HCS00017-001 Sub-Contractor Safety Equipment Audit 31/01/19 - 31/07/19

• Hills Connections Solutions Ericsson contract Six Monthly Safety Equipment Audit - 31/01/19 - 31/07/19

• Conducted on

  Date

• Auditors Name:

• Contractors Name & ID:

• Hills ID photo guidelines
  Your photo is critical to the usability and security of your ID Badge.
  Good quality, colour photo, less than six months old
  Clear, focused image with no marks or 'red eye'
  Plain white or light grey background that contrasts with your face
  Uniform lighting (no shadows or reflections) with appropriate brightness and contrast to show natural skin tone
  Face looking directly at the camera and not tilted in any direction
  Hair off the face so that the edges of the face are visible
  Eyes open, mouth closed.
  No hats or sunglasses

• ID badge Photo - Head and shoulders

  Media

• It is a statutory and a contractual obligation to complete a Safety Equipment Audit every 6 months.
  You must keep a log book and have your Height Safety PPE inspected every 6 months by a qualified inspector or company.
  
  HCS have supplied you with an Inspections Checklist log, this is available on the Contractor Portal, download complete and include the signed log in the Equipment Inspection Records section, only if you have the qualification to inspect yourself, otherwise have the inspection completed by a 3rd party.
  
  All fields are mandatory and this audit must be completed 100%, export the completed HCS0017-001 Sub-Contractor Six Monthly Safety Equipment Audit 31/01/19 - 31/07/2019 PDF to hseq.hcs@hills.com.au
  Recommended Items can be answered as Yes or N/A

Subcontractor Responsibilities (PCBU)

• All persons conducting a business or undertaking at a workplace (PCBU) have a primary duty of care to ensure so far as reasonably practicable, the health and safety of workers engaged by the person, and all other persons are not put at risk from work carried out by the PCBU.
  Division 2 - s (19) WHS Act 2011
  Division 2 - s (40) WHS Reg 2011 list the duty of the PCBU in relation to general workplace facilities
  https://www.safeworkaustralia.gov.au/law-and-regulation

• Confirm you are aware of the following WHS responsibilities of a PCBU and that you must:<br>Provide access to first aid as per the First Aid Code of Practice 2018 (First Aid Kit)<br>Provide access to water (Fresh drinking water)<br>Provide access to hygiene services (Toilet paper, wet wipes, hand sanitizer)<br>Provide access to food<br>Provide access to communications (Mobile Phone)<br>Provide access to an emergency management plan (Emergency Evacuation Plan)

  Yes

  No

• Confirm you have access to the Emergency Plus app - this should be part of your emergency evacuation plan in case of an emergency.

  Yes

  No

• Emergency Australia App - National Triple Zero Awareness Work Group
  http://emergencyapp.triplezero.gov.au/

Contractual & Legislative Compliance

• Hills ID badge with risk calculator

  Hills ID Badge

  Replacement ID required

• Picture of Hills ID Card

  Media

• Please email recruitment and advise replacement ID card required - recruitment.hcs@hills.com.au

• Enable Card Number

• Picture of Enable Card

  Media

• CPCCWHS100 - Construction Induction Card Number - White Card or State equivalent issued no later than 01/01/2012

• Picture of Induction Card - CPCCWHS100

  Media

• RIIWHS204D - Height Safety License/Certificate/Card number or issue date within the last 5 years (No earlier than 01/01/2014)

• Picture of Height Safety License/Card - RIIWHS204D

  Media

• Do you have MEM15004B - Completion of Height Safety Equipment Inspection Training course (Perform Inspection)

  Yes

  No, please send me course details

• Picture of MEM15004B Height Safety Equipment Inspection Training course (Perform Inspection)

  Media

Electrical Safety:

