Gas Dist. Field Audit - duplicate

• Document No.

• Audit Title

• Client/Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Region

  North

  South

• Contractor/s

• Job Description

• Date

  Date

• Time

  Date

1. Site Risk Management

• Are relevant SWMS available and a Site Risk Assessment (JSA) 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 for task been identified.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Has the 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 MG Passports on site?

  Yes

  No

  N/A

• Is all training and are all authorisations current for the functional role of the Passport holder?

  Yes

  No

  N/A

• Are all personnel trained licensed/registered for their functional role?

  Yes

  No

  N/A

• Do subcontractors hold appropriate qualifications?

  Yes

  No

  N/A

3. Forms/Documentation

• Is there a job file available on site?

  Yes

  No

  N/A

• Does the job file contain a daily job sheet / work instruction?

  Yes

  No

  N/A

• Does the job file contain a Dial before You Dig information?

  Yes

  No

  N/A

• Does the job file contain a sequence of operations?

  Yes

  No

  N/A

• Does the job file contain design drawings?

  Yes

  No

  N/A

• Are up to date district plans on site

  Yes

  No

  N/A

• Is a Pipelines work permit required and are there any restrictions?

  Yes

  No

  N/A

• Is a Pipeline Inspector on site or required to be on site?

  Yes

  No

  N/A

• Is a hot work permit required and are there any hot work restrictions?

  Yes

  No

  N/A

• Is a Confined Space permit required and are crew members involved in CSE signed onto Permit?

  Yes

  No

  N/A

• Is a Road Opening Permit required and is it on site.

  Yes

  No

  N/A

• Has notice of intention to excavate been submitted to Work Safe

  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 Multinet Gas Procedure U PR 0006 as a minimum?

  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 percussion bar and mat in good condition and within test date?

  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 Oxy acetylene equipment in good condition and within test date? (AS 4839 section 8)

  Yes

  No

  N/A

• Are the gas bottles within expiry date and stored appropriately?

  Yes

  No

  N/A

• Is lifting equipment in good condition and within test date?

  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 Safety Observers in place?

  Yes

  No

  N/A

• No go Zones being adhered to

  Yes

  No

  N/A

• Has pipework been tested for stray current?

  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

• Is Plant and equipment appropriately set up?

  Yes

  No

  N/A

• Have other authority assets been located and /or exposed by hand prior to mechanical excavation?

  Yes

  No

  N/A

• Are all gas grid materials approved by Multinet?

  Yes

  No

  N/A

• Are all gas grid materials stored to prevent damage or deterioration

  Yes

  No

  N/A

• Are jointing techniques in line with MG SWPs?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are stop off of Mains and Services methods in line with MG SWPs?

  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 a ladder or steps used to access excavation?

  Yes

  No

  N/A

• Is confined space rescue equipment on site and set up as required?

  Yes

  No

  N/A

• Are pits/man holes protected to prevent falls?

  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 MG SWPs

  Yes

  No

  N/A

• Has Refix / Relight been completed

  Yes

  No

  N/A

• If required, was a red card left with correct information and details

  Yes

  No

  N/A

• Are valve covers, pits etc. appropriately installed and level?

  Yes

  No

  N/A

• Does reinstatement and compaction meet Vic roads, Local Council, property owner’s requirements?

  Yes

  No

  N/A

11. Environment and Hazardous Goods

• Are environmental risks identified in the SWMS/JSA and controlled on site?

  Yes

  No

  N/A

• Are there any chemicals in use and is there a MSDS available for the chemical?

  Yes

  No

  N/A

• Are any hazardous materials and dangerous goods separately stored and labelled?

  Yes

  No

  N/A

• Are there any control measures to manage spills and leaks? (e.g. spill kit)

  Yes

  No

  N/A

• Are Silt traps in place?

  Yes

  No

  N/A

• Is refuelling of equipment in line with EMP section 14.11d?

  Yes

  No

  N/A

• Are there effective erosion and/or sediment controls in place?

  Yes

  No

  N/A

• Has waste been segregated for reuse/recycle/disposal as per EMP section 14.10?

  Yes

  No

  N/A

• Is Waste Water treated and disposed of as per EMP section 14.9? e.g.( Syphon, Trench, Pit water)

  Yes

  No

  N/A

• Is Mains dust disposed of as per EMP section 14.3?

  Yes

  No

  N/A

• Is material containing Asbestos treated as per EMP and VWCA 2007 OHS regulations?

  Yes

  No

  N/A

• Has flora, Fauna and Culture heritage issues been identified and controlled as per EMP section 14.4

  Yes

  No

  N/A

• Is spoil removed from site tested and disposed of in line with EPA requirements and are certificates available

  Yes

  No

  N/A

• Comments

• Overall Audit Rating

  Select 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10

  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 3.5
  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 7.5
  • 8
  • 8.5
  • 9
  • 9.5
  • 10

• Add drawing

  Drawing