LLS - HSEQ Field Audit Checklist (Full)

• Work Activity No.

• Activity Type (eg Sewer Clearance, Water main repair)

• Client

• Audit Conducted by

• Conducted on

  Date
• Location of audit
  Address

• Work Area

  North - Water Civil

  North - Sewer Civil

  South - Water Civil

  South - Sewer Civil

  Programmed (CSO)

• Lend Lease Direct or Contractor

  Lend Lease

  Contractor

• Crew Names

Person

• Company Name

  Select 4 Civil Solutions AMT Excavations Bannan Excavations Blue Alliance Bodsworth Excavations Brennan Asset Services CJ McDonald Excavations CJP Bros CSA Specialised Services DJ Excavations Do All Drainage Donnaz Underground Eastys Landscaping Fastlift Fenby Maintenance Gem Pipelines JK Excavations L Boyd Excavation L&J Ridgeway L&K Earthworks L&R Trucking Lightowlers Mark & Jay Plumbing & Excavation M&L Drainage MJA Maintenance Phil's Water Platinum Excavations RBM Plumbing and Drainage Reservoir Maintenance Contractors Stop Tap King Stows Waste Management Supersafe (Dunny's R Us) The Drain Man Toxfree Waterboy Water 2 Go OTHER

  • 4 Civil Solutions
  • AMT Excavations
  • Bannan Excavations
  • Blue Alliance
  • Bodsworth Excavations
  • Brennan Asset Services
  • CJ McDonald Excavations
  • CJP Bros
  • CSA Specialised Services
  • DJ Excavations
  • Do All Drainage
  • Donnaz Underground
  • Eastys Landscaping
  • Fastlift
  • Fenby Maintenance
  • Gem Pipelines
  • JK Excavations
  • L Boyd Excavation
  • L&J Ridgeway
  • L&K Earthworks
  • L&R Trucking
  • Lightowlers
  • Mark & Jay Plumbing & Excavation
  • M&L Drainage
  • MJA Maintenance
  • Phil's Water
  • Platinum Excavations
  • RBM Plumbing and Drainage
  • Reservoir Maintenance Contractors
  • Stop Tap King
  • Stows Waste Management
  • Supersafe (Dunny's R Us)
  • The Drain Man
  • Toxfree
  • Waterboy
  • Water 2 Go
  • OTHER

• Name:

• Vehicle / Plant Information

Equipment

• Vehicle/Plant Rego (or ID Number):

• Please add photo of vehicle/plant

  Media

• Crew Member Details

Crew Member

• Name

• Does crew member have current photo ID card onsite?

  Yes

  No

  N/A

• Does crew member have current YVW e-Induction card onsite?

  Yes

  No

  N/A

• Are you verifying crew member competencies?

  Yes

  No

  N/A

• Does crew member have correct and current vehicle licence?

  Yes

  No

  N/A

• Does crew member have current plant operator competency?

  Yes

  No

  N/A

• Does crew member have current Traffic Management competence?

  Yes

  No

  N/A

• Does crew member have current Confined Space competence?

  Yes

  No

  N/A

• Does crew member have current competence in Removing Non-Friable Asbestos (Class B)?

  Yes

  No

  N/A

• Does crew member have current Height Safety Awareness competence?

  Yes

  No

  N/A

• Does crew member have current Radiation Awareness competence?

  Yes

  No

  N/A

• Does crew member have current Hazardous Substance Awareness competence?

  Yes

  No

  N/A

• Are you verifying PPE worn by the crew member?

  Yes

  No

  N/A

• Steel Capped Boots

  Safe

  At Risk

  N/A

• Steel Capped Gumboots

  Safe

  At Risk

  N/A

• High Visibility / Long-sleeved Top

  Safe

  At Risk

  N/A

• Long pants or overalls

  Safe

  At Risk

  N/A

• Helmet (<2yrs old)

  Safe

  At Risk

  N/A

• Safety Glasses or Goggles being worn

  Safe

  At Risk

  N/A

• Protective gloves available and worn during manual handling activities

  Safe

  At Risk

  N/A

• Sun protection available and worn as required (Sunscreen/Wide Brimmed hat)

  Safe

  At Risk

  N/A

• Hearing Protection available (being worn in high noise situations)

  Safe

  At Risk

  N/A

Pre-activity commencement / Administration

• Has job pre-start been completed prior to commencing work?

