HTS Sub-Contractor Safety Equipment Audit 28/02/2022 - 14/08/2022

• Site conducted

  Select

• Hills Subcontractor Six Monthly Safety Equipment Audit - 28/02/2022 - 14/08/2022
  It is a statutory and a contractual obligation for all contractors working for Hills to complete this Safety Equipment Audit bi-annually to provide evidence your safety equipment (PPE) has been inspected, records kept and your and vehicle is in good working condition and available for use.
  You are required under legislation to keep a log book of your height safety PPE and have this equipment inspected every 6 months by a qualified inspector or company as per AS/NZS 1891.4 2009
  
  Hills have supplied you with an inspections checklist log book, this is available in the Contractor Portal, download complete and include the signed log in the Equipment Inspection Records section.
  Only complete this yourself if you hold height safety equipment Inspection qualification MEM15004B or PUAEQU001 - Prepare, maintain and test response equipment , otherwise have the inspection completed by a 3rd party.
  
  Take all photos in your camera roll and complete this audit on a desktop PC.
  Using a mobile device to complete and send this audit will result in you exceeding your free 10mb data allowance limit.
  All fields are mandatory, this audit must be completed 100%.
  Export the completed HTS00017-001 Sub-Contractor Six Monthly Safety Equipment Audit 14/08/2021 - 28/02/2022 PDF to hseq.hcs@hills.com.au
  Recommended Items can be answered as Yes or N/A

• 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

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.
  WHSAct2011 Division 2 - (S19) Primary Duty of Care,
  WHSAct2011 Division 3 - (S20) Further duties of persons conducting businesses or undertakings,
  WHSAct2011 Division 4 - (S28) Duties of workers,
  WHSAct2011 Part 3 - (S38) Duty to notify of notifiable incidents,
  WHSReg2011 Division 2 General working environment (S40) Duty in relation to general workplace facilities,
  WHSReg2011 Division 2 (S41) Duty to provide and maintain adequate and accessible facilities,
  WHSReg2011 Division 3 (S42) Duty to provide First Aid,
  WHSReg2011 Division 4 Emergency Plans, (S43) Duty to prepare, maintain and implement emergency plan,
  WHSReg2011 Division 5 Personal protective equipment, (S44) Provision to workers and use of personal protective equipment, WHSReg2011 Division 5 (S46) Duties of worker,
  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>Maintaining Social Distancing (COVID19 Requirements per state guidelines);<br>Provide access to water (Fresh drinking water);<br>Provide access to first aid as per the First Aid Code of Practice 2020 (First Aid Kit);<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);<br>Notify Tech Support of an incident or near miss within 60 minutes of the incident occurring.

  Yes

  No

• Confirm you have emergency evacuation plan in case of an emergency?<br>Emergency Australia App - National Triple Zero Awareness work group - http://emergencyapp.triplezero.gov.au/

  Yes

  No

Test Equipment:

• Smart Phone

  Yes

  No

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

  Yes

  No

• V3-Installation Assistant and V2-VT100 Meter

  Select V3 Installation Assistant V2 VT100 Meter

  • V3 Installation Assistant
  • V2 VT100 Meter

• Photo of Installation Assistant and VT100 meter

  Media

• Approved LAN Wire-Map Network Tester (Mandatory):<br><br>Approved Wiremap Tester list available on the Contractor Portal - Continuity Testers Not Permitted

  Yes

  No

• Photo of Wire map Network Tester

  Media

• It is mandatory to carry and use a Wiremap Tester and supply a cable test photo - Without this you are non compliant

• Label Maker 9mm - 12mm black lettering on white plastic:

  Yes

  No

• Photo of Label Maker

  Media

• It is mandatory to carry and use a Label Maker and supply a NTD Sticker - Without this you are non compliant

• Laser Bar-code Scanner:

  Yes

  No

• Photo of Bar-code Scanner

  Media

• Camera Compass App for Geotagging photos

  Select Theodolite Timestamp Camera Evidence Cam GPS Map Camera Dioptra Geo Tag Other

  • Theodolite
  • Timestamp Camera
  • Evidence Cam
  • GPS Map Camera
  • Dioptra
  • Geo Tag
  • Other

Contractual & Legislative Compliance

• Hills ID badge with Risk Calculator ID Badge:

  Hills ID Badge

  Replacement Hills ID required

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

• Photo of Hills ID Card:

  Media

• Drivers License Number:

• Drivers License Expiry Date:

  Date

• Photo of Drivers License (Front of License close up so details are visible):

  Media

• Digital Enable ID Number:

• Screenshot of Digital Enable Card:

