Information
-
Document No.
-
Audit Title
-
Client/Site
-
Conducted on
-
Prepared by
-
Location
-
Please select either, Crew Leader/Supervisor, or
- Keith Conyers (Supervisor)
- Laurie Johnson (Supervisor)
- Mark Conyers (Supervisor)
- Nathan Dobney (Supervisor)
- Nunzio Mantini (Supervisor)
- Richard Atkinson (Supervisor)
- Dean Lach
- Steve Lach
- John Rountas
- Glenn Meredith
- Ken Colbert
- James Bell
- Justin Bretherton
- James Pearton
- Paul O'Shannessy
- Mark Pfister
- Greg Bretherton
- Darren Evans
- Ben Warren
- Rod Allen
- Luke Rose
- Alessandro De Gregorio
- Dale Byrne
- Luke Bryant
- Darren Smart
- Conor Sharvin
- Marc Tasker
- Rhys Owen
- Andrew Jackson
- Michael Gritzalis
- Luke McCrea
- Ross Charlesworth
- Adam White
- David Surace
- David Wayne O'Neil
- Ian Divers
- Jason Griffith
- Keith Warren
- Mariah Marshall
- Mark Ferrari
- Michael Chisholm (Leakage)
- Nathan Webb
- Nicholas Deluca
- Paul Seyffer
- Sam Sanfilippo
- Shane Barclay (Pipeline Patrol)
- Shane Duggin
- Wesley Crocker
-
Contractor
- Wilgaz
- Adam Bartle
- Melbore Construction
- Simpkin Services
- South Valley Trenching
- Southern Cross Construction
- Telgas
- Uda & Sons
- Allgas Plumbing
- Beach Front Gas
- Crough Gas & Plumbing
- Cardinia Heating & Plumbing
- D.A. Plumbing & Gasfitting
- D&L Scott Plumbing
- DJ Crough Plumbing
- Eleventh Julwood
- Gasplumb
- Grays Plumbing & Gasfitting
- JC Gas & Plumbing
- Mahon Plumbing
- MET Gas
- MG Consulting
- RJS Gas Services
- Shaunara Nominees
- Specialised Gas Services
- BWB Constructions
- G & G Twin Excavations
- MEX
- MR Utilities
- RAM Boring
- Accelerated
- Aranmore (No Project Work)
- Covcrete
- R & A Excavations
- TAG
- AADD
- Ausconnect
- Australian Horizontal Drilling (No Project Work)
- Construct
- Altus
- Holemasters
- Hoogweld
- Reliable Pipe
- Steve Marshall Contracting
- JDC
- KPS
- Prestige Paving
- Roadsafe Asphalt
-
Mat. Code
-
Workgroup
1. Site Risk Management
-
Are relevant SWMS available and a Site Risk Assessment (JSA) completed for the work?
-
Has the JSA / site risk assessment identified site specific risks, been signed and dated by all crew members and have SWMS for the task been identified?
-
Are all identified risk control measures on SWMS and JSA/site risk assessment in place?
-
Have sub-contractors and site visitors been inducted onto the site and signed onto the JSA?
-
Has the Traffic / Pedestrian Management Plan been identified / created and available on site and documented on the JSA?
-
Overall, is the site risk assessment / JSA adequate for the worksite?
2. Environment & Hazardous Goods
-
Are environmental risks identified in the SWMS/JSA and controlled on site?
-
Are there any chemicals in use and is there a MSDS available for the chemical?
-
Are any hazardous materials and dangerous goods separately stored and labelled?
-
Are there any control measures to manage spills and leaks? (e.g. spill kit)
3. Skills and Competency
-
Do all personnel have MG Passports on site?
-
Is all training and are all authorisations current for the functional role of the Passport holder?
-
Are all personnel trained licensed / registered for their functional role?
-
Do subcontractors hold appropriate qualifications?
4. Forms/Documentation
-
Is there a job file available on site?
-
Does the job file contain a daily job sheet / work instruction?
-
Does the job file contain Dial before You Dig information?
-
Does the job file contain a sequence of operations?
-
Does the job file contain design drawings?
-
Are up to date district plans on site?
-
Is a Pipelines work permit required and are there any restrictions?
-
Is a Pipeline Inspector on site or required to be on site?
-
Is a hot work permit required and are there any hot work restrictions?
-
Is a Confined Space permit required and are crew members involved in CSE signed onto the permit?
-
Is a Road Opening Permit required and is it on site?
-
Has notice of intention to excavate been submitted to Work Safe?
-
Are MSDS available on site for all chemicals / fuels?
5. Traffic and Pedestrian Management
-
Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?
-
Does the actual traffic / pedestrian layout reflect the Traffic / Pedestrian Management Plan?
-
Is pedestrian traffic safely controlled through the worksite?
-
Are traffic signs and devices legible and undamaged?
-
Are suitable barriers provided to protect the public from the work site?
