Title Page
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Assessor Name
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Inspector Name
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Gigaclear Region
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Location
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Conducted on
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Inspection I.D
Inspection Guidance
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Definitions (For Reference when Scoring an Audit Question)
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C - Compliant - Item meets or exceeds the required standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements.
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Refer - Item has not been provided, utilised or utilised correctly or does not meet the requirements or standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements. Breach may have the potential to cause harm or injury or risk of notices or prosecution from Local Authorities, the HSE or OR. Item must be rectified and Inspector informed when complete.
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I/R - Improvement Required - Item does not meet the required standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements.
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N/A - Not Applicable - Item is not applicable or relevant to the works/project or individual assessment.
Assessor Checks - Task and Observation
Individual, Behaviour and Attitude
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Did the individual approach the site safely, professionally, and respectfully
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Does the individual represent Gigaclear to a high standard by having a clean and professional appearance
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Did the individual smoke, or vape while onsite which was outside of the designated area
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Does the individual know what to do if an incident occurs onsite and how to report it?
Vehicle
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Has the employees vehicle been parked legally and safely
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Has the individual submitted a vehicle check and was it completed correct and honestly
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Observe, Is the vehicle reasonably clean (inside and outside), and the number plates and lights clear from excessive dirt
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Are all wheels and tyres legal and free from damage.
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Are there any obvious signs of smoking/vaping.
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Is the cargo area clean and are all items secured/stored correctly
Personal Protective Clothing
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Is PPE being worn and is it the correct type for the activity.
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Is the PPE reasonably clean and free from defects/damage.
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Is the individual aware of the ordering process?
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is stored PPE/RPE secure and risk free from becoming defective or damaged.
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Is all PPE/RPE available
Equipment Check
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Is all equipment stored within the racking/shelving system provided.
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Is all equipment secured to the correct anchor points.
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Is all equipment free from defects/damage.
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Are all items of Equipment within their expiration date for servicing/calibration or its shelf life?
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Are there any tools/equipment/materials present within the van, which has not been issued by Gigaclear?
Training and Accreditation
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Does the individual carry all relevant training/accreditations to carry out their duties and their current activity
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Are all training and accreditations uploaded to the individuals NOPS card?
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Are all card and certificates in date and held with the individual?
Devices, IT Equipment and Systems
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Are all devices and accessories reasonably clean and free from damage?
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Are all devices and electrical accessories PAT tested?
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Can the individual demonstrate good knowledge and understanding of the apps and systems available ie Aurora, Notify, iAuditor and Stay Safe and Fleet operations Move app?
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Are all items securely and safely stored away to prevent damage or theft?
Planning and Conducting Inspections and Audits
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Has the individual planned their day of sites to inspect or audit?
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Has the individual asked to enter the site and signed into the SSRA?
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Has the individual requested to review the utility stats and checked that safe digging practices are followed.
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Has the individual requested to see all tools and equipment that requires calibration/service.
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Can the individual demonstrate that they can conduct an inspection with good Streetworks compliance knowledge?
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Can the individual demonstrate that they can conduct an inspection with good SROH knowledge?
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Can the individual demonstrate that they can conduct an inspection with good knowledge of the Gigaclear build specifications?
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Can the individual demonstrate that they can conduct an inspection with good knowledge of third-party safety/build compliance i.e. Openreach, JUP and DNO’s?
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Did the individual use the CARE approach when conducting an inspection/audit.
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Was the inspection/audit outcome honest and impartial.
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Did the individual act professionally and respectfully when conducting an inspection/audit.
Communication
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Does the employee have good site presence, is seen as a competent authority figure with clear communication/ instructions given to site teams
Assessor Signature
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Assessor Signature
Notes and Observations
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Please state where applicable
Please Note
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Unsafe activities or situations that pose a significant risk of harm to workers or members of the public are to be ceased, rectified or made safe immediately. Any good actions or behaviours that should be recognised please report them via Notify as a Good Observation. Please contact Gigaclear HSEQ for advice or support.
