M4E Safety Essential Verification - Working in and around Mobile Plant Rev -2

• 

• Wattle Street - Area - Activity - Task

• WestConnex M4E - Parramatta Rd Civil

• Safety Essential Verification - Working in and around Mobile Plant - Rev 1

• Conducted on

  Date

Area Supervisor:-

• Select Daniel Taylor Simon Baldwin MIchael Paton Ben Ashcroft David Wilson Brandon Leong Dave King Peter Masiororski Ben Forbes Vaughan Kimmins Mitch Stevens Bob Isaac John Kim Joe Vu Danielia Cullura

  • Daniel Taylor
  • Simon Baldwin
  • MIchael Paton
  • Ben Ashcroft
  • David Wilson
  • Brandon Leong
  • Dave King
  • Peter Masiororski
  • Ben Forbes
  • Vaughan Kimmins
  • Mitch Stevens
  • Bob Isaac
  • John Kim
  • Joe Vu
  • Danielia Cullura

Lead Inspector:-

• Select Daniel Taylor Simon Baldwin MIchael Paton Ben Ashcroft David Wilson Brandon Leong Dave King Peter Masiororski Ben Forbes Vaughan Kimmins Mitch Stevens Bob Isaac John Kim Joe Vu Danielia Cullura

  • Daniel Taylor
  • Simon Baldwin
  • MIchael Paton
  • Ben Ashcroft
  • David Wilson
  • Brandon Leong
  • Dave King
  • Peter Masiororski
  • Ben Forbes
  • Vaughan Kimmins
  • Mitch Stevens
  • Bob Isaac
  • John Kim
  • Joe Vu
  • Danielia Cullura

Other members of the inspection team?

• Select Daniel Taylor Simon Baldwin MIchael Paton Ben Ashcroft David Wilson Brandon Leong Dave King Peter Masiororski Ben Forbes Vaughan Kimmins Mitch Stevens Bob Isaac John Kim Joe Vu Danielia Cullura

  • Daniel Taylor
  • Simon Baldwin
  • MIchael Paton
  • Ben Ashcroft
  • David Wilson
  • Brandon Leong
  • Dave King
  • Peter Masiororski
  • Ben Forbes
  • Vaughan Kimmins
  • Mitch Stevens
  • Bob Isaac
  • John Kim
  • Joe Vu
  • Danielia Cullura

• Another auditor

• Has the task scheduling within the construction program ensured that mobile plant and equipment operation does not require any workers, light vehicles or other mobile plant or equipment to be working within any POZ.

  Compliant

  Unacceptable

  Needs Improvement

  Not Applicable

• If scheduling within the construction program ensured that mobile plant and equipment operation does not require any workers, light vehicles or other mobile plant or equipment to be working within any POZ, cannot be achieved has there been an appropriate barrier(s) erected;

  Select Has a physical barrier ben erected that stops mobile plant entereing an area where people are working Have barriers been erected that prevent people entering the Plant Operation Zones

  • Has a physical barrier ben erected that stops mobile plant entereing an area where people are working
  • Have barriers been erected that prevent people entering the Plant Operation Zones

• Take Photo of the selected barriers in the area of inspection

  Media

• Is mobile plant or equipment operating in the area temporarily halted, prior to a worker entering the POZ?

  Compliant

  Unacceptable

  Needs Improvement

  Not Applicable

• What actions are Mobile Plant operators taking, when personnel enter a POZ?

  Select Positive Communication is established Ground engaging tools are placed on the ground Opertors take hands away from levers Operators get out of plant and approach the person Plant continues to operate where personnel remains clear of slewing areas

  • Positive Communication is established
  • Ground engaging tools are placed on the ground
  • Opertors take hands away from levers
  • Operators get out of plant and approach the person
  • Plant continues to operate where personnel remains clear of slewing areas

• Is the work group aware of hazards which can increase risk around mobile plant, i.e. position of spotters, sun glare, dirty windows on plant, failure of radio communication, assumption operators have seen pedestrian etc.?

  Yes

  No

  N/A

• What is the fall back method the work crew will adopt if communication is lost?

• Are workers aware of the requirements to enter a POZ, such as all mobile plant or equipment in the work area must be temporarily halted?

  Yes

  No

  N/A

• Do workers entering POZ's temporarily display which of the following controls.

  Select Positive Communication is established Ground engaging tools are placed on the ground Opertors take hands away from levers Operators get out of plant and approach the person Plant continues to operate where personnel remains clear of slewing areas

  • Positive Communication is established
  • Ground engaging tools are placed on the ground
  • Opertors take hands away from levers
  • Operators get out of plant and approach the person
  • Plant continues to operate where personnel remains clear of slewing areas

• Any comments from the inspectors?

Action required?

• Action

• Allocated to

• Action due

  Date

• Provide evidence action has been controlled or eliminated

• Select date

  Date

• Lead Inspector to sign

  Sign

• Other members of the inspection team to sign:

  Sign

• Yes

  No

  N/A