Information

  • Document No.

  • Audit Title

  • Client/Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Region

  • Contractor/s

  • Job Description

  • Date

  • Time

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 task been identified.

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

  • Have sub-contractors, 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. 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?

3. 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 a 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 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

4. 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?

5. 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)?

  • Is PPE in an adequate condition?

6. 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?

  • 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?

7. 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?

8. 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 effected

  • Has service provider turned off effected 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

9. 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 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 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 in test date?

10. Worksite/Work Practices

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

  • Effective Safety Observers in place?

  • 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 Vic roads, Local Council, property owner’s requirements?

11. Environment and 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)

  • 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

12 Housekeeping

  • Is crush rock laid, level and compacted

  • Evidence of debris or rubbish

  • Evidence of subsidence in compound and around entry exit points

  • Interior of compound clear of fire hazards, tidy

  • Exterior of compound clear of fire hazards, tidy.

  • Fire protection in place. Fire extinguishers in place and within test dates

  • Security of compound fence, gates

  • Paint work on buildings, posts and bollards etc

  • Warning signs, emergency contact details in place with current information

  • PPE signs in place

  • Overall Audit Rating

  • Add drawing

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