HSEAUDT009

• Audit Title (Site Name)

• Client

• Document No.

• Location
  Address

• Conducted on

  Date

• Task

• Personnel Audited

  Select Andrew King Anthony Thompson Balbino Getape (Jun) Bruce Lowrie Darren Vick Dave Hudson Dean Sinclair Gary Johnstone Gareth Ebenezer Harrison Whelan Jake Kelly Jason Peek Joe Bannon Jordan Ashwood Jovito Rondilla Justin Mitchelmore Matt Culph Mark Hodgson Matt Slade Megan Hopcraft Norman Davis Paul Nightingale Phil Landwehr Raul Bautista Robert Mormile Rohan Redman Shane Hopcraft Sheree Zwar Tipene Peita Aaron Smith Misha Szczerkowski Robert Cook

  • Andrew King
  • Anthony Thompson
  • Balbino Getape (Jun)
  • Bruce Lowrie
  • Darren Vick
  • Dave Hudson
  • Dean Sinclair
  • Gary Johnstone
  • Gareth Ebenezer
  • Harrison Whelan
  • Jake Kelly
  • Jason Peek
  • Joe Bannon
  • Jordan Ashwood
  • Jovito Rondilla
  • Justin Mitchelmore
  • Matt Culph
  • Mark Hodgson
  • Matt Slade
  • Megan Hopcraft
  • Norman Davis
  • Paul Nightingale
  • Phil Landwehr
  • Raul Bautista
  • Robert Mormile
  • Rohan Redman
  • Shane Hopcraft
  • Sheree Zwar
  • Tipene Peita
  • Aaron Smith
  • Misha Szczerkowski
  • Robert Cook

• Subcontractors

  Select MakeSafe Ops Power Southern Cranes Qest Environments Arthurs Contracting Idigit Mayberry Construction Other

  • MakeSafe
  • Ops Power
  • Southern Cranes
  • Qest Environments
  • Arthurs Contracting
  • Idigit
  • Mayberry Construction
  • Other

• Crew Leader

  Rohan Redman

  Bruce Lowrie

  Gareth Ebenezer

  Matt Slade

  Paul Nightingale

• Project Manager

  Matt Culph

  Mark Hodgson

  Darren Vick

  Shane Hopcraft

• Network

  United Enegery

  AusNet Services

  JEN

  Powercor/CitiPower

• Auditor

  Select Andrew King Anthony Thompson Balbino Getape (Jun) Bruce Lowrie Darren Vick Dave Hudson Dean Sinclair Gary Johnstone Gareth Ebenezer Harrison Whelan Jake Kelly Jason Peek Joe Bannon Jordan Ashwood Jovito Rondilla Justin Mitchelmore Matt Culph Mark Hodgson Matt Slade Megan Hopcraft Norman Davis Paul Nightingale Phil Landwehr Raul Bautista Robert Mormile Rohan Redman Shane Hopcraft Sheree Zwar Tipene Peita Aaron Smith Misha Szczerkowski Robert Cook

  • Andrew King
  • Anthony Thompson
  • Balbino Getape (Jun)
  • Bruce Lowrie
  • Darren Vick
  • Dave Hudson
  • Dean Sinclair
  • Gary Johnstone
  • Gareth Ebenezer
  • Harrison Whelan
  • Jake Kelly
  • Jason Peek
  • Joe Bannon
  • Jordan Ashwood
  • Jovito Rondilla
  • Justin Mitchelmore
  • Matt Culph
  • Mark Hodgson
  • Matt Slade
  • Megan Hopcraft
  • Norman Davis
  • Paul Nightingale
  • Phil Landwehr
  • Raul Bautista
  • Robert Mormile
  • Rohan Redman
  • Shane Hopcraft
  • Sheree Zwar
  • Tipene Peita
  • Aaron Smith
  • Misha Szczerkowski
  • Robert Cook

Tablet

• Is there a tablet in the vehicle?

  Yes

  No

  N/A

• Are the contents on the tablet current?

• 1. Turn on tablet 2. Open My Files 3. Open AA Prasinus Folder 4. Open QMS-PMGT-009 5. Last date listed on Register?

  Date

Safe Work Method Statement/Site Risk Assessment (JSA)

• Is a completed SWMS & JSA available onsite

  Yes

  No

  N/A

• Has the JSA beein signed & dated daily

  Yes

  No

  N/A

• Does the JSA address pedestrian safety?

  Yes

  No

  N/A

• Does the JSA address vehicle safety?

  Yes

  No

  N/A

• Does the JSA address plant safety?

  Yes

  No

  N/A

• Are Environmental risks included in the JSA?

  Yes

  No

  N/A

• Has a Toolbox session taken place?

  Yes

  No

  N/A

• Has the Traffic/Pedestrian Management Plan been identified/created and available on site?