  Yes

  No

  N/A

• Have you signed on to the pre-start?

  Yes

  No

  N/A

• Have the crew identified all relevant site hazards and any appropriate controls?

  Yes

  No

  N/A

• Is the relevant activity SWMS/JSEA available onsite and current?

  Yes

  No

  N/A

• Is the standard Work Procedures for the work being conducted available onsite and current?

  Yes

  No

  N/A

Chemical and Compressed Gas Safety

• Check the currency of MSDS' of any chemicals being used or transported on the vehicle - are the most current available to the crew onsite?

  Yes

  No

  N/A

• Are all fuels, oils and chemicals in clearly labelled containers and stored correctly?

  Yes

  No

  N/A

• Are all gas cylinders stored in an upright position and secured from unintended movement?

  Yes

  No

  N/A

Electrical Safety

• Is electrical detection Voltage Stick available and in working condition?

  Yes

  No

  N/A

• Are all electrical leads inspected and tagged?<br>(Note: LLS Water has adopted a 6-month inspection frequency)

  Yes

  No

  N/A

• Are silt traps (sediment traps) in good, usable condition and correctly placed?

  Yes

  No

  N/A

• Does vehicle have a spill kit available to deal with hydraulic oil or fuel spills?

  Yes

  No

  N/A

• Are you auditing traffic management setup?

  Yes

  No

  N/A

• Has an Approved specific Traffic Management Plan (TMP), Mud Map or generic traffic control plan been provided and available for inspection?

  Yes

  No

  N/A

• Have all crew, signed the traffic management plan in use?

  Yes

  No

  N/A

• Is TMP relevant for the work, including details of any modifications marked and indicated on plan.

  Yes

  No

  N/A

• Are all signs and devices installed in accordance with the Traffic Management Plan?

  Yes

  No

  N/A

• Are all traffic controllers wearing appropriate PPE, Helmets, Vest, Safety Boots, Safety Glasses & Gloves?

  Yes

  No

  N/A

• Have all Traffic controllers been briefed on job requirements and TMP?

  Yes

  No

  N/A

• Have job rotation / relief breaks been considered?

  Yes

  No

  N/A

• Are clearances between workers and adjacent traffic being maintained?

  Yes

  No

  N/A

• Are work zone speed limits in place and determined as per code guidelines?

  Yes

  No

  N/A

• Speed limit / lane closure approval (MOA) form on site?

  Yes

  No

  N/A

• Are the signs in pairs where needed? <br>(Speed restriction signage is required on both sides of the road for high speed volume roads)

  Yes

  No

  N/A

• Are signs placed in all approach roads?

  Yes

  No

  N/A

• Has possible traffic congestion been considered and steps taken to avoid it?

  Yes

  No

  N/A

• Are Flags (orange) installed on all multi-message signs to warn road users?

  Yes

  No

  N/A

• Have measures been taken to remove/cover any contradictory, distracting or unnecessary signs or markings?

  Yes

  No

  N/A

• Are signs suitably placed with regard to sight distance?

  Yes

  No

  N/A

• Are signs suitably placed with regard to motorists approaching at high speed?

  Yes

  No

  N/A

• Are signs suitably placed with regard to queue lengths?

  Yes

  No

  N/A

• Are signs suitably placed with regard to visibility, shade and light glare?

  Yes

  No

  N/A

• Are all signs displayed for current conditions?

  Yes

  No

  N/A

• Are Signs/Bats free of damage / defects or Non-Reflectivity?

  Yes

  No

  N/A

• Have Pedestrian, Cyclist and the Disabled needs been considered?

  Yes

  No

  N/A

• Are Pedestrian, Cyclist and the Disabled needs effective?

