InterWATCH - Workplace Observation

• Audit Title

• Site

• Conducted on

  Date
• Location
  Address

• Client

  Select Queensland Urban Utilities - QUU Unity Water Watercorp Sydney Water Gold Coast City Council Other

  • Queensland Urban Utilities - QUU
  • Unity Water
  • Watercorp
  • Sydney Water
  • Gold Coast City Council
  • Other

Safety Conversation

• Safety Share/ Discussion (Details)

Personnel Details

• Work Group?

  Select Lining Crew Cutting Crew Civil Crew Cleaning Crew Interfit Crew Grouting Crew Office Staff Subcontractor Other

  • Lining Crew
  • Cutting Crew
  • Civil Crew
  • Cleaning Crew
  • Interfit Crew
  • Grouting Crew
  • Office Staff
  • Subcontractor
  • Other

• SNRP Details

• Interflow Worker(s) Details

• Add media

  Media

• Contractor(s) Details

• Add media

  Media

Work Pack Risk Assessment Process

• Work Pack completed in full consultation- includes Subcontractors?

  Yes

  No

  N/A

• WMS correctly identified and reviewed?

  Yes

  No

  N/A

• Are any High Risk Activities Being Undertaken? If yes identify activities

  Select Confined Space Entry Excavation & Trenching Electrical Hazardous Chemicals Working At Height Hazardous Manual Tasks Plant & Equipment - use of VLC Working Adjacent to Roadway - Traffic Management Energy Isolation Lock Out Tag Out Lifting & Pulling Activities Working Adjacent to Water Lone Worker Demolition Works Scaffolding Asbestos removal or handling High Pressure Equipment Diving Work

  • Confined Space Entry
  • Excavation & Trenching
  • Electrical
  • Hazardous Chemicals
  • Working At Height
  • Hazardous Manual Tasks
  • Plant & Equipment - use of VLC
  • Working Adjacent to Roadway - Traffic Management
  • Energy Isolation Lock Out Tag Out
  • Lifting & Pulling Activities
  • Working Adjacent to Water
  • Lone Worker
  • Demolition Works
  • Scaffolding
  • Asbestos removal or handling
  • High Pressure Equipment
  • Diving Work

• Identify Discussion Points: i.e. Safety Alert/ Lessons to be learned (L2BL)

Photos

• Add media

  Media

Representative Completing Safety Observation

• First and last name

  Sign