• Electrical Lock Out Tags and/or Lock Out Device

  Yes

  No

• Picture of Lock Out Tags and/or Lock Out Device

  Media

• You must have access to a AC/DC Volt Stick and Electrical Service Locator (Stud Finder, Electrical Service Locator) (E.G. Stanley FatMax Sensor 300 Stud Finder)

  Yes

  No

• Picture of Volt Stick

  Media

• Picture of Electrical Service Locator

  Media

General Safety PPE:

• Safety Footwear that meets Australian standard AS/NZ 2210

  Yes

  No

• Picture Showing Safety Footwear

  Media

• Safety Garments that meet Australian standard AS4602 - Hi Vis Clothing, Long/Short Sleeved Shirt, Jacket or Vest class D or D/N

  Yes

  No

• Picture Showing Hi Vis Clothing

  Media

• 4 x Reflective Safety Cones and/or Exclusion Barriers

  Yes

  No

• Picture showing 4 x Reflective Safety Cones and/or Exclusion Barriers

  Media

• Safety Glasses AS/NZS 1336

  Yes

  No

Height Safety Equipment Inspection Records - AS/NZS 1891.4 2009

• Mandatory Six Monthly Height Safety equipment checklist or inspection log record<br>All height Safety equipment must be inspected and certified by a qualified Height Safety Inspector every six months as per AS/NZS 1891.4 2009<br>

  Yes

  No

• It is mandatory to have all height safety equipment inspected every six months, without this inspection you are non compliant

• Picture of Signed Equipment Inspection Log or similar record

  Media

• List the name of the qualified Height Safety Equipment Inspector or Company

• Do you carry in your vehicle a printed signed copy of the latest HCS Safe Work Method Statement HCS00019 and MSDS or have a PDF copy on your device?<br>You must produce on request a signed copy of the latest HCS Safe Work Method Statement - WorkHSR2011 Division 2 (S299) and any MSDS for all products containing hazardous chemicals carried in your Sub-contractor vehicle.<br>These documents are available in the contractor portal.

  Yes

  No

• Please take a picture of the signed back page of your SWMS

  Media

Height Safety Equipment List - Australian Standard AS/NZS 1891

• Full Body Harness that complies with Australian Standard AS/NZS 1891

  Yes

  No

• Picture of Harness and Harness Tag showing expiry date

  Media

• Harness expiry date

• 15m, 30m or 45m Safety Rope that complies with Australian Standard AS/NZS 1891

  15m

  30m

  45m

• Picture of Rope showing the expiry date

  Media

• Rope expiry date

• 2 x Anchor Strap or Sling that complies with Australian Standard AS/NZS 1891 (Tiled Roofs).<br>1m, 1.5m, 2m or 3m

  1m

  1.5

  2m

  3m

• Picture showing the expiry date of each Strap or Sling

  Media

• Strap or Sling expiry date

• Fixed or Detachable Shock Absorbing Lanyard that complies with Australian Standard AS/NZS 1891

  Fixed

  Detachable

• Picture Showing expiry date of Lanyard

  Media

• Shock Absorber Laynard expiry date

• Two x Temporary Tin Roof Tether Plates or 1 x Tether plate and 1 x T-Bar - Industry Rated 15Kn Single person use that complies with Australian Standard AS/NZS 1891

  Yes

  No

• Picture Showing Two x Temporary Tin Roof Tether Plates or 1 x Tether plate and 1 x T-Bar

  Media

• Karabiner x 4 - Oval (Steel) that complies with Australian Standard AS/NZS 1891

  Yes

  No

• Picture of 4 x Karabiner

  Media

• Fixed or Detachable Rope Grab that complies with Australian Standard AS/NZS 1891

  Yes

  No

• Picture of Rope Grab

  Media

Ladders & Accessories - Australian Standard AS/NZS 1892

• Have you performed a detailed inspection of your ladders, checking for visible damage and stress fractures around the rungs, stiles, hinges and latches

  Yes

  No

• 1.8m - 2.1 m Step Ladder Industrial Rated 120kg or higher that complies with Australian Standard AS/NZ 1892 Portable Ladders (Fiberglass recommended)

