Gas Dist. Field Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Client / Site

  UE

  MG

• 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

• Does the JSA meet the KPI standard?

  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

• Does the training meet the KPI standard?

  Yes

  No

  N/A

3. Forms/Documentation

• Do all personnel have MG approved identification Cards?

  Yes

  No

  N/A

• 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 or route 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 gas specific equipment fit for purpose, in a suitable condition and being used in accordance with MG SWPs?

  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 Spotter/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 gas grid materials appropriate for the task

  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 purging procedure or 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 owners requirements?

  Yes

  No

  N/A

11. Environment and Hazardous Goods

• Does the JSA identify environmental risks and controls?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all fuels and/or chemicals properly marked and identified?

  Yes

  No

  N/A

• Are all fuels and/or chemicals stored in containers that are in good condition (i.e. no leaks present) as per MNG-CG-0016?

  Yes

  No

  N/A

• Does mobile plant have adequate drip tray coverage?

  Yes

  No

  N/A

• Is there equipment available for the safe refuelling of plant and machinery in line with EMP section 14.11d?

  Yes

  No

  N/A

• Are erosion and/or sediment control structures in place and stable?

  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 waste (inc. soil) stored suitably in line with MNG-CG-0008 and MNG-CG-0018 (if applicable sealed, covered, bunded)?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is waste water treated and disposed of as per EMP section 13.9? e.g.( syphon, trench, pit water)

  Yes

  No

  N/A

• Is mains dust disposed of as per EMP section 14.12?

  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 cut in accordance with EMP 14.4? (i.e. clean cut at a 45 degree angle and not torn).

  Yes

  No

  N/A

• Have flora, fauna and culture/heritage issues been identified and controlled as per EMP section 14.4 and 14.8?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

12 Housekeeping

• Is crush rock laid, level and compacted?

  Yes

  No

  N/A

• Evidence of debris or rubbish?

  Yes

  No

  N/A

• Evidence of subsidence in compound and around entry exit points?

  Yes

  No

  N/A

• Interior of compound clear of fire hazards, tidy?

  Yes

  No

  N/A

• Exterior of compound clear of fire hazards, tidy?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Security of compound fence, gates?

  Yes

  No

  N/A

• Paint work on buildings, posts and bollards etc?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

13. Hazards Identified

• Biological - Potential for harm caused by exposure to biological hazards, e.g. flora , fauna, marine, bacteria, livestock, flu

  Yes

  No

  N/A

• Climate - Potential for harm or damage to equipment/ assets resulting from exposure to an extreme climatic event e.g. drought, fire, flood, winds, rain, snow, lightning, fog

  Yes

  No

  N/A

• Electrical - Potential for harm or damage equipment/ assets resulting from exposure to electrical sources e.g. HV, LV, ELV, induction, static, magnetic fields

  Yes

  No

  N/A

• Manual Handling / Ergonomics - Potential for harm associated with physical stress on the human body i.e. exertion, excessive repetitive movement; poor posture e.g. load handling, bending, twisting, repetitive workplace task

  Yes

  No

  N/A

• Gravity - Potential for harm or damage equipment/ assets resulting from a person/object falling or moving unexpectedly e.g. fall at level / heights/ depth, falling object, slope stability

  Yes

  No

  N/A

• Land / Water - Potential impact on the natural environment due to the use/ management of land / water e.g. modification/change to natural environment, pollution, land closure, vegetation clearing, water diversion

  Yes

  No

  N/A

• Mechanical - Potential for harm or damage to equipment/ assets resulting from exposure to sources of mechanical energy e.g. cutting, grinding, rotating equipment, projectile, pinch point, stored energy

  Yes

  No

  N/A

• Behavioural Actions - Potential for harm to people and equipment/assets associated with undesired behavioural actions e.g. not following policies/procedures, wilful misbehaviour, alcohol/drug use, fatigue, shift work

  Yes

  No

  N/A

• Pressure - Potential for harm to people and equipment/assets associated with the sudden release of a source of pressure e.g. compressed air or gas , hydraulics

  Yes

  No

  N/A

• Radiation - Potential for harm to people and equipment/assets associated with exposure to or contact with radiation waves from either natural or manufactured sources e.g. UV, infrared, X-Ray, laser, radioactive dust

  Yes

  No

  N/A

• Compliance /Cultural - Potential for harm to people and equipment/assets associated with not complying with internal, external & legal expectations and social-cultural expectations e.g. legal, business & stakeholder expectations, economic, cultural heritage

  Yes

  No

  N/A

• Noise - Potential for harm resulting from prolonged exposure to excessive noise e.g. noise from continuous sources & via impact

  Yes

  No

  N/A

• Substances - Potential for harm to occur as a result of exposure to chemicals whose properties are normally controlled e.g. asbestos, lead, SF6, Oils, dust (inhalable/respirable). Refer to chemical Inventory if required

  Yes

  No

  N/A

• Fire / Thermal - Potential for harm or damage to person or equipment/ assets resulting from exposure to fire / hot surfaces e.g. fire from ignition of bush land/ equipment, explosion, combustible materials, gas / acetylene torches

  Yes

  No

  N/A

• Vehicle / Transport - Potential for harm or damage to person or equipment/ assets resulting from the use/operation of vehicles or any mode of transpiration e.g. vehicles, aircraft, construction and maintenance vehicles including cranes and forklifts

  Yes

  No

  N/A

• Waste - Potential impact on the environment due to the inadequate management/disposal of waste e.g. hazardous/prescribed waste (e.g.: asbestos, oil, contaminated water), non hazardous waste, office paper/cardboard, biological

  Yes

  No

  N/A

• Work Environment - Potential for harm resulting from hazards associated with workplace conditions e.g. housekeeping, inadequate design, impact to pedestrian (broken ground, slippery conditions, demarcation), ventilation, confined space, travel health

  Yes

  No

  N/A

• Comments

• Overall Audit Rating

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