Information
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Site Location
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Conducted on
Area Supervisor:-
Lead Inspector:-
Other members of the inspection team?
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Another auditor
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Is there a valid Work Permit and approved SWMS in place for the work being performed?
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What Services are have been identified?
- Electrical Cables (11kV or Higher)
- Communications / Fibre Optic / Telephone
- Gas Pipes
- Electrical Cables (less than 11kV)
- Air / Water Pipes
- Fuel / Oil
- Sewer / Drains
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Have the services locations and their depth or height (as applicable) also been identified on plans and drawings ?
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Types of Assets and Limits of Underground Approach
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Table of Safe Approach distances
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Take a photo of the service locations marked on the ground.
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Are we maintaining the required approach distance to the services
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Have all redundant Services been marked?
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Have all associated nearby pits been opened, and checked to identify services?
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Has an emergency evacuation/rescue plan been developed and in place if the trench is deeper than 1.5m?
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If the trench is deeper than 1.5 m deep is it battered, benched or shored or inspected by a geotechnical engineer?
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Has suitable barricading been identified in the SWMS? Is it erected in accordance with SWMS?
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