M4E TASK OBSERVATION

• Document No.

• Westconnex M4E - Parramatta Rd Civil

• Work Pack Activity /Task

• Work Pack Number

• Conducted on

  Date

• Prepared By

  Select Daniel Taylor Simon Baldwin Michael Paton Pauric Smith Patrick Deed Ben Ashcroft David Wilson Brandon Leong Dave King Peter Masiororski Ben Forbes Vaughn Kimmins Mitch Stevens Bob Isaac John Kim

  • Daniel Taylor
  • Simon Baldwin
  • Michael Paton
  • Pauric Smith
  • Patrick Deed
  • Ben Ashcroft
  • David Wilson
  • Brandon Leong
  • Dave King
  • Peter Masiororski
  • Ben Forbes
  • Vaughn Kimmins
  • Mitch Stevens
  • Bob Isaac
  • John Kim

• Additional Members on Inspection

  Select Daniel Taylor Simon Baldwin Michael Paton Pauric Smith Patrick Deed Ben Ashcroft David Wilson Brandon Leong Dave King Peter Masiororski Ben Forbes Vaughn Kimmins Mitch Stevens Bob Isaac John Kim

  • Daniel Taylor
  • Simon Baldwin
  • Michael Paton
  • Pauric Smith
  • Patrick Deed
  • Ben Ashcroft
  • David Wilson
  • Brandon Leong
  • Dave King
  • Peter Masiororski
  • Ben Forbes
  • Vaughn Kimmins
  • Mitch Stevens
  • Bob Isaac
  • John Kim

• Supervisor responsible for Work Area

  Simon Baldwin

  Dave King

  Ben Forbes

  Peter Masiorski

  Vaughn Kimmins

• 1. Work sequence undertaken as per Work Pack

  Yes

  No

  N/A

COMPLIANCE WITH SAFETY ESSENTIALS

• 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

• Add media

  Media

• 2. Working Near Mobile Plant - Workers are clear of POZ while plant is operating

  Safe

  At Risk

  N/A

• If at risk what actions have been implemented to control

• 3. Temporary Works - 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.

  Safe

  At Risk

  N/A

• If at risk what actions have been implemented to control

• 4. Working Near Live Services - Have all known services been physically identified, operators know the safe approach distances as per the Permit?

  Safe

  At Risk

  N/A

• If at risk what actions have been implemented to control

• 5. Working Near Live Traffic

  Yes

  No

  N/A

• Could road closures, detours and traffic staging have eliminated the need to work near live traffic

  Yes

  No

  N/A

• Have suitable barriers been erected to protect workers

  Yes

  No

  N/A

• If at risk what actions have been implemented to control

• 6. Mobile Cranes and Lifting Operations - Has a Lift Study, Plan been identified for the lift / has a Pre-Lift Start Card been used in compliance

  Safe

  At Risk

  N/A

• If at risk what actions have been implemented to control

• 7. Electrical - Is there a physical gap between wiring systems - has there been a test for dead prior to work - are all isolation in place - what surrounding wires are exposed that could be a hazard

  Yes

  No

  N/A

• If at risk what actions have been implemented to control

Work Area

• 1. Are walkways and exclusion zones clearly delineated

  Yes

  No

  N/A

• 2. Are personnel using the designated walkways, barriers, signs and information tags are visible, legible and in place.

  Media

• 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

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

• Housekeeping is well controlled

  Yes

  No

  N/A

• 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?

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

• "Above the line"controls in place for high risk work

  Yes

  No

  N/A

• 'Above the line' controls have been implemented for this activity or task:- Above the Line Controls = Elimination - Substitution - Isolation - Engineering

  Media

• 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 the changes?

  Yes

  No

  N/A

• Are all the controls in place?

  Yes

  No

  N/A

• Are there any new hazards?

  Yes

  No

  N/A

• Action Required - What can be done to control the hazard identified - Fix - Report - Esculate

• 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

• Action required:

• Assigned to:

• Date due

  Date

• Lead observer to sign

  Sign