  Yes

  No

  N/A

• Stop/Slow bats at hand.

  Yes

  No

  N/A

• Are containment fences / no go zones required and installed?

  Yes

  No

  N/A

• Are containment fences / no go zones effective?

  Yes

  No

  N/A

• Is there adequate access to adjoining properties including side roads?

  Yes

  No

  N/A

• Are Beacons fitted and being operated on the vehicle?

  Yes

  No

  N/A

• Are trailer or vehicle mounted flashing arrows in use where necessary?

  Yes

  No

  N/A

• Job sheets on site and are being completed accurately?

  Yes

  No

  N/A

Work Practices

General

• Has YVW response times been met?

  Yes

  No

  N/A

• Are current YVW signs displayed?

  Yes

  No

  N/A

• Has an exclusion zone been delineated around the work site?

  Yes

  No

  N/A

• Has repair methodology been assessed to ensure long-term effectiveness?

  Yes

  No

  N/A

• Are appropriate manual handling techniques or mechanical lifting methods being utilised?

  Yes

  No

  N/A

• Have approved products been used?

  Yes

  No

  N/A

• Has the Control Room been advised of any potential environmental hazards? (eg Sewer Spills, flooding)

  Yes

  No

  N/A

• Have drains and gutters been cleared and unblocked?

  Yes

  No

  N/A

• Has approved back filling been completed and the necessary compaction occurred?

  Yes

  No

  N/A

• Has all excess material been removed from site?

  Yes

  No

  N/A

• Has loaming and seeding been completed?

  Yes

  No

  N/A

• Has the site been left clean, tidy and safe?

  Yes

  No

  N/A

• Have the appropriate customer contact cards been left?

  Yes

  No

  N/A
Water Activity Audit

Water

• Are silt/sediment traps in good condition and installed correctly?

  Yes

  No

  N/A

Water Mains and Fittings activities

• Have water mains been flushed to clear dirty water?

  Yes

  No

  N/A

• Was a deflector used where required?

  Yes

  No

  N/A

• Have all valves been returned to normal operating positions?

  Yes

  No

  N/A

• Have fittings and pipework been wrapped as required?

  Yes

  No

  N/A

• Have new/replaced assets been marked appropriately? (eg Cats eyes installed, road markings painted)

  Yes

  No

  N/A

• Have critical users &/or key customers been identified and catered for?

  Yes

  No

  N/A

• Have valves been isolated to ensure minimal shut off area affected?

  Yes

  No

  N/A

• Where water mains supply is interrupted; has a tap on hydrant been fitted and a Tap on Hydrant sign displayed?

  Yes

  No

  N/A

• Is bottled water available for customer use?

  Yes

  No

  N/A

• Will water supply be restored within required time frames? (Or has water supply been restored within required time frames?)

  Yes

  No

  N/A

Water Services, Stop Taps and Meters

• Is electrical protection equipment available for water service repair work? (and is it being used if service repair being conducted)

  Yes

  No

  N/A

• Is equipment in good working order?

  Yes

  No

  N/A

• Are personnel appropriately trained in use of protective equipment?

  Yes

  No

  N/A

• Sewer Activity Audit

Sewer Activity

Sewer

• Note Confined Space Entry requirements are listed under the Section titled "Confined Space Compliance"

• Is there adequate onsite facilities for protecting personal hygiene (eg washing facilities, disinfectant)?

  Yes

  No

  N/A

• Are fall protection measures (eg Manhole inserts) in place to prevent unauthorised access to sewer network assets?

  Yes

  No

  N/A

• Have sediment traps or other containment methods been used to prevent uncontrolled sewer spills?

  Yes

  No

  N/A

• Has the area been disinfected and solids removed to protect public health?

  Yes

  No

  N/A

• Have manhole, I.O or B.T covers been replaced in a flat, level condition?

  Yes

  No

  N/A

Public Health Safeguards

• Are tools and equipment appropriately colour marked?<br>(Colour code: Blue for Water, Red for Sewer)

  Yes

  No

  N/A

• Are you auditing the excavation process onsite?