  Yes

  No

• Picture of A-Frame Ladder showing condition

  Media

• 3.7m - 6.5m Extension Ladder Industrial Rated 120kg or higher that complies with Australian Standard AS/NZ 1892 Portable Ladders (Fiberglass recommended)

  Yes

  No

• Picture of Extension Ladder showing condition

  Media

• Gutter Protector E.G Ladders Little Helper

  Yes

  No

• Picture of Gutter Protector E.G Ladders Little Helper

  Media

• Ratchet Strap or Cam Buckle for securing ladders that complies with Australian Standard AS/NZ4380

  Yes

  No

Power Tools

• Battery Drill

  Yes

  No

• Hammer Drill

  Yes

  No

• Are you using any 240V Power Tools

  Yes

  No

• List 240v accessories

  Select Extension Leads RCD Battery Chargers Corded Power Tools

  • Extension Leads
  • RCD
  • Battery Chargers
  • Corded Power Tools

• Photo of current Tag & Test stickers

  Media

Vehicle

• Current Drivers Licence

  Yes

  No

• Is your vehicle in road worthy condition

  Yes

  No

• Picture of Vehicle

  Media

• Method of securing Ladders

  Ladder Racks

  Cam Buckle

  Ratchet Strap

• Method of securing conduit

  Conduit Tube

  Secured in Vehicle

• Secure Storage for Consignment Stock

  Secured in Vehicle

  Secured in Lock Box

• List type of vehicle

  Select Van Ute Trailer 2x4 4x4 Station Wagon

  • Van
  • Ute
  • Trailer
  • 2x4
  • 4x4
  • Station Wagon

Working with Asbestos

• If you choose to work around Asbestos, HCS supply a free Asbestos Penetration Kit with the following items, Coverall, Boot Covers, P2 Respirator, Asbestos Disposal Bag, Drop Sheet, Gloves, Glasses, Barricade Tape, Warning Sign, Procedures Manual.<br>Do you carry an Asbestos Kit?

  Yes

  No

• Please select the following additional subcontractor supplied PPE

  Select Duct Tape Shaving Cream or Gel Disposable plastic cup Water spray bottle PVA, Acrylic or Enamle Sealant Wet Wipes

  • Duct Tape
  • Shaving Cream or Gel
  • Disposable plastic cup
  • Water spray bottle
  • PVA, Acrylic or Enamle Sealant
  • Wet Wipes

Test Equipment

• Smart Phone

  Yes

  No

• Tablet Device- iPad or Android device that meets HCS IT minimum requirements

  Yes

  No

• VT100 Meter & Installation Assistant (Fixed Wireless)

  Yes

  No

• Picture of VT100 meter & Installation Assistant

  Media

• Network Tester (Mandatory) (PN8108 / SC 8108 or equivalent Wire-Map Test LED Display) (Continuity Tester Not Permitted)

  Yes

  No

  NA

• Picture of Network Tester

  Media

• Label Maker 9mm Black on white plastic

  Yes

  No

• Picture of Label Maker

  Media

• Laser Bar-code Scanner

  Yes

  No

• Picture of Bar-code Scanner

  Media

First Aid Kit Contents

• You must have access to First Aid, it is mandatory to carry a First Aid kit in your subcontractor vehicle.
  Your First Aid kit must comply with "First Aid in the workplace, Code of practice 2018"
  The first aid kit must be kept in a prominent accessible location and should provide basic equipment for administering first aid for injuries including:
  Cuts, scratches, punctures, grazes and splinters, muscular sprains and strains, minor burns, amputations and/or major bleeding wounds, broken bones, eye injuries and shock.
  Confirm your first aid kit has the mandatory quantities of the below items, you must carry the minimum amounts as set in the Code of Practice.

