenches appropriately battered/shored?

  Yes

  No

  N/A

• Is spoil placed in excess of 0.5 from excavation wall?

  Yes

  No

  N/A

• Is Sleeve/Slabbing/tape protection in place?

  Yes

  No

  N/A

• Has pressure testing and purging been conducted in line with purging procedure or Electrix WIs?

  Yes

  No

  N/A

• Does reinstatement and compaction meet Council and property owners requirements?

  Yes

  No

  N/A

11. Environment and Hazardous Goods

• Does the Hazard ID identify environmental risks and controls?

  Yes

  No

  N/A

• Have the appropriate controls been put in place on site?

  Yes

  No

  N/A

• Are erosion and/or sediment control structures located between source (i.e. spoil) and receptor (i.e. drain)?

  Yes

  No

  N/A

• Is noisy plant and machinery switched off when not in use?

  Yes

  No

  N/A

• Are dust generating activities (i.e. concrete cutting), being managed correctly i.e. water hoses attached to cutting equipment?

  Yes

  No

  N/A

• Are the drip lines of any trees on site free of large/heavy equipment?

  Yes

  No

  N/A

• If applicable, have tree roots been clean cut at a 45 degree angle and not torn?

  Yes

  No

  N/A

• Have trees been identified and work within their proximity approved by an arborist report?

  Yes

  No

  N/A

12 Housekeeping

• Has debris or rubbish been controlled and removed from site?

  Yes

  No

  N/A

• Has contact been made with the customer/ site contact prior to works commencing?

  Yes

  No

  N/A