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 Co-ordination / Leading Hand
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Authorisation in date?
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Authorisation Number
Worksite
Work group & Set up
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Overall photograph of task to be completed (pre- job commencing)
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Live Line Manual available on site - Hard Copy or Electronic copy
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Appropriate HV Live Work Procedure(s) identified for the work
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Stick Procedure(s)
- S1 A
- S1 B
- S2 A
- S2 B
- S2 C
- S2 D
- S2 E
- S3 A
- S3 B
- S3 C
- S3 D
- S4 A
- S4 B
- S4 C
- S4 D
- S5 A
- S5 B
- S6 A
- S6 B
- S6 C
- S7 A
- S7 B
- N/A
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Glove & Barrier Procedure(s)
- G1 A
- G2 A
- G3 A
- G3 B
- G3 C
- G3 D
- G3 E
- G3 F
- G4 A
- G4 B
- G4 C
- G5 A
- G5 B
- G5 C
- G5 D
- G5 E
- G5 F
- G6 A
- G6 B
- G6 C
- G6 D
- G6 E
- G6 F
- G6 G
- G6 H
- G6 I
- G7 A
- G7 B
- G8 A
- G8 B
- N/A
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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/screenshot from IPad front & back of WHRA
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HV Live Work Permit Correctly Completed?
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Photograph front & back of HVLW Permit
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Conductor tensions calculated before commencing work
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Screenshot of calculations from IPad
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Telephone / communication from worksite
Equipment
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Insulated Live Line equipment in test (hardcovers sticks etc...)
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Test date
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Insulating mats in test date
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Test date
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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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Arc rated clothing - long pants & long sleeves worn & in acceptable condition
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Safety footwear worn & in acceptable condition
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Approved eye protection worn & in acceptable condition
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Hard hat worn, in acceptable condition and in date
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
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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EWP
Elevated Work Platform
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Cleanliness/Condition of boom and basket
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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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Photograph of EWP positioning
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Stability of EWP
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EWP effectively earthed & earth lead in test / inspection date
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Next test date of earth lead
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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
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All hydraulic tool hoses in good condition, non-conductive and test sticker clearly displayed. (Note if battery tools used only)
Borer / Erector
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Borer/Erector
Borer / Erector
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Endeavour Energy lifter borer/plant
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Name and service number
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Authorisation number
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Contractor - lifter borer/plant
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Company and name of plant operator
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Contract plant operator authorisation number.
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Date of authorisation
Vehicle equipment
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Overall hydraulic system (leaking?)
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All lifting equipment in good condition?
Safety
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Borer / erector effectively earthed & earth lead in test / inspection date
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Next test date of earth lead
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Position of borer / erector relative to work
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Photograph of borer/erector position
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Operator dressed in compliant clothing
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Quality of machine operation and control
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Safe work practices being utilised
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Photographs of borer/erector operation during job
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Quality of communication between Operator & Plant Safety Observer
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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Safe work practices utilised?
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Photograph(s) of work in progress
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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 - if yes then complete action(s) below
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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: I am a representative of the work crew
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Auditee comments
