Title Page
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Project Number
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Conducted on
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Prepared by
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Location
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Leading Hand
LC HSEQ Audit
LC HSEQ Audit
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LC Crew Name or Subcontractor
Mandatory Pre-Start Requirements
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Daily Risk Assessment completed
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Emergency Evacuation Muster Point defined and relayed to all personnel
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Works to be conducted for the day is defined and communicated to work party
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SWMS reviewed and signed
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DBYD Plans on site, current and reviewed
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Permit to Excavate signed & completed within 1 month validity
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Toolbox Talk conducted regularly
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Crew wearing all required PPE Hard hat, Steel caps, Hvis Long pants & sleeves, glasses, clipped gloves
General Site Safety
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All Excavations and compounds are secure temporary fencing/flagging or supervised / controlled by site personnel
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Drop Zones defined and marked with witches hats
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Appropriate Traffic and Pedestrian Management in place supplemented with Traffic / Pedestrian Management Plan
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RMS Road Occupancy License, Council Road Opening Permit and other legislative requirements in place and onsite
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Relevant RMS Certificates of Competency held by traffic controllers
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Works site is controlled and segregated from general public
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Appropriate signage in place defining pedestrian and traffic access around work site
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Slips, Trips and Fall hazards are segregated from general public
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Any temporary road plates or trafficable covers are securely fixed down
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Construction material is stored in areas that do not cause obstruction to access or egress (including in case of emergency)
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First aid kit is provided & trained First Aider allocated
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Environmental controls in place
Authority Mandatory Requirements
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Current copy of the Electrical Safety Rules on site
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Certified Design on site
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Environmental Impact Assessment on site
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Environmental Handbook on site (Ausgrid only)
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Works in Progress Signs clearly displayed with 24 hour emergency contact name and number at each work location
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Standards for the works being conducted available on site
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Personnel undertaking works have relevant training for the task and are authorised to work on the network
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LV Rescue and / or Pole Top Rescue Kit checked and in place as required
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Access Permit, Clearance to Work, Authority to Work, Access Authority is reviewed, communicated and signed by work party
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Live underground assets in unsupervised excavations are blinded, boarded and temporary fenced with signage
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PPE and Equipment Tested as per the regulation, industry guides and Australian Standards
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EWP Insulation Tested within the last 12 months
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Height Sticks Insulation Tested within the last 12 months
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LV Rescue Gloves less than 5 years from manufacture
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LV Working Gloves less than 3 years from manufacture
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Fall Arrest Harnesses have been tested and tagged within the last 6 months
Plant & Equipment
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Daily inspection of plant and equipment completed and record exists
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Plant and equipment operator licence or certificate of competency sighted and on site
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Machine reversing alarms and flashing lights are in place and operating correctly
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Operators reversing are looking in direction of travel. Plant is driven safely (walking pace)
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Maintenance carried out on plant as per manufacturer's schedule and records exist
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Plant is left parked on level ground and keys are not left when unattended
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Mobile phones not used whilst operating any plant
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Lock out or tag out in place when conducting maintenance on plant and equipment
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Fire extinguisher available, tested and tagged within past 6 months
Manual Handling
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People not twisting while lifting loads
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People bending knees when lifting
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People not lifting awkward loads alone (utilising team lifts)
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People using mechanical aids (e.g., trolleys, etc) when one is able to be used
Working at Heights
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Ladders are not used to work from when a person could fall 1.8 metres or more (eg, like next to penetrations) unless 1 metre back from edge for every 1 metre of height on the ladder
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People are not stepping above third highest rung and have 3 points of contact (2 feet and one hand, or 2 hands and 1 foot) during going up or coming down the ladder
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Person working at heights is carrying tools and equipment in a belt or bag or use a hand lanyard
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Builders or extension ladders are securely fixed at top
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Ladders are rated for max 120 kg, industrial strength, are fully open (& locked) and in good working order
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Electricians when required use fibreglass ladders only
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Harnesses are in good working order & have been tested within last 6 months
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Handrails /edge protection in place where there is a risk of fall
Excavation
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Buried services are located and identified prior to ground being broken
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Excavations that are greater than 1.5 metres in depth, are controlled with benching, battering or shoring
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Equipment, plant, materials or soil is not within 1 metre of edge unprotected from collapse. Straddling of trench by mobile plant is acceptable when soil is compacted and firm