  Yes

  No

  N/A

• Have the Traffic Management Contractors been inducted onto the site and signed onto the JSA

  Yes

  No

  N/A

Work Permits

• Is a permit on issue for this work?

  Yes

  No

  N/A

• Are all permits recipients authorised?

  Yes

  No

  N/A

• Is the permit appropriate for the work?

  Yes

  No

  N/A

• Does the permit adequately cover the work?

  Yes

  No

  N/A

• If applicable are Access authorities (eg. EAP, SFT, VA, NWA) available for reference?

  Yes

  No

  N/A

• Are appropriate barriers and safety boards for ‘Alive’ & ‘Out Of Service’ equipment erected for job?

  Yes

  No

  N/A

Tasks Skills

• Does the work group have the necessary skills?

  Yes

  No

  N/A

• Are all personnel licensed and carrying Passports?

  Yes

  No

  N/A

• Are Passports stamped with appropriate refresher training and authorities for the works being undertaken?

  Yes

  No

  N/A

Manual Handling

• Have the manual handling hazards been identified?

  Yes

  No

  N/A

• Are personnel aware of the manual handling hazards?

  Yes

  No

  N/A

• Are manual handling aids available?

  Yes

  No

  N/A

• Are the manual handling aids in an adequate condition?

  Yes

  No

  N/A

License Authorities

• Are all plant operators licensed or authorised?

  Yes

  No

  N/A

• Are logbooks available for all plant on site?

  Yes

  No

  N/A

• Have the logbooks been maintained appropriately?

  Yes

  No

  N/A

Personnel Protective Equipment

• Is wrist to ankle coverage maintained?

  Yes

  No

  N/A

• Are approved overalls/worksuits worn?

  Yes

  No

  N/A

• Is safety footwear in use by all personnel?

  Yes

  No

  N/A

• Are reflective vests in use by all personnel not wearing hi-vis clothing?

  Yes

  No

  N/A

• Is hearing protection worn?

  Yes

  No

  N/A

• Is eye protection worn?

  Yes

  No

  N/A

• Are appropriate gloves worn?

  Yes

  No

  N/A

• Are hard hats worn?

  Yes

  No

  N/A

• Are hard hats within due date?

  Yes

  No

  N/A

• Is Pole belt/safety harness worn?

  Yes

  No

  N/A

• Is the safety apparel in an adequate condition?

  Yes

  No

  N/A

Dangerous Goods

• Which, if any, chemicals are in use?

  Yes

  No

  N/A

• Are there any MSDS available for the chemical?

  Yes

  No

  N/A

• Are any hazardous materials and dangerous goods separately stored & labelled?

  Yes

  No

  N/A

• Are MSDS Sheets less than 5 years old from date of issue?

  Yes

  No

  N/A

• Are the controls being used adequate?

  Yes

  No

  N/A

• Is a Sharps Kit available on site?

  Yes

  No

  N/A

Environmental

• Are environmental risks identified & controlled?

  Yes

  No

  N/A

• Are there erosion controls in place?

  Yes

  No

  N/A

• Are the controls effective?

  Yes

  No

  N/A

• Are there sediment controls in place?

  Yes

  No

  N/A

• Are the controls effective?

  Yes

  No

  N/A

• Are there spills and leaks controls in place?

  Yes

  No

  N/A

• Are the controls effective?

  Yes

  No

  N/A

• Is a spill kit available?

  Yes

  No

  N/A

• Is the spill kit clearly labelled?

  Yes

  No

  N/A

Fire Hazards/Procedures

• Are there any hot work restrictions?

  Yes

  No

  N/A

• Have the restrictions been complied with?

  Yes

  No

  N/A

• Is a hot work permit required?

  Yes

  No

  N/A

• Has the hot work permit been issued and available on site?

  Yes

  No

  N/A

• Is Bushfire mitigation equipment available (i.e. knapsack, rakes permit)?

  Yes

  No

  N/A

• Are Fire extinguishers within Test Date (6 monthly)?

  Yes

  No

  N/A

Tools & Equipment: Testing & Condition

• Are all electrical tools and PETE items within their test date range?

  Yes

  No

  N/A

• Is the electric tooling in an adequate condition?

  Yes

  No

  N/A

• Is the any lifting/hauling tackle in use in an adequate condition & within test date?

  Yes

  No

  N/A

• Are any ladders in use in an adequate condition?

  Yes

  No

  N/A

• Is all test equipment in an adequate condition & within its calibration range?

  Yes

  No

  N/A

• Are the gas bottles in an adequate condition and within test date?

  Yes

  No

  N/A

• Is there a stocked First Aid kit available on site?

  Yes

  No

  N/A

• Is the First aid kit in an adequate condition & contents within use by date?

  Yes

  No

  N/A

• CPR face mask sighted?

  Yes

  No

  N/A

• Eye Wash Expiry Date?

  Date

• Contents list Sighted?