-
Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?
6. Personnel Protective Equipment
-
Is PPE in accordance with Multinet Gas Procedure U PR 0006 as a minimum?
-
Is required PPE within inspection or replacement dates?
-
Is other appropriate PPE utilised as required and in good condition? (e.g. Harness, Life lines etc.)
-
Is PPE in an adequate condition?
7. Vehicles/Plant
-
Are all plant operators licensed as required?
-
Are logbooks available for all plant on site and have they been maintained appropriately?
-
Have pre-start checklists been completed?
-
Are all vehicles on site registered?
-
Are all vehicles/plant within their service range?
-
Are all vehicles/plant in acceptable condition in terms of cleanliness? What is the general condition of the vehicles/plant (cleanliness)?
-
Is all equipment carried on vehicles adequately secured?
-
Is there appropriate identification / branding on contractor vehicles?
8. First Aid
-
Is there an intact First Aid kit?
-
Is the kits location marked on the vehicle?
-
Do the contents appear to be complete, in good condition and within expiry dates?
9. Gas Escape/Outage Management
-
Is the Service Providers level of response consistent with emergency protocols under the conditions observed on site?
-
Have personnel attended to the outage within the guidelines of the response times?
-
Has the service provider isolated the area required?
-
Has the Service Provider assessed the number of customers affected?
-
Has service provider turned off affected customers?
-
Is there evidence of a satisfactory area covered for leakage location and identification?
-
Have all other utilities assets been located / proved prior to excavation?
10. Tools and Equipment: Testing and Condition
-
Are all electrical tools, generators, leads, RDCs tagged and within their test date range?
-
Is Poly Fusion equipment within calibration dates?
-
Is the percussion bar and mat in good condition and within test date?
-
Is the gas detector within calibration date?
-
Are Oxygen analysers within calibration date?
-
Is the voltage tester fit for purpose and tested prior to use?
-
Is Oxy acetylene equipment in good condition and within test date? (AS 4839 section 8)
-
Are the gas bottles within expiry date and stored appropriately?
-
Is lifting equipment in good condition and within test date?
-
Is fire extinguisher charged and within test dates?
11. Worksite/Work Practices
-
Are there an appropriate number of trained and competent crew members on site for task?
-
Are Effective Safety Observers in place?
-
Are No-Go Zones being adhered to?
-
Has pipework been tested for stray current?
-
Are cross bonding leads required and used?
-
Are the appropriate numbers of fire extinguisher/s on site and placed in appropriate locations?
-
Is Plant and equipment appropriately set up?
-
Have other authority assets been located and / or exposed by hand prior to mechanical excavation?
-
Are all gas grid materials approved by Multinet?
-
Are all gas grid materials stored to prevent damage or deterioration?
-
Are jointing techniques in line with MG SWPs?
-
Have MG standards (including covers, clearances, offsets and bedding materials) been maintained?
-
Are stop off of Mains and Services methods in line with MG SWPs?
-
Is the site tidy with no obvious tripping or other hazards?
-
Are trenches appropriately battered / shored?
-
Is spoil placed in excess of 0.5 from excavation wall?
-
Is a ladder or steps used to access excavation?
-
Is confined space rescue equipment on site and set up as required?
-
Are pits / man holes protected to prevent falls?
-
Is Sleeve / Slabbing / tape protection in place?
-
Has pressure testing and purging been conducted in line with MG SWPs?
-
Has Refix / Relight been completed?
-
If required, was a red card left with correct information and details?
-
Are valve covers, pits etc. appropriately installed and level?
-
Does reinstatement and compaction meet VicRoads, Local Council and property owner’s requirements?
12. Housekeeping
-
Is crush rock laid, level and compacted?
-
Is there any evidence of debris or rubbish?
-
Is there any evidence of subsidence in compound and around entry exit points?
-
Is the interior of compound clear of fire hazards and tidy?
-
Is the exterior of compound clear of fire hazards and tidy?
-
Is fire protection in place? Are fire extinguishers in place and within test dates?
-
Is there acceptable security of compound fence and gates?
-
Is there paint work on buildings, posts and bollards etc.?
-
Are warning signs and emergency contact details in place with current information?
-
Are PPE signs in place?
-
Are Silt traps in place?
-
Is refuelling of equipment in line with EMP section 14.11d?
-
Are there effective erosion and / or sediment controls in place?
-
Has waste been segregated for reuse / recycle / disposal as per EMP section 14.10?
-
Is Waste Water treated and disposed of as per EMP section 14.9? (e.g. Syphon, Trench, Pit water)
-
Is Mains dust disposed of as per EMP section 14.3?
-
Is material containing Asbestos treated as per EMP and VWCA 2007 OHS regulations?
-
Has flora, fauna and culture heritage issues been identified and controlled as per EMP section 14.4?
-
Is spoil removed from site tested and disposed of in line with EPA requirements and are certificates available?