  Media

• RIIWHS204D - Height Safety License/Certificate/Card number - Only Valid for 5 years (Date of issue no earlier than 31/07/2016):

• Photo of Height Safety License/Card - RIIWHS204D:

  Media

• CPCCWHS100 - Construction Induction Card Number - White Card or State equivalent issued after 01/01/2012:

• Photo of Induction Card - CPCCWHS100:

  Media

• RIIWHS302D - Traffic Management License/Certificate: (List N/A if you do not have this License):

  Yes

  N/A

• Card number or issue date:

• Photo of Traffic Management License/Certificate/Card number or issue date:

  Media

• Do you have PUAEQU001 - Prepare, maintain and test response equipment or MEM15004B - Certificate of Height Safety Equipment Inspection Training course (Perform Inspection):

  Select Yes I have Inspection Qualification I do not require this for my role No, please send me course details

  • Yes I have Inspection Qualification
  • I do not require this for my role
  • No, please send me course details

• Photo of PUAEQU001 - Prepare, maintain and test response equipment or MEM15004B Height Safety Equipment Inspection Training course certificate.

  Media

Safe Work Method Statements (SWMS)

• As per legislation you MUST carry in your vehicle printed signed copies of the latest Hills Safe Work Method Statement. (Fixed Wireless HTS00019, HTS00160 or HTS00250) or appropriate contract specific SWMS for the work performed, or have a signed PDF copy on your device.<br>WorkHSR2011 Division 2 (S299) Safe Work Method Statement required for High-Risk construction work.<br>(1) A person conducting a business or undertaking that includes the carrying out of High-Risk construction work must, before High-Risk construction work commences, ensure that a safe work method statement for the proposed work—<br>(a) is prepared; or<br>(b) has already been prepared by another person, <br>and you must produce on request a signed copy of the latest appropriate Safe Work Method Statements.<br>These documents are available in the HTS contractor portal.

  Hills Fixed Wireless SWMS

  No

• Please take a photo of the signed front page of your HTS00019 Fixed Wireless SWMS - Version 13:

  Media

• Please take a photo of the signed front page of your HTS00160 Asbestos SWMS - Version 13:

  Media

• Please take a photo of the signed front page of your HTS00250 Telco Project M SWMS - Version 5:

  Media

• It is mandatory to carry all appropriate SWMS always, without these you are non compliant.

Safety Data Sheets (SDS):

• I confirm i have access to Safety Data Sheets, either carried in my vehicle (printed copies) for the work performed or I have a PDF copy on my device. I am aware these are available in the WHS section of the Contractor Portal.<br>WorkHSR2011 subdivision 3 (S344) Person conducting business or undertaking to obtain and give access to safety data sheets. (1) A person conducting a business or undertaking at a workplace must obtain the current safety data sheet for a hazardous chemical prepared under this regulation from the manufacturer, importer or supplier of the hazardous chemical in the following circumstances (a) either— <br>(i) when the hazardous chemical is first supplied for use at the workplace; or<br>(ii) if the person is not able to obtain the safety data sheet under subparagraph (i)—as soon as practicable after the hazardous chemical is first supplied to the workplace but before the hazardous chemical is used at the workplace;

  Yes

  No

• It is mandatory to carry all appropriate SDS always, without these you are non compliant

Electrical Safety:

• You must have access to an Electrical Lock Out Kit that is reusable:<br>Lock out kits must contain the minimum following items.<br>- 1 x Mini CB/Residential Lockout<br>- 1 x Non-Conductive Lock<br>- 1 x Labelled Lockout Tag

  Yes

  No

• Photo of Lock out Kit showing - 1 x Mini CB/Residential Lockout - 1 x Non-Conductive Lock - 1 x Labelled Lockout Tag

  Media

• It is mandatory to use an Electrical Lock out kit always, without this you are non compliant

• You must have access to an electrical Volt Stick:

  Yes

  No

• Photo of AC/DC Volt Stick

  Media

• It is mandatory to have access to an AC/DC Volt Stick capable of detecting live electrical, circuits, without this you are non compliant.

• You must have access to an an NBN approved Electrical Service Locator:<br><br>Approved service locator must be capable of detecting electrical cables, pipes and other services to a minimum 50mm scanning depth - Refer to the Electrical Services Location Equipment list in the general tab of the Contractor Portal.

  Yes

  No

• Photo of approved Electrical Service Locator

  Media

• It is mandatory to have access to an approved Electrical Service Locator capable of detecting electrical cable, pipes and other services , without this you are non compliant.

