M4E Task Observation

• 

• M4E Site

  Concord Road

  Parramatta Road

  Homebush Bay Drive

  Wattle Street

• Work Pack Area / Activity /Task

• Conducted on

  Date

• Area Supervisor

• Person(s) conducting this Observation.

• Other Observation team members

• 1. Work sequence undertaken as per Work Pack

  Yes

  No

  N/A

• Take a photo of the area your observing

  Media

• 1. Working at Heights - above 2 meters

  Yes

  No

  N/A

• How is work being preformed ?

  Performed from work platform with stable fixed handrails

  Fixed or mobile scaffolding

  Elevated work platform

  Work boxes or platform ladder

• Is Operator ticketed and VOCed

  Yes

  No

  N/A

• Is EWP prestart completed

  Yes

  No

  N/A

• Are safety harness / lanyards inspected and tagged<br>(Red) Jan - March<br>(Green) April - June<br>(Blue) July - Sept<br>(Yellow) Oct - Dec <br>

  Yes

  No

  N/A

• Is the EWP set up on a stable surface clear of open edges

  Yes

  No

  N/A

• Is there a valid and in date Scaff-Tag

  Yes

  No

  N/A

• Please take picture of valid scaff tag

  Media

• Is work platform suitable for task being preformed

  Yes

  No

  N/A

• Is platfrom ladder on ladder register

  Yes

  No

  N/A

• Is ladder being used correctly

  Yes

  No

  N/A

• 2. Is activity being preformed Near Mobile Plant

  Yes

  No

  N/A

• Are controls in place to prevent workers from entering POZ

  Yes

  No

  N/A

• What controls are being used

  A Vehicle barrier that prevents the mobile plant from accidentally moving into work area

  A Pedestrian barrier that prevents workers from entering POZ

• Are Controls in place to temporarily halt mobile plant prior to worker entering the POZ

  Yes

  No

  N/A

• Is positive communication in place between worker and mobile plant

• All ground engagement tools / implements been lowered to the ground prior to entering POZ

• Plant controls are disengaged to ensure that inadvertent operation or movement cannot occur

• Plant operators hands have been visibly removed from the controls

• Any motion of the plant has ceased

• 3. Are any Temporary Works being used ie:<br><br>- Formwork <br>- Scaffolding <br>- Crane or Piling Pads<br>- Excavation Support <br>- Lifting Point Design

  Yes

  No

  N/A

• Has a Certified design been developed by and engineer, has it been verified for use, has a pre loading inspection been completed by a competent person.

  Yes

  No

  N/A

• Attach picture of certification or Pre-load ITP

  Media

• Contact supervisor and cease works

• 4. Is work being carried out near Live Services

  Yes

  No

  N/A

• Have all known services been physically identified, operators know the safe approach distances as per the Permit?

  Yes

  No

  N/A

• 5. Working Near Live Traffic

  Yes

  No

  N/A

• Have suitable barriers been erected to protect workers

  Yes

  No

  N/A

• Are Minimum Deflection Zones clearly marked

  Yes

  No

  N/A

• 6. Does work involve Mobile Cranes or Lifting Operations

  Yes

  No

  N/A

• Has a Lift Study, Plan been identified for the lift

  Yes

  No

  N/A

• Has a Pre-Lift Start Card been used in compliance

  Yes

  No

  N/A

• 7. Does Activity involve working on or coming in contact with Live Electricity

  Yes

  No

  N/A

• Have all energy sorces been isolated

  Yes

  No

  N/A

• has there been a test for dead prior to work

  Yes

  No

  N/A

Work Area

• 1. Are walkways and exclusion zones clearly delineated

  Yes

  No

  N/A

• 2. Are personnel using the designated walkways ?

  Yes

  No

  N/A

• 3. Are Barriers, signs and information tags are visible, legible and in place.

  Yes

  No

  N/A

• 4. Is the work area free of dust ?

  Yes

  No

  N/A

• Can the dust be prevented

  Yes

  No

  N/A

• Are workers using suitable respiratory protection (P2 Dust Masks)

  Yes

  No

  N/A

• 5. Is the work environment Noisy?

  Yes

  No

  N/A

• Are workers wearing as a minimum Class 4 or above hearing protection where mandatory hearing protection is prescribed?

  Yes

  No

  N/A

• 6. Housekeeping is well controlled

  Yes

  No

  N/A

• All Leads are off the ground

• Tools and materials are stored neatly and away from walkways

• Plant, tools and equipment being used are correct

  Yes

  No

  N/A

• Have pre-start checks been completed on mobile plant or equipment by the operators?

  Yes

  No

  N/A

• Does Mobile Plant or Equipment have a current inspection tag indicating this months?

  Yes

  No

  N/A

• Materials used are verified as acceptable

  Yes

  No

  N/A

• Inspection, test and control points being observed

  Yes

  No

  N/A

• Environmental controls in place

  Yes

  No

  N/A

SWMS Review Checklist

• Has SWMS been signed off by the Project Manager?

  Yes

  No

  N/A

• Have all the workers signed onto the SWMS?

  Yes

  No

  N/A

• Photo of the SWMS sign on page

  Media

• Have there being any changes to the SWMS?

  Yes

  No

  N/A

• Has the Project Manager authorised these changes?

  Yes

  No

  N/A

• Are all the controls in place?

  Yes

  No

  N/A

• Are there any new hazards not identified in SWMS?

  Yes

  No

  N/A

• New Risk Identified

New Risk

• Describe New Risk

• Picture of new risk

  Media

• Suggestion on how new risk can be controlled

• Is work proceeding in compliance to the SWMS?

  Yes

  No

  N/A

• Do the workers know to stop work if a non compliance is identified, and only restart when the SWMS can be complied with?

  Yes

  No

  N/A

ACTIONS REQUIRED

• Please enter Items requiring action

Action

• Action Required:

• Assigned to:

• Date due

  Date

• Take a photo of close out evidence

  Media

• Date evidence of action was controlled or closed

  Date

• Lead observer to sign

  Sign

• Add other observers name(s)