Hydrant and Valve Maintenance

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Training, licence &WHS requirements

• Has a wrap been completed and all risks identified?<br>Scope of services: specifications 6 workplace health and safety

  Yes

  No

  N/A

• Are all the controls implemented adequate for the identified hazards?

  Yes

  No

  N/A

• Is there a job plan for the task being performed?

  Yes

  No

  N/A

• Are the relevant SWMS available and being followed?

  Yes

  No

  N/A

• Do all personnel have the required licenses and completed the mandatory training for the task being performed?<br>Scope of services: specifications provision of inspections and corrective maintenance <br>9 induction & training

  Yes

  No

  N/A

• Is all the appropriate PPE being used?

  Yes

  No

  N/A

• Is traffic control set up in accordance with the MUTCD?<br>Scope of services: specifications <br>Provision of inspections and corrective maintenance 11 traffic management

  Yes

  No

  N/A

• Is there a emergency plan?

  Yes

  No

  N/A

• Have all the relative permits been obtained?

  Yes

  No

  N/A

Tools, equipment and plant

• Is all electrical equipment tagged and within test date?<br>

  Yes

  No

  N/A

• Does the contractors vehicles have QUU identification?<br>Scope of services: specifications <br>Provision of inspections and corrective maintenance 13

  Yes

  No

  N/A

• Are there adequate tools available to complete the task?<br>Scope of Services: Specifications 8.1

  Yes

  No

  N/A

• Has daily checks been completed on all vehicles and plant?

  Yes

  No

  N/A

• Are all tools and equipment maintained and in good working condition?

  Yes

  No

  N/A

Work Performed

• Has the pre shut check been completed?<br>Scope of services: Specifications <br>Provision of inspections and corrective maintenance 4.3 b)iii

  Yes

  No

  N/A

• Is there DBYD plans on site?<br>Scope of services: Specifications 4.3 b) Viii

  Yes

  No

  N/A

• Have the customers been notified of the works as per QUU requirements?<br>Scope of services: Specifications <br>Provision of inspection and corrective maintenance 4.3 b)iv

  Yes

  No

  N/A

• Have all services been located and marked before any excavation?

  Yes

  No

  N/A

• Has a excavation permit been completed?

  Yes

  No

  N/A

• Is the work being carried out on the assets meet the QUU requirements?

  Yes

  No

  N/A

• Has the site been left clean and tidy?

  Yes

  No

  N/A

• Comments and observations

• PICOW on site

  Sign

• Completed by?

  Sign