Personal Protective Equipment (PPE)

• You must have access to and wear appropriate PPE suitable for the task.
  WHSReg2011 Division 5 Personal protective equipment, (S44) Provision to workers and use of personal protective equipment,

• Safety Garments that meets Australian standard AS4602 - High-Visibility Clothing, Long/Short Sleeved Shirt, Jacket or Vest class D or D/N:

  Yes

  No

• Photo Showing High-Visibility Clothing, Long/Short Sleeved Shirt, Jacket or Vest class D or D/N

  Media

• It is mandatory to wear safety High-Visibility clothing always, without this you are non compliant

• Safety Protective Footwear that meets Australian Standards AS/NZS 2210.3:

  Yes

  No

• Photo Showing Safety Footwear that meets Australian Standards AS/NZS 2210.3

  Media

• It is mandatory to wear safety protective footwear always, without this you are non compliant

General Safety PPE:

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

  Yes

  No

• Photo of Hard Hat

  Media

• It is mandatory to have access to head protection for specific site requirements always, without this you are non compliant

• Eye Protection - Safety Glasses that meets Australian Standards AS/NZS 1336:

  Yes

  No

• Photo of eye protection that meets Australian Standard AS/NZS 1336

  Media

• It is mandatory to have access to eye protection for specific tasks always, without this you are non compliant

• Hand Protection - Cut resistant Safety Gloves that meet Australian Standards AS/NZS 2161:

  Yes

  No

• Photo of cut resistant safety gloves that meets Australian Standard AS/NZS 2161

  Media

• It is mandatory to have access to hand protection for specific tasks always, without this you are non compliant

• Hearing Protection - Ear Muffs/Plugs that meet Australian Standards AS/NZS 1270:

  Yes

  No

• Photo of hearing protection that meets Australian Standard AS/NZS 1270

  Media

• It is mandatory to have access to hearing protection for specific tasks always, without this you are non compliant

• Dust Protection - P2 Respirator that meet Australian Standards AS/NZS 1716 to protect against exposure to Asbestos, Silicosis and other harmful contaminants:

  Yes

  No

• Photo of dust protection that meets Australian Standard AS/NZS 1716

  Media

• It is mandatory to have access to dust protection for specific tasks always, without this you are non compliant

• 4 x 400mm Reflective Safety Cones and/or Exclusion Barriers AS/NZS1742 (Minimum size 400mm):

  Yes

  No

• Photo showing minimum 4 x 400mm Reflective Safety Cones and/or Exclusion Barriers

  Media

• It is mandatory to create an exclusion and/or drop zone around your work area for specific tasks always, without this you are non compliant

• Sun Protection - Hat/Sunscreen:

  Yes

  No

• It is mandatory to provide protection from the sun to prevent heat related illness -WHSAct2011 Division 2 - (S19) Primary Duty of Care

• Wet Weather Protection:

  Yes

  No

• It is mandatory to provide protection from the weather - WHSAct2011 Division 2 - (S19) Primary Duty of Care

Height Safety Equipment Inspection Records - AS/NZS 1891.4 2009:

• It is a mandatory legislative requirements to always carry your equipment log book and working at heights license and produce on request

• Mandatory 6-Monthly Height Safety equipment inspection 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:

  Yes

  No

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

• Photo of signed equipment inspection log or similar record from a third-party inspector

  Media

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

Height Safety Equipment - Australian Standard AS/NZS 1891:

• Always perform a detailed inspection of your height safety equipment every time you use. Check for visible damage and stress tears to stitching, webbing, buckles and straps. All height safety equipment must be in good condition.

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

  Yes

  No

• Harness expiry date

  Date

• Photo of Harness and Harness Tag showing expiry date

  Media

• It is mandatory to have access to a full body harness inspected every six months, without this you are non compliant

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

  15m

  30m

  45m

  No

• Rope expiry date

  Date

• Photo of Rope showing the expiry date

  Media

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

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

  Yes

  No

• Photo of Rope Grab

  Media

• It is mandatory to have access to a safety rope inspected every six months, without this you are non compliant

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

  Yes

  No

• Photo of 4 x Karabiner

  Media

• It is mandatory to have a minimum 4 karabiner's inspected every six months, without these items you are non compliant

• 3 x Anchor Loop Sling / Strap (for Tile Roof) min. 1m length that complies with Australian Standard AS/NZS 1891: (Tiled Roofs). 3 x Anchor Loop Sling / Strap must be shown in Photo:

  Select 1m x 3 2m x 3 3m x 3 3 Slings/Straps of different sizes No

  • 1m x 3
  • 2m x 3
  • 3m x 3
  • 3 Slings/Straps of different sizes
  • No

• Anchor loop slings/straps expiry dates

  Date

• Photo showing the expiry date of each anchor loop sling or strap x 3

  Media

• It is mandatory to have access to minimum 3 safety straps inspected every six months, without these items you are non compliant

• Fixed or detachable Shock Absorbing Lanyard that complies with Australian Standard AS/NZS 1891:<br>Fixed Lanyards will be permanently attached to the rear of a harness, detachable lanyards are a separate item.

