Information

  • Document No.

  • Client

  • Conducted on

  • Prepared by W Keetch

  • Location
  • Personnel

  • Job #:

  • HFS Area

  • Activity Being Undertaken

General

  • Risk assessment completed & offered for review prior to allowing access to site

  • Hazardous Substance Register completed and related MSDS's on site

  • VPL/Chorus ID Current and Available where required

  • PPE selected is fit for use, is adequate for the activity and environmental hazards present.

  • SWMS available, and current, for all construction activities

Worksite Management

  • General work site set up

  • Vehicle parked safely

  • Manhole guards/ safety barriers / signage adequate and in place

  • Work area (incl footpaths & roadway) clear and free from debris, rubbish and obstruction.

  • Slips / trips hazards managed

  • Unattended excavations backfilled, plated or fenced.

  • SNAG
  • Snag Description

  • Add media

Traffic Management

  • Does work site have an approved TMP?

  • Does work site conform to approved TMP? Including unattended sites

  • Evidence of TTM training - TC/STMS on site

  • Has the two hourly check sheet been filled out

  • Pedestrian & vehicular traffic flowing freely & Safely.

  • SNAG
  • Snag Description

  • Add media

Plant Management

  • Does The Plant Have a current WOF or COF and is registered?

  • Operator holds required endorsement

  • Plant Prestart inspection completed and available for reference.

  • Close proximity permit available on site when working within 4 meters of overhead lines

  • Suitable no-go zone established and maintained from plant

Electrical Safety

  • Electrical equipment tested & tagged (leads, RCD , power tools)

  • EPR mat in use if in EPR Zone

  • SNAG
  • Snag Description

  • Add media

Environmental Management

  • Noise / dust management

  • Spill response plan understood

  • Spoil containment & removal (including stock piles) managed

  • Stormwater sediment traps & gutter guards for water run-off in place

  • Concrete waste managed

  • Sediment Laden water management (Pump to grass or sucker truck)

  • SNAG
  • Snag Description

  • Add media

Drilling / Thrusting / Trenching

  • Excavation and drilling permit completed and available

  • Close approach consent obtained and available (when excavating near electrical poles)

  • All requirements of permit/s compliant

Excavations Deeper than 1.5Metres

  • Is the Excavation 1.5 Metres or More

  • For excavation deeper than 1.5 meters, department of Labour notified

  • Adequate ground support system in place

  • Documented daily inspection of all ground support systems, for excavations over 1.5 meters available on site.

  • Spoil located a safe distance from the excavation

  • SNAG
  • Snag Description

  • Add media

Fibre Jointing

  • Is Fibre jointing Being Carried Out

  • Set up - lighting

  • Set up - ergonomics

  • Sharps & off cuts managed

  • SNAG
  • Snag Description

  • Add media

Work At Heights

  • Working at heights?

  • Is the person qualified to work at heights

  • Is the ladder appropriate for the job and in good condition?

  • Is the ladder in a safe working position and secured top and bottom (4:1)

  • Is ladder adequately supervised

  • Evidence that the pole been tested

  • Are safe clearances being observed

  • SNAG
  • Snag Desription

  • Add media

Confined Space Entry

  • Are you working in a Confined Space

  • Evidence of Confined Space Training

  • Evidence of Risk Assessment, Confined Space Entry training, First Aid training & Emergency Plan (Permit)

  • Standby person in use and Confined Spaces trained?

  • Barriers in use and adequate

  • Type 4 Gas Detector being used correctly & calibrated

  • Harness system in good condition, tag current and in use as required by emergency response plan

  • SNAG
  • Snag Desription

  • Add media

Hot Work

  • Is Hot Work being Carried out?

  • LPG bottle secured, if applicable

  • Use of flame retardant blanket / protection

  • Access to water (for immediate response to burn injury )

  • SNAG
  • Snag Description

  • Add media

Asbestos

  • Is work on Asbestos being carried out?

  • Is the person qualified to work with Asbestos?

  • Asbestos Identified and Managed

  • Disposal process understood and adhered to

  • SNAG
  • Snag Description

  • Add media

Sign Off

  • Auditor's Name

  • wwww

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