  Yes

  No

  N/A

Traffic & Pedestrian Management

• Has the appropriate Traffic & Pedestrian Management Plan been identified, and does it meet Prasinus’ or the Road Manager’s requirements?

  Yes

  No

  N/A

• Does the 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, undamaged and placed in accordance with the code?

  Yes

  No

  N/A

• Is adequate guidance provided to drivers, using cones, barricades, and signs etc to safely negotiate the worksite?

  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 & night guidance provided?

  Yes

  No

  N/A

• Are all personnel working on the road reserve wearing high visibility PPE or safety vests correctly?

  Yes

  No

  N/A

• Is there appropriate identification on contractor vehicles?

  Yes

  No

  N/A

Vehicles

• Are all vehicles on site registered?

  Yes

  No

  N/A

• Are all vehicles/plant within their service range (sticker prominently displayed)?

  Yes

  No

  N/A

• Are EWP weight and electrical test certificates / stickers current?

  Yes

  No

  N/A

• What is the condition of the vehicles/plant on site (cleanliness)?

  Yes

  No

  N/A

• Is all equipment carried adequately secured?

  Yes

  No

  N/A

• Are wheel chocks available and in serviceable condition? (Heavy Plant only)

  Yes

  No

  N/A

• Does the vehicle have a spare tyre and is it in serviceable condition? (excludes EWP)

  Yes

  No

  N/A

Forms/Documentation

• Are injury/incident/hazard reports available?

  Yes

  No

  N/A

• Are motor vehicle accident reports available?

  Yes

  No

  N/A

• Are plant damage/incident reports available?

  Yes

  No

  N/A

• Is a copy of the Green Book available?

  Yes

  No

  N/A

• Is the job file available on site?

  Yes

  No

  N/A

• Does the job file contain a Works/Instruction/job file checklist?

  Yes

  No

  N/A

• Does the job file contain – JSA?

  Yes

  No

  N/A

• Does the job file contain – Dial before You Dig?

  Yes

  No

  N/A

• Does the job file contain – Material list?

  Yes

  No

  N/A

• Does the job file contain – Design drawings?

  Yes

  No

  N/A

• Does the job file contain – Job location?

  Yes

  No

  N/A

• Does the job file contain – Work instructions?

  Yes

  No

  N/A

• Does the job file contain – Switching Instructions?

  Yes

  No

  N/A

Worksite/Work Practices

• Has the work site been left clean & top soil/seed spread?

  Yes

  No

  N/A

• All rubbish has been picked up?

  Yes

  No

  N/A

HV OPERATIONS

• Operating instructions clear and concise, including all relevant diagrams?

  Yes

  No

  N/A

• Operators equipment has current test certificates:<br>HV Sticks, Gloves, Sleeves, Mats & Modiewark<br>

  Yes

  No

  N/A

• Standard operating procedures have been followed. e.g. Gloves, Sleeves, PPB etc. Earthing Practices.

  Yes

  No

  N/A

• All required Earth & Short Circuits have been connected including on site earths.

  Yes

  No

  N/A

• Cluster bars have been used

  Yes

  No

  N/A

• Approved earthing devices have been used

  Yes

  No

  N/A

• All Mechanical Earth switches have closed.

  Yes

  No

  N/A

• All Isolation points locked and / or tagged including secondary isolations (Where applicable).

  Yes

  No

  N/A

• All appropriate warning tags, barriers and signs have been erected correctly.

  Yes

  No

  N/A

• Access authority completed correctly and issued in a clear and concise manner

  Yes

  No

  N/A

• All members of the work group have signed onto the appropriate access authority and are fully aware of the apparatus covered, limits of the permit, precautions taken and nearest live apparatus.

  Yes

  No

  N/A

• All relevant authorities have been issued is, EAP, LVIBS, PTW, SFT, SCAP, SILV, CA, VA etc.

  Yes

  No

  N/A

LV OPERATIONS

• Operating instructions clear and concise, including all relevant diagrams.

  Yes

  No

  N/A

• All Initial LV bonders have been installed.

  Yes

  No

  N/A

• All onsite LV bonders have been installed.

  Yes

  No

  N/A

• All Isolation points locked and tagged.

  Yes

  No

  N/A

• LVIBS issued and all members of the work party have signed on.

  Yes

  No

  N/A

General Comments

Vehicles Audited

• Select 1AT 7FB (PERU) 1BH 4WM 1BQ 7GT 1BQ 7GU SBN 130 TRI 136 YFY 416 YJR 593 YJF 594 YLW 421 YOY 528 ZIL 788 ZIL 789 ZQK 181 ZUE 314

  • 1AT 7FB (PERU)
  • 1BH 4WM
  • 1BQ 7GT
  • 1BQ 7GU
  • SBN 130
  • TRI 136
  • YFY 416
  • YJR 593
  • YJF 594
  • YLW 421
  • YOY 528
  • ZIL 788
  • ZIL 789
  • ZQK 181
  • ZUE 314

Signature

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