  Fixed

  Detachable

  No

• Shock Absorber Lanyard expiry date

  Date

• Photo showing expiry date of lanyard

  Media

• It is mandatory to have access to all height safety equipment and inspect every six months, without this item you are non compliant

• 3 x temporary Tin Roof Tether Plates or 2 x Tether Plate and 1 x T-Bar<br>Industry Rated 15Kn single person use that complies with Australian Standard AS/NZS 1891:

  3 x Tether Plates

  2 x Tether Plate, 1 x T-Bar

  No

• Photo Showing 3 temporary tin roof tether plates or 2 x tether plates and 1 x T-Bar

  Media

• It is mandatory to have access to all height safety equipment and inspect every six months, without these items you are non compliant

Ladders & Accessories - Australian Standard AS/NZS 1892:

• Always perform a detailed inspection of your ladders prior to every use.
  Check for visible damage and stress fractures around the rungs, stiles, hinges and latches.

• Step ladder Industrial Rated 1.8m - 2.1m (minimum 120kg) in good condition that complies with Australian Standard AS/NZ 1892 Portable Ladders: (2.1m Fiberglass ladder highly recommended) Telescopic /Infomercial ladders ARE NOT Australian Standard AS/NZ 1892 approved.

  Select 1.8m Industrial Aluminum Step Ladder 2.1m Industrial Aluminum Step Ladder 1.8m Industrial Fiberglass Step Ladder 2.1m Industrial Fiberglass Step Ladder No

  • 1.8m Industrial Aluminum Step Ladder
  • 2.1m Industrial Aluminum Step Ladder
  • 1.8m Industrial Fiberglass Step Ladder
  • 2.1m Industrial Fiberglass Step Ladder
  • No

• Photo of A-Frame Ladder showing condition (Not on vehicle)

  Media

• It is mandatory to carry both sizes of ladders that comply with Australian Standard AS/NZ 1892 Portable Ladders, without access to both ladders you are non compliant

• Extension Ladder Industrial Rated 3.6m (opens to 6.5m) or 4.5m (opens to 7.2m) (minimum 120kg) in good condition that complies with Australian Standard AS/NZ 1892 Portable Ladders: (4.5 to 7.2m Fiberglass ladder highly recommended)

  Select 6.5m Industrial Aluminum Extension Ladder 7.2m Industrial Aluminum Extension Ladder 6.5m Industrial Fiberglass Extension Ladder 7.2m Industrial Fiberglass Extension Ladder No

  • 6.5m Industrial Aluminum Extension Ladder
  • 7.2m Industrial Aluminum Extension Ladder
  • 6.5m Industrial Fiberglass Extension Ladder
  • 7.2m Industrial Fiberglass Extension Ladder
  • No

• Photo of Extension Ladder showing condition (Not on vehicle)

  Media

• It is mandatory to carry both sizes of ladders that comply with Australian Standard AS/NZ 1892 Portable Ladders, without access to both ladders you are non compliant

• Gutter Protector (e.g. Ladders Little Helper)

  Yes

  No

• Photo of Gutter Protector

  Media

• It is mandatory to carry and use a gutter protector - Without this item you are non compliant

• Ladder tie down straps - Ratchet Strap or Cam Buckle for securing ladders that complies with Australian Standard AS/NZ4380:

  Yes

  No

• Photo of Ratchet Strap or Cam Buckle showing ladders secured to vehicle

  Media

• It is mandatory to secure your ladders using Australian Standard AS/NZ4380 straps - Without these items you are non compliant

Cordless Power Tools:

• Battery Drill

  Yes

  No

• Hammer Drill

  Yes

  No

• Angle Grinder

  Yes

  No

• All Angle Grinders that do not meet these requirements are on the banned items list:
  - Fail safe switches
  - Anti-kickback/clutch system
  - Guards
  - Fitted handles
  - Grinders discs greater than 125mm

• Photo of Angle Grinder

  Media

240 Volt Power Tools:

• Are you using any 240V Power Tools

  Yes

  No

• List 240v accessories

  Select Battery Chargers Extension Leads RCD Corded Power Tools

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

• Photo of current Tag & Test stickers

  Media

Vehicle:

• List type of vehicle

  Select Van Ute Trailer 2x4 4x4 Station Wagon

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

• Is your vehicle in road worthy condition

  Yes

  No

• Picture of Vehicle from front drivers side-on showing overall condition

  Media

• Your vehicle must be in road worthy condition and will be inspected during a live audit - Always ensure your vehicle is fit for use, if it is not you are not compliant

• First Aid and/or Fire Extinguisher stickers - Mandatory requirement to display safety signs as per AS1319 -1994, First Aid in the Workplace CoP 2020 on outside of vehicle

  Yes

  No

• Photo of First Aid and/or Fire Extinguisher stickers on your vehicle

  Media

• It is mandatory to have safety signs as per AS1319 -1994, First Aid in the Workplace CoP 2020, without these signs you are non compliant

• Method of securing Ladders and/or Signs/Pit Guards

  Select Ladder Racks Cam Buckle Ratchet Strap Signs/Pit Guards secured in vehicle

  • Ladder Racks
  • Cam Buckle
  • Ratchet Strap
  • Signs/Pit Guards secured in vehicle

• Method of securing conduit

  Conduit Tube

  Secured in Vehicle

  Secured to Ladder

• Secure Storage for NBN Consignment Stock

  Select Secured in Vehicle Secured in Locked storage Box

  • Secured in Vehicle
  • Secured in Locked storage Box

Working with Asbestos:

• If you choose to work with Asbestos, HTS supply a free Asbestos Penetration Kit with the following items, Disposable Coveralls (Type 5), P2 Respirator Mask (Compliant to AS/NZS 1715) Gloves (Disposable Latex) Boot Covers (Disposable), Googles (Disposable) Warning Sign, Asbestos Disposal Bag, Drop Sheet, Barricade Tape and Working with Asbestos work instructions.

  Yes

  No

• Do you carry an HTS supplied 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 Enamel Sealant Wet Wipes

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

Optional Fire Extinguisher:

• 1Kg Powder Fire Extinguisher with Hose - Tested 6 monthly AS1851

  Yes

  No

• “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

  No

• Photo of 1kg Fire Extinguisher showing hose

  Media

• Photo of Fire Extinguisher manufacture date or inspection tag - Valid for 6 months only from date of manufacture or last inspection

  Media

First Aid Kit Contents:

• All PCBU (Subcontractors) must have access to First Aid, it is mandatory to carry a First Aid kit in your vehicle.
  Your first aid kit must comply with "First Aid in the workplace, Code of practice 2020"
  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

  Date

Recommended Additional Safety PPE:

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

  Yes

  N/A

• 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 Sunglasses Sunscreen Knee Pads P1 Respirator Coveralls

  • Sunglasses
  • Sunscreen
  • Knee Pads
  • P1 Respirator
  • Coveralls

Banned Items List:

• Are there any Items in your contractor's vehicle on the Banned Items List? If the answer is yes then these items must be removed from site

  Select No Banned Items Terra Trencher/Chain Trencher All Angle Grinders without Handles, Guards or greater than 7" Welders without voltage reduction Oxy / Acetylene systems not fitted with Flash back Arrestors Lifting Equipment fitted with hooks that do not have safety catches Single Karabiner used in Working at Heights assemblies Fixed Lever Action (Single and Dual) Load Binders Using chains and/or lifting devices for towing or pulling purposes Octopus “Ockey” Straps, plastic and/or rubber strapping Double Adaptors and power Boards not fitted with overload Use of personal headphones, Using a mobile phone in the area mobile plant operate Use of tablets, laptops, cameras where mobile plant operate Aluminium ladders for electrical work Parra or Telstra rope for securing ladders

  • No Banned Items
  • Terra Trencher/Chain Trencher
  • All Angle Grinders without Handles, Guards or greater than 7"
  • Welders without voltage reduction
  • Oxy / Acetylene systems not fitted with Flash back Arrestors
  • Lifting Equipment fitted with hooks that do not have safety catches
  • Single Karabiner used in Working at Heights assemblies
  • Fixed Lever Action (Single and Dual) Load Binders
  • Using chains and/or lifting devices for towing or pulling purposes
  • Octopus “Ockey” Straps, plastic and/or rubber strapping
  • Double Adaptors and power Boards not fitted with overload
  • Use of personal headphones,
  • Using a mobile phone in the area mobile plant operate
  • Use of tablets, laptops, cameras where mobile plant operate
  • Aluminium ladders for electrical work
  • Parra or Telstra rope for securing ladders

Sign- Off and Declaration:

• 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.

• Signature of person who completed Audit

  Sign

• Please add any applicable notes