• Instructions for providing first aid—including cardiopulmonary resuscitation (CPR) flow chart (1)

• Resuscitation face mask or face shield (1)

• Disposable nitrile examination gloves (nitrile is a latex-free rubber suitable for people with latex allergies) (5 Pairs)

• Gauze pieces 7.5 x 7.5 cm, sterile 3 per pack (5 Packs)

• Saline, 15 ml (8)

• Wound cleaning wipe, single 1% Cetrimide BP (10)

• Adhesive dressing strips—plastic or fabric, packet of 50 (1)

• Splinter probes, single use, disposable (10)

• Tweezers/forceps (1)

• Antiseptic liquid/spray 50 ml (1)

• Non-adherent wound dressing/pad 5 x 5 cm (small) (6)

• Non-adherent wound dressing/pad 7.5 x 10 cm (medium) (3)

• Non-adherent wound dressing/pad 10 x 10 cm (large) (1)

• Conforming cotton bandage, 5 cm width (3)

• Conforming cotton bandage, 7.5 cm width (3)

• Crepe bandage, 10 cm, for serious bleeding and pressure application (1)

• Scissors (1)

• Non-stretch, hypoallergenic adhesive tape—2.5 cm wide roll (1)

• Safety pins, packet of 6 (1)

• BPC wound dressings No. 14, medium (1)

• BPC wound dressings No. 15, large (1)

• Dressing—Combine Pad 9 x 20 cm (1)

• Plastic bags—clip seal (1)

• Triangular bandage, calico or cotton minimum width 90 cm (2)

• Emergency rescue blanket for shock or hypothermia (1)

• Eye pad, single use (4)

• Access to 20 minutes of clean running water or, if this is not available, hydrogel 3.5 gm sachets (5)

• Instant ice pack for treatment of soft tissue injuries and some stings (1)

• Picture Showing First Aid Kit And Contents

  Media

• Saline Expiry Date

Recommended Safety PPE:

• Recommended - Hard Hat that meets Australian standard AS/NZ 1800<br>Must be carried in contractors vehicle and used on construction sites when required

  Yes

  N/A

• Picture Hard Hat

  Media

• Recommended - Powder Fire Extinguisher with Hose - Tested 6 monthly AS1851 <br>“For commercial vehicles, considerations shall be given to the type of vehicle, the cargo being carried and the requirements of the regulatory authority. Every fire extinguisher for use in a commercial vehicle shall be of a type fitted with a hose to assist in gaining access to awkward locations.”

  Yes

  N/A

• Picture of Fire Extinguisher showing Hose

  Media

• Picture of Fire Extinguisher Manufacture Date or Inspection Date Tag - Valid for 6 months only from date of manufacture

  Media

• Fire Extinguisher Manufacture Date or Inspection Date

• Recommended - 1m Step Ladder Industrial Rated 120kg or higher that complies with Australian Standard AS/NZ 1892 Portable Ladders (Fiberglass recommended)

  Yes

  No

  NA

• Recommended Additional Ladder PPE

  Select Ladder Stopper Ropes for securing Ladders Ladder Leveller

  • Ladder Stopper
  • Ropes for securing Ladders
  • Ladder Leveller

• Recommended Additional Height Safety PPE

  Select Throw Bag and Line Harness Carry Bag Karabiner Pear Pole Strap

  • Throw Bag and Line
  • Harness Carry Bag
  • Karabiner Pear
  • Pole Strap

• Recommended Additional PPE

  Select Sun Hat Sunglasses Sunscreen Knee Pads Protective Gloves P1 Respirator

  • Sun Hat
  • Sunglasses
  • Sunscreen
  • Knee Pads
  • Protective Gloves
  • P1 Respirator

Sign-Off

• I do hereby solemnly declare and affirm that the information supplied in this audit is true and accurate.
  I am compliant with all legislative requirements and have access to all mandatory safety equipment, tools and equipment as specified.

• Add signature

  Sign

• Please add any applicable notes