Title Page

  • Region

  • Crew

  • Refresher Training Commenced

  • Refresher Training Completed

  • Prepared by

Crew Members

Crew Members

  • Crew Members

  • Crew Members
  • Name

  • Service number

  • Authorisation Number

  • Authorisation date

  • Team role

Equipment

HV Live Work Equipment Inspection

  • EWP condition/visual Inspection - photograph basket and fly jib and general condition of booms

  • EWP next test date

  • Weekly Insulation Resistance Test (IRT) completed? Photograph results from IRT / Form

  • Condition of earth lead - if response is fail, photograph damage

  • Earth Lead next test date

  • Mats condition/visual Inspection - if response is fail-remove from service, add photo that includes damage and equipment number

  • Mats next test date

  • Hard covers condition/visual Inspection - if response is fail-remove from service or repairs needed, add photo of damage and equipment number

  • Hard covers next test date

  • Sticks condition/visual Inspection - if response is fail-remove from service or repairs needed, add photo with damage and equipment number.

  • Sticks next test date

  • Temporary bonds condition/visual Inspection - if response is fail-remove from service or repairs needed, include photo of damage and equipment number

  • Temporary bonds next test date

  • Storage of Equipment on EWP

  • Gloves and Sleeves

  • Crew Member
  • Name

  • Glove & Sleeves condition/air test - if the response is fail remove from service, photograph damage/reason for fail

  • Next Test Dates

  • Leather protectors visual inspection - if response is fail - remove from service, photograph damage

Instruments (calibration dates)

  • Laser thermometer calibrated and in date.

  • Laser thermometer next calibration date.

  • Tong ammeter calibrated and in date?

  • Tong ammeter next calibration date.

  • Insulation resistance tester calibrated and in date?

  • Insulation resistance tester next calibration date.

  • Range finder calibrated and in date?

  • Range finder next calibration date.

Depot Storage Area

  • Inspection

  • Amount of Midspan Isolation Links

  • Repairs - if response is replace, photograph the damage and equipment number.

Equipment Overall Comments and Summary of Action Items

  • Comments

  • Summary of action Items

Work Practices

Work Practices

    Worksite
  • Date

  • Worksite Address
  • Task

  • Overall photograph(s) of task

  • WHRA

  • Photograph/Screenshot from IPad WHRA - front and back

  • HV Live Work Permit

  • Photograph HV Live Work Permit - front & back

  • Mechanical loading of conductors calculated before commencing?

  • Screenshot of calculations.

  • Appropriate HV Live Work Procedure(s) identified for the work?

  • Glove & Barrier Procedure(s)

  • Stick Procedure(s)

  • Position of EWP relative to job

  • Photograph of EWP positioning

  • Stability of EWP

  • Name of Appointed observer(s)

  • Observer well positioned to view all work

  • Insulation rating

  • Application of covers

  • Safe Work Practices utilised?

  • Quality of EWP operation

  • Photograph work in progress

  • Communication

  • Electronic Communication needed?

  • Plant
  • Endeavour Energy lifter borer / plant

  • Name and service number

  • Lifter/Borer Drivers Authorisation Number

  • Plant Operators authorisation date.

  • Contractor - Lifter borer / crane

  • Company and name of plant operator

  • Contract Plant Operator’s Authorisation Number

  • Contractor Plant Operator Authorisation Date.

  • Condition and position of earth lead - if response is fail, photograph damage etc...

  • Is earth lead compliant with Endeavour Energy standards?<br><br><br><br>

  • Next test date of earth lead

  • Operator dressed in compliant clothing

  • Overall condition of hydraulic system

  • Control when lifting?

  • Photographs of lift

  • MInimum Approach Distance (MAD) maintained?

  • Quality of communication between operator & plant safety observer

  • Comments

  • Action Items

Work Practices Overall Summary of Action Items

  • Summary of action items from all worksites

Overall Comments and Sign Off

Overall Comments and Summary of all Action Items

  • Comments

  • Action items

  • Overall rating of refresher training assessment.

Sign Off

  • I am a representative of the crew

  • Assessor - This is a true and correct assessment of the above HV live work crew

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