  Yes

  No

  N/A

• In relation to questions marked "(P)" in the following sections, these apply to Planned Works Only. Planned works are defined as activities issued with at least a 4 day lead time.

Planning

• Permits/Consents current and onsite? (P)

  Yes

  No

  N/A

• Regulatory Authority notified of planned works >1.5m deep (Vic Only) (P)

  Yes

  No

  N/A

• Dial-Before-You-Dig (Asset Location) plans onsite (P)

  Yes

  No

  N/A

• Residents of area notified of potential disruptions (access, noise, dust, services) (P)

  Yes

  No

  N/A

• Overhead lines located, noted and reviewed with the operator

  Yes

  No

  N/A

• Non-destructive asset location undertaken

  Yes

  No

  N/A

• Pre-start Work Method Statement completed and signed by all workers onsite

  Yes

  No

  N/A

• Emergency rescue/response planned and understood by all personnel onsite

  Yes

  No

  N/A

Personnel

• All workers have been appropriately trained and are competent to perform their task

  Yes

  No

  N/A

• Competent electrical spotter in control of excavation where excavator in use within 6.4m of overhead powerlines (up to 66kV)

  Yes

  No

  N/A

• Competent person (trenches/excavations) in charge of excavation<br>(A competent person is a holder of a Certificate in Trench/Shoring Safety or Mine Managers Permit)

  Yes

  No

  N/A

Excavation

• Excavation secured to prevent unauthorised access during activity

  Yes

  No

  N/A

• Are excavation edges protected by barricade/fencing at least 900mm high

  Yes

  No

  N/A

• Excavation entry points clearly sign-posted

  Yes

  No

  N/A

• Spoil kept at least 0.5m from edge of excavation

  Yes

  No

  N/A

• Spoil stored on downhill side of excavation (where applicable)

  Yes

  No

  N/A

• The possible effects of machinery, vehicles or other sources of vibration are controlled

  Yes

  No

  N/A

• Appropriate system of safety (battering, benching or shoring) being used

  Yes

  No

  N/A

• If benching, are bench heights kept lower than the bench width

  Yes

  No

  N/A

• Are un-shored trench walls at an overall slope of less than 45 degrees

  Yes

  No

  N/A

• Safe means of access/egress provided

  Yes

  No

  N/A

• If ladders are used, do ladders extend at least 1m above edge

  Yes

  No

  N/A

• If ladders are used, are they spaced at regular intervals, corners or intersections

  Yes

  No

  N/A

• Fall restraint/arrest been provided for deep excavations

  Yes

  No

  N/A

• Mechanical ventilation or atmospheric monitoring equipment available and in use for deep excavations or potentially contaminated atmospheres

  Yes

  No

  N/A

• Unattended excavations secured to prevent third party access out of hours

  Yes

  No

  N/A

• Electrical Pole-holder in place where excavations are adjacent to power poles and deeper than 1m.

  Yes

  No

  N/A

Equipment

• Plant specific pre-start inspection completed on powered excavation equipment

  Yes

  No

  N/A

• Powered excavation equipment operating outside limits of approach of existing assets

  Yes

  No

  N/A

• No visible damage to structural members of excavation support

  Yes

  No

  N/A

Environment

• Personnel wearing appropriate hearing protection near operating equipment

  Yes

  No

  N/A

• Noise levels of operational equipment within limits <br>(Please see local council, EPA and local safety authority requirements)

  Yes

  No

  N/A

• Surface water or runoff diverted /controlled to prevent accumulation in the excavation

  Yes

  No

  N/A

• Measures in place to prevent site erosion

  Yes

  No

  N/A

• Plant wash down area established and in use to prevent seed/pathogen spread (P)

  Yes

  No

  N/A

• Oil/Fuel spill response kits and trained personnel onsite

  Yes

  No

  N/A

• Acid Sulphate soil management plan available, understood and implemented

  Yes

  No

  N/A

• Workers aware of Indigenous and European-built cultural heritage issues and response requirements (P)

  Yes

  No

  N/A

Vehicles

• Has the daily log book / Pre-start inspection checklist been completed for all vehicles onsite?

