Safety Representatives Safety Day Aug 18

• Conducted on

  Date

• Prepared by

• Process

  Select Repair Emergency Streetworks SHE P&A Other

  • Repair
  • Emergency
  • Streetworks
  • SHE
  • P&A
  • Other
• Location
  Address

• Engineer/FCO/Driver

• Team Mate/Others on site

• Prior to approaching the Team/Engineer pause and look at the overall site. What HAZARDS and RISKS can you see?

RTC/MVI/Vehicles

• Is the vehicle parked safely?

  Yes

  No

  N/A

• Is the vehicle secure?

  Yes

  No

  N/A

• Is vehicle related paperwork compliant?

  Yes

  No

  N/A

• Are there any hazards within the vehicle?

  Yes

  No

  N/A

• Is the vehicle tidy?

  Yes

  No

  N/A

• Can the individual(s) demonstrate the 360 degree walk?

  Yes

  No

  N/A

• Did you know you MUST inform your own insurer after a vehicle incident at work? (or any vehicle where you are a named driver)

  Yes

  No

  N/A

• Additional Information including good/bad practice.

• Photo to demonstrate good/bad practice and/or compliance.

  Media

Cable Avoidance

• Are you aware of EB055?

  Yes

  No

  N/A

• Are you aware of the Emergency cable incident?

  Yes

  No

  N/A

• Are you aware of the four incidents in Repair since April 18?

  0

  1

  2

  3

  4

• Do you maintain electrical continuity, and escalate if this can’t be done?

  Yes

  No

  N/A

Cables REPAIR ONLY

• Is the safe system of work documented on the Take Care form?

  Yes

  No

  N/A

• Was cable exposure avoidable?

  Yes

  No

  N/A

• How often do you Contact your supervisor?

  Sometimes

  Regularly

  Never

  Always

  No Comment

• What options are available to assist us in avoiding excavating near cables?

• Do you use these techniques?

  Sometimes

  Regularly

  Never

  Always

  No Comment

• Additional Comments (good/bad practices)

• Additional Photographs (good/bad practices)

  Media

• ESD recorded?

• Hazard/Near Miss recorded (remember we can now use the 'Hazard/Near Miss Report template for this)

• Now send the completed template to michael.unsworth@cadentgas.com, paul.clarke@cadentgas.com.