Genie APAC - Field Service Audit

• Site conducted

  Select

• This document is to assist you audit the task ahead along with the site conditions to ensure your and our customers safety by delivering a safe service.
  
  If there are factors inhibiting compliance or risking the safety of yourself or that of others, PAUSE the job and seek advice from your supervisor.
  
  On completion please ensure this is emailed to your supervisor.
  
  Thank you for your co-operation

• 

• Technician Name

  Select

• Date and Time Audit Commenced

  Date

• Customer Company Name

• Machine Serial Number

• Site Address
  Address

• Additional Technician Name

• Brief Description of the Task Being Assessed

Pre Job Assessment

• Life saving behaviours relevant to this task

undefined

• 

• 

• 

• Does this site require a log in and or induction?

  Yes

  No

  N/A

• Have you reported in and signed in at site office or met with onsite contact?

  Yes

  No

• Does the site have specific Site Safety rules such as emergency procedures, lock out tag out or working at height? or site specific induction requirements?

  No

  Yes

• Have you been inducted with their site specific requirements?

  Yes

  No

• Pause the job and complete the required induction

Covid-19 Questions

• If you are unsure about any Covid responses please call your manager for advice on how to proceed

  

• Can you maintain social distance from others?

  Yes

  No

• Do you have the following required Covid-19 protection?<br><br>Sanitiser<br>Facemask<br>Gloves

  Yes

  No

• Does this task require the use of three way communication?

  No

  Yes

• Do you have a control plan in accordance with three way communication?

  Yes

  No

• Does this task require working alone?

  No

  Yes

• Do you have a control plan in accordance with the working alone policy?

  Yes

  No

• Are there ground condition hazards in the work area?

  No

  Yes

• Have you eliminated them?

  Yes

  No

• Are there overhead risks in your work area?

  No

  Yes

• If the following overhead risks have been identified in your work area:<br>Electricity<br>Structures<br>Wind speed higher than12.5m/s - if no wind meter available please with regional weather service for information.<br> <br>Has the risk been eliminated by moving the machine to another area?

  Yes

  No

• Is there potential interaction from the following?<br><br><br>Pedestrians<br>Vehicles<br>Mobile plant

  No

  Yes

• If the following potential interactions are present<br><br>Pedestrians<br>Vehicles<br>Mobile plant<br><br>Have you eliminated them with a plan?

  Yes

  No

Machine Information

• Please take a photo of the serial plate - If you are on a site that prohibits photos please manually enter the serial number

• Please take photograph of the serial decal of the machine you are working on

  Media

• Only if on a site with a no photography allowed please manually enter the serial number

General Task

• Life saving behaviours relevant to this task

• 

• 

• 

• Are you equipped with the correct PPE for this task?

  Yes

  No

• Do you have all necessary tools/equipment to complete the task?

  Yes

  No

• Is there sufficient natural or artificial light to complete the task?

  Yes

  No

• Are there any potential environmental risks? eg Lightning, Hail, Heat?

  No

  Yes

• Have you eliminated your risk from the environment impact

  Yes

  No

• Have you adequately controlled potential interaction with pedestrians, vehicles and mobile plant?

  Yes

  No

• Is there risk of exposure to disrupted or airborne asbestos?

  No

  Yes

• Stop and pause the job

• Is there a risk for potential ignition of flammable vapours?

  No

  Yes

• Stop and pause the job

• Are any power tools to be used for this task?

  No

  Yes

• Are they in safe good condition with their guarding intact?

  Yes

  No

• Is a multi meter required for this task?

  No

  Yes

• Have you:<br>1. Visually inspected the unit, leads and probes for damage?<br>2. Tested the leads for continuity (resistance)?

  Yes

  No

• Is the use of hazardous substances required for this task?

  No

  Yes

• Do you have access to the most recent copy of the Safety Data Sheet for those chemicals?

  Yes

  No

• Does this task require use of fluids?

  No

  Yes

• Do you have suitable spill containment for the task?

  Yes

  No

Lifting

• Life saving behaviours relevant to this task

• 

• 

• Is lifting required for this task?

  No

  Yes

• Do you have a lift plan?

  Yes

  No

• Are you or other personnel involved in the task suitably qualified to operate any of the crane/equipment in use?

  Yes

  No

• Is all lifting equipment certified and in the correct test period?

  Yes

  No

• WARNING - If you are not able to ensure your own safety through any of the above questions, PAUSE the job, ASSESS and RESOLVE the issue with the customer. If this is not possible then escalate this to your relevant supervisor/manager.

Working at Height

• Life saving behaviours relevant to this task

• 

• Is working at height required for this task?

  No

  Yes

• Is the portable working at height kit required for this task?

  No

  Yes

• Do you have the kit with you?

  Yes

  No

• Is all working at height equipment certified and in correct test period?

  Yes

  No

• Do you have a working at height plan?

  Yes

  No

• Are all personnel protected from falling objects?

  Yes

  No

• Have I PAUSED and asked for help from my supervisor if a condition is not safe or I cannot take these actions. If a near miss occurs, I report it immediately!

  
Hazardous Energy Control Risk Assessment

• What type of hazardous energy are present with this job?

  Select

• What is your control plan for this identified energy hazard?

  Select

• Have you verified the controls for this energy hazard?

  Select Yes No

  • Yes
  • No

• What is your control plan for this identified energy hazard?

  Select

• Hydraulic System Checks completed

  Select

• What is your control plan for this identified energy hazard?

  Select

• Add comment to why no control required - eg function test

• What is your control plan for this identified energy hazard?

  Select

• What is your control plan for this identified energy hazard?

  Select

• What is your control plan for this identified energy hazard?

  Select

• What is your control plan for this identified energy hazard?

  Select

Machine operation after repair

• Does your task require you to operate the machine once repairs are completed?

  No

  Yes

• Have you completed a function test?

  Yes

  No

• Pause the job - complete the function test

Inspection and repair completion

• Time Completed

  Date

• What APAC Region are you operating in?

  Select