  Yes

  No

  N/A

• Has a Risk Assessment been conducted for all vehicles onsite?

  Yes

  No

  N/A

• Are all vehicles in good working order, clean and correctly identified?

  Yes

  No

  N/A

• Are current maintenance records for all vehicles available?

  Yes

  No

  N/A

• Are all Fire Extinguishers tagged and current (inspection regime 6 monthly) and sticker prominently displayed on vehicles?

  Yes

  No

  N/A

• Are first aid kits available with contents in date and sticker prominently displayed on vehicles?

  Yes

  No

  N/A

• Is the vehicle equipped with disinfectant and disposal facilities for contaminated waste including Asbestos Containing Waste Material?

  Yes

  No

  N/A

• Are there no tools or equipment stored on the roof or service body of the vehicle?

  Yes

  No

  N/A

Mobile Plant and Equipment

• Has the daily log book / Pre-start inspection checklist been completed for all plant onsite?

  Yes

  No

  N/A

• Has a Risk Assessment been conducted for all mobile plant onsite?<br>(Stickers on contractor plant and in date)

  Yes

  No

  N/A

• Are all trailers and mobile plant in good working order, clean and correctly identified?

  Yes

  No

  N/A

• Are current maintenance records for all mobile plant available?

  Yes

  No

  N/A

• Does the mobile plant have (1) Flashing Beacon, (2) Reversing Beeper and (3) Seat Belts fitted and used?

  Yes

  No

  N/A

• Are decals indicating crush points prominently displayed on mobile plant (both sides of excavator arm)?

  Yes

  No

  N/A

• Are safety clips on compressor hoses being used?

  Yes

  No

  N/A

• Are all chains and lifting equipment in good condition, tagged and in date?

  Yes

  No

  N/A

• Are all Fire Extinguishers tagged and current (inspection regime 6 monthly) and sticker prominently displayed on mobile plant?

  Yes

  No

  N/A

• Are first aid kits available with contents in date and sticker prominently displayed on mobile plant?

  Yes

  No

  N/A

• Is confined space entry being undertaken?

  Yes

  No

  N/A

• Is the access/CSE permit system being observed and completed correctly?<br>(Is the Work Order number being used, is there a valid Emergency Contact other than 000?)

  Yes

  No

  N/A

• Is there an emergency rescue plan onsite?

  Yes

  No

  N/A

• Do all members of the CSE team onsite have valid CSE tickets?

  Yes

  No

  N/A

• Are all Harnesses/Lifelines inspected, tagged and in good condition?<br>(Inspection regime is currently 6 monthly)

  Yes

  No

  N/A

• Is the Confined Space Entry procedure onsite and available?

  Yes

  No

  N/A

• Has an exclusion zone been established around the confined space?

  Yes

  No

  N/A

• Are all appropriate control measures in place and protection measures being observed for Fall from Heights risks?

  Yes

  No

  N/A

• Is Asbestos Cement pipework repair or removal work being undertaken?

  Yes

  No

  N/A

• PVC or disposable rubberised gloves available and worn for all persons handling the Asbestos Cement containing product?

  Yes

  No

  N/A

• Class P2 masks available for all persons on site (min. 2 pairs)

  Yes

  No

  N/A

• Warning signage displayed during any cutting operations?

  Yes

  No

  N/A

• Is appropriate clothing / disposable coveralls (x2 pair) available for work or currently being worn?

  Yes

  No

  N/A

• Are adequate hygiene / washing facilities available for the crew?

  Yes

  No

  N/A

• Sufficient number of Asbestos Waste bags and wide grey tape available for double wrapping of waste material (or has sufficient numbers been used if material already bagged)?

  Yes

  No

  N/A

• Site Audit Leader Name

• Site Audit Leader Signature

  Sign

• Time Audit Competed

  Date
Audit Team Members

• Team Member Name