Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Client / Site
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Region
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Contractor/s
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Job Description
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Date
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Time
1. Site Risk Management
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Are relevant SWMS available and a Site Risk Assessment (JSA) completed for the work?
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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?
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Are all identified risk control measures on SWMS and JSA/site risk assessment in place?
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Have sub-contractors, site visitors been inducted onto the site and signed onto the JSA?
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Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?
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Overall, is the site risk assessment/ JSA adequate for the worksite?
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Does the JSA meet the KPI standard?
2. Skills and Competency
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Do all personnel have MG Passports on site?
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Is all training and are all authorisations current for the functional role of the Passport holder?
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Are all personnel trained licensed/registered for their functional role?
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Do subcontractors hold appropriate qualifications?
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Does the training meet the KPI standard?
3. Forms/Documentation
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Do all personnel have MG approved identification Cards?
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Is there a job file available on site?
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Does the job file contain a daily job sheet / work instruction?
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Does the job file contain a Dial before You Dig information?
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Does the job file contain a sequence of operations?
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Does the job file contain design drawings?
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Are up to date district or route plans on site?
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Is a Pipelines work permit required and are there any restrictions?
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Is a Pipeline Inspector on site or required to be on site?
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Is a hot work permit required and are there any hot work restrictions?
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Is a Confined Space permit required and are crew members involved in CSE signed onto Permit?
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Is a Road Opening Permit required and is it on site?
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Has notice of intention to excavate been submitted to Work Safe?
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Are MSDS available on site for all chemicals/fuels?
4. Traffic and Pedestrian Management
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Has the appropriate Traffic and Pedestrian Management Plan been identified, and does it meet all requirements?
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Does the actual traffic/pedestrian layout reflect the Traffic/Pedestrian Management Plan?
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Is pedestrian traffic safely controlled through the worksite?
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Are traffic signs and devices legible and undamaged?
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Are suitable barriers provided to protect the public from the work site?
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Where site is to be left overnight, are adequate protection measures, lighting and night guidance provided?
5. Personnel Protective Equipment
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Is PPE in accordance with Multinet Gas Procedure U PR 0006 as a minimum?
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Is required PPE within inspection or replacement dates?
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Is other appropriate PPE utilised as required and in good condition? (E.g. Harness, Life lines)?
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Is PPE in an adequate condition?
6. Vehicles/Plant
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Are all plant operators licensed as required?
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Are logbooks available for all plant on site and have they been maintained appropriately?
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Have pre-start checklists been completed?
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Are all vehicles on site registered?
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Are all vehicles/plant within their service range?
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What is the general condition of the vehicles/plant (cleanliness)?
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Is all equipment carried on vehicles adequately secured?
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Is there appropriate identification / branding on contractor vehicles?
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Are seat belts fitted and worn on mobile plant as per requirements
7. First Aid
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Is there an intact First Aid kit?
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Is the kits location marked on the vehicle?
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Do the contents appear to be complete, in good condition and within expiry dates?
8. Gas Escape/Outage Management
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Is the Service Providers level of response consistent with emergency protocols under the conditions observed on site?
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Have personnel attended to the outage within the guidelines of the response times?
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Has the service provider isolated the area required?
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Has the Service Provider assessed the number of customers effected?
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Has service provider turned off effected customers?
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Is there evidence of a satisfactory area covered for leakage location and identification?
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Have all other utilities assets been located/proved prior to excavation?
9. Tools and Equipment: Testing and Condition
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Are all electrical tools, generators, leads, RDCs tagged and within their test date range?
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Is Poly Fusion equipment within calibration dates?
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Is gas specific equipment fit for purpose, in a suitable condition and being used in accordance with MG SWPs?
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Is percussion bar and mat in good condition and within test date?
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Is the gas detector within calibration date?
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Are Oxygen analysers within calibration date?
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Is voltage tester fit for purpose and tested prior to use?
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Is Oxy acetylene equipment in good condition and within test date? (AS 4839 section 8)
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Are the gas bottles within expiry date and stored appropriately?
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Is lifting equipment in good condition and within test date?
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Is fire extinguisher charged and in test date?
10. Worksite/Work Practices
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Is appropriate number of trained and competent crew members on site for task?
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Effective Spotter/Safety Observers in place?
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No go Zones being adhered to?
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Has pipework been tested for stray current?
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Are cross bonding leads required and used?
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Are the appropriate numbers of fire extinguisher/s on site and placed in appropriate locations?
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Is Plant and equipment appropriately set up?
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Have other authority assets been located and /or exposed by hand prior to mechanical excavation?
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Are all gas grid materials approved by Multinet?
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Are all gas grid materials stored to prevent damage or deterioration?
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Are gas grid materials appropriate for the task
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Are jointing techniques in line with MG SWPs?
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Have MG standards (including covers, clearances, offsets and bedding materials) been maintained?
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Are stop off of Mains and Services methods in line with MG SWPs?
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Is the site tidy with no obvious tripping or other hazards?
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Are trenches appropriately battered/shored?
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Is spoil placed in excess of 0.5 from excavation wall?
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Is a ladder or steps used to access excavation?
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Is confined space rescue equipment on site and set up as required?
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Are pits/man holes protected to prevent falls?
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Is Sleeve/Slabbing/tape protection in place?
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Has pressure testing and purging been conducted in line with purging procedure or MG SWPs?
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Has Refix / Relight been completed?
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If required, was a red card left with correct information and details?
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Are valve covers, pits etc. appropriately installed and level?
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Does reinstatement and compaction meet Vic roads, Local Council, property owners requirements?
11. Environment and Hazardous Goods
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Does the JSA identify environmental risks and controls?
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Have the appropriate controls been put in place on site?
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Are all fuels and/or chemicals properly marked and identified?
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Are all fuels and/or chemicals stored in containers that are in good condition (i.e. no leaks present) as per MNG-CG-0016?
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Does mobile plant have adequate drip tray coverage?
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Is there equipment available for the safe refuelling of plant and machinery in line with EMP section 14.11d?
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Are erosion and/or sediment control structures in place and stable?
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Are erosion and/or sediment control structures located between source (i.e. spoil) and receptor (i.e. drain)?
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Is waste (inc. soil) stored suitably in line with MNG-CG-0008 and MNG-CG-0018 (if applicable sealed, covered, bunded)?
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Is material containing asbestos treated as per EMP and VWCA 2007 OHS regulations?
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Is waste water treated and disposed of as per EMP section 13.9? e.g.( syphon, trench, pit water)
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Is mains dust disposed of as per EMP section 14.12?
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Is noisy plant and machinery switched off when not in use?
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Are dust generating activities (i.e. concrete cutting), being managed correctly i.e. water hoses attached to cutting equipment?
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Are the drip lines of any trees on site free of large/heavy equipment?
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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).
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Have flora, fauna and culture/heritage issues been identified and controlled as per EMP section 14.4 and 14.8?
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Is spoil removed from the site tested and disposed of in line with EPA requirements and are certificates available?
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Is Bushfire mitigation equipment available? (e.g. knapsack, rakes permit)
12 Housekeeping
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Is crush rock laid, level and compacted?
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Evidence of debris or rubbish?
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Evidence of subsidence in compound and around entry exit points?
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Interior of compound clear of fire hazards, tidy?
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Exterior of compound clear of fire hazards, tidy?
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Fire protection in place. Fire extinguishers in place and within test dates?
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Security of compound fence, gates?
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Paint work on buildings, posts and bollards etc?
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Warning signs, emergency contact details in place with current information?
13. Hazards Identified
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Biological - Potential for harm caused by exposure to biological hazards, e.g. flora , fauna, marine, bacteria, livestock, flu
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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
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Electrical - Potential for harm or damage equipment/ assets resulting from exposure to electrical sources e.g. HV, LV, ELV, induction, static, magnetic fields
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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
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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
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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
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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
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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
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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
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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
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Compliance /Cultural - Potential for harm to people and equipment/assets associated with not complying with internal, external and legal expectations and social-cultural expectations e.g. legal, business and stakeholder expectations, economic, cultural heritage
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Noise - Potential for harm resulting from prolonged exposure to excessive noise e.g. noise from continuous sources and via impact
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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
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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
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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
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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
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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
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Comments
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Overall Audit Rating
- 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