Audit Information
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Region / FSC
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On-site leader
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Location
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Work to be completed
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Conducted on
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Auditor
Team Details
Worksite Team Members
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Worksite Team Members
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Name
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Service Number
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Worksite Team Role
- Observer
- Working aloft
- Ground attendant
- Plant operator
Worksite
Work group & Set up
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Live Line Manual available on site
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Appropriate Live Line Procedure(s) identified for the work
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All team members authorised for procedure(s)
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WHRA discussion completed and documented
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Photograph front & back of WHRA
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Live Line Permit on site
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Photograph front & back of HVLW Permit
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Conductor tensions calculated before commencing work
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Telephone / communication from worksite
Equipment
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Insulated Live Line equipment in test
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Test date
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Photograph insulating equipment testing record or condition
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Insulating mats in test date
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Test date
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Photograph insulating mats testing record or condition
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General condition of equipment
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Provision for suitable equipment storage
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Preparation of Live Line equipment
Personal Protective Equipment (PPE)
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Long pants & long sleeves worn & in acceptable condition
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Safety footwear worn & in acceptable condition
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Eye protection worn & in acceptable condition
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Hard hat worn & in acceptable condition
Insulating gloves & sleeves
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Inspection and inflation test performed
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Leather protector gloves in good condition
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Live Line gloves and sleeves in test date
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Test date
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Photograph insulating gloves & sleeves testing record or condition
Harnesses and Lanyards
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In serviceable condition, clean and dry
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Within 10 year service life from date of manufacture
EWP
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Elevated Work Platform
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Cleanliness of boom and basket
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EWP number
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Vehicle number
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Excess gear removed from basket
EWP set up
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Position of EWP relative to job
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Stability of EWP
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EWP effectively earthed & earth lead in test / inspection date
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Quality of machine operation & control
Testing
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Insulation within test date
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Test date
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Photograph EWP testing record or condition
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Insulation level of basket
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No excessive or unapproved drain holes in basket
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All hydraulic tool hoses in good condition, non-conductive and test sticker clearly displayed
Borer / Erector
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Borer / Erector
Vehicle equipment
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Overall condition of hydraulic system (leaking?)
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Has borer / erector been fitted with pole grips?
Safety
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Borer / erector effectively earthed & earth lead in test / inspection date
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Position of borer / erector relative to work
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Safe work practices being utilised
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Quality of machine operation & control
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Quality of communication between Operator & Plant Safety Observer
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Operator dressed in compliant clothing
HVLW application
Procedures
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Safety observer in good position and observing correctly
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Safe working clearances being maintained
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Temporary insulation erected and utilised correctly
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Following work procedure correctly
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General worksite supervision
Worksite Conduct
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Communication between safety observer and work face
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Work face communication and interaction
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Attitude towards Live Line work
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General quality of Live Line work
Audit completion
Follow up actions
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Do any items need to be followed up as a result of this audit
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Action
Action item
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Responsible person
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Follow up action
Audit rating
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Overall comments from auditor
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Overall rating of the audit
- Conformance – All audit criteria met (Blue)
- Conformance after field rectification of potential non-fatal immediate consequences (Green)
- Non-conformance recorded with potential non-fatal immediate consequences (Yellow)
- Non-conformance with potential fatal immediate consequences (Pink)
- Multiple non-conformances with potential fatal immediate consequences (Red)
Completion
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Auditor confirms the findings of the audit (sign)
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Auditee endorsement: as a representative of the work group I agree with the findings of the auditor
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Auditee comments
