LCPL Services Division Leadership Walk and Talk

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Questions

• Did you attend or deliver a toolbox talk?

  Yes

  No

  N/A

• Are the workers all wearing the correct PPE?

  Yes

  No

  N/A

• Has a pre start been completed including a Take 5 or JSA risk assessment.

  Yes

  No

  N/A

• What exceptions are approved for the site?

  Record Details

• Is the worksite located in the vicinity of live traffic?

• Is the work being done safely under implemented controls that prevent vehicle impact to people?

  Safe

  At Risk

  N/A

• Can work result in a fall from height or down a slope or excavation?

• Is the work being done under height permit if there is no fixed edge protection in place?

  Yes

  No

  N/A

• Does the safe work documentation include the controls that are in place?

  Yes

  No

  N/A

• If an excavation, is there an excavation permit in place?

  Yes

  No

  N/A

• Does the activity involve electrical work?

• Is there a permit for isolation in place?

  Yes

  No

  N/A

• Is the work being done under isolation?

  Yes

  No

  N/A

• Is there a trained LV rescue spotter with an LV rescue kit where there is any chance of exposure to live circuits?

  Yes

  No

  N/A

• Does the work involve temporary works or scaffolding?

• Is the scaffolding certified/tagged as compliant?

  Yes

  No

  N/A

• Are employees required to work in and around mobile plant?

• Are there any controls in place to prevent mobile plant interacting with people on the ground?

  Yes

  No

  N/A

• What are the communication protocols in place to contact plant operators?

  Safe

  At Risk

  N/A

• Does the work involve mechanical lifting?

• Is there a lift plan in place?

  Yes

  No

  N/A

• Is there protection around the work area to prevent people working under loads?

  Safe

  At Risk

  N/A

• Are the employees working in and around live services including overhead and underground services?

• Are there positive identification methods for conforming the location of services?

  Yes

  No

  N/A

• Are there clear markings, warning tape or other methods to ensure the services are identified and to warn people of their location?

  Yes

  No

  N/A

• Is work being undertaken in a confined space?

• Is there a confined space permit in place?

  Yes

  No

  N/A

• Is there equipment to check the air quality of the space before entry?

  Yes

  No

  N/A

• Is there a rescue tripod or other rescue arrangements in place?

  Yes

  No

  N/A

• Does the work involved lead to fatigue issues, such as long driving distances?

  Yes

  No

  N/A

• Are workers working alone or in remote locations? If Yes, What controls are in place?

  Yes

  No

  N/A

• What other hazards are there on the site?

  Record Details

• Are the above hazards being managed? Are they included on the work documentation?

  Yes

  No

  N/A

• Is the work being done safely with safe behaviors being displayed?

  Safe

  At Risk

  N/A

• What are the possible environmental issues at the worksite?

  Record Details

• Erosion

• Water pollution risks

• Noise

• Waste Management

• Vegetation clearance

• Sediment

• Protected flora and fauna

• Cultural heritage

• Are appropriate environmental controls in place?

  Yes

  No

  N/A

Other items discussed, or other notes entered below.

• Points of Merit

Point Of Merit
Actions
Notes