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Excavator boom and bucket not slewed over workers. People clear of area in trench when lifting is being undertaken
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Where the potential for a gas release exists, ignition sources (such as smoking) are not allowed in the vicinity
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No person to work alone in trench unless spotter is present. Spotter is in sight of operator at all times
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Daily inspection of trench walls completed by competent person and records exists (e.g Prestart form)
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Edge protection is in place for excavations in excess of 1.5m
Work Near Overhead Power Lines
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Minimum distance is maintained to overhead powerlines. Voltage up to 132kV min 3m, 132 to 330kV min 6m, Greater than 330kV min 8m. Advisory stickers in Plant
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Plant is operated by 'ticketed' person
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The area of overhead power line is barricaded and/or an observer is used for all work near overhead power lines
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Overhead power lines are tiger tailed or signage is posted indicating the height of power line
Environment
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Waste Register & dockets obtained for all loads
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Disposal of waste at a Licenced Facility for it's specific classification
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Stockpiles located away from drains where runoff could cause water pollution
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Chemicals are appropriately stored in a bund. 110% coverage
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Noise barriers erected at sensitive locations during work
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Stockpiles and surfaces of erodible materials are covered and/or watered down
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Silt controls are in place properly for stormwater drains and pits
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Trees in close proximity to work are barricaded/fenced for protection
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Spill kit available to contain the amount of substances on site
Hot Work
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Current Hot Work Permit is being used and copy exists at location of hot work
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Person undertaking hot work has signed copy of permit prior to commencing. Controls are complied with
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Fire extinguisher is located within safe proximity of hot work within 10 metres), charged, inspected within last 6 months
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For welding activities, flash screens and signage warning others of setup
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Welding is carried out in adequately ventilated areas and correct PPE being worn properly (eg, gloves, mask, leather apron, cotton drill long sleeves and pants, etc)
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Oxy / Acetylene bottles adequately secured and in an upright position
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At least one flashback arrestor is fitted to oxy / acetylene equipment on each gas line
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Flashback arrestors have been tested within last 12 months and last test date is permanently shown on flashback arrestor or proof of purchase
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Welding equipment tested and tagged (if electric)
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Welding area is free of flammables and other combustibles
Chemicals (Hazardous Substances)
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SDSs (not older than 5 years) available on site for all substances stored or in use
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Register of Hazardous Substances kept on site
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All substances are left in their original containers and are clearly labelled (with risk and safety phrases)
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Flammable substances are more than 3 metres away from sources of ignition (eg, welding) and fire extinguisher inspected within last 6 months (with complying tag) is available nearby (within 10 metres)
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Dangerous Goods are stored in bunded areas and appropriately segregated
Sharp Edges & Equipment Storage
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Guarding fitted on saws and other tools
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Gloves used on sharp or rough objects
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Falling Objects Material Storage
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Materials are securely stacked so as not to fall or be easily dislodged. Materials are stored in a stable condition (eg, on the base rather than upright position)
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Adequate access is maintained around stored material for emergencies
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No sharp or rough edges are to protrude into any walkway
Electrical Safety
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RCDs have been tagged and records exist for testing within the last 3 months
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Electrical leads are protected from mechanical damage and elevated accordingly
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Electrical leads and tools have been tested and tagged within the last month
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No obvious sign of damage to any lead or tool
Lifting
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All equipment & attachments being used are marked with SWL and are being used within their SWL
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Daily inspection of lifting equipment (e.g., crane, chains, slings, etc) completed and record exists
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Lifting chains, shackles, slings & lifting points have annual test exam certificate and tagged accordingly
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Suspended load is under the control of a Dogman (if required)
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Crane operator and dogman licence or certificate of competency sighted and on site
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Exclusion zones are established around drop zone. People not underneath suspended loads (for any purpose)
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Maintenance carried out on lifting equipment (e.g., crane) as per manufacturer's schedule and records exist
Confined Spaces
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Confined space is sign posted and secured to prevent unknowing people from entering
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Current Confined Space Entry Permit is being used and copy exists at entry point. Gas test carried out prior to entry
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People entering confined space and standby person are confined space trained and a record exists
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Using required equipment ( harness, rescue equipment, gas detector)
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Adequate lighting exists at access points and within the confined space
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Documented emergency retrieval system exists and is able to be enacted if required
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Comments and Corrective Actions
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Auditor Signature
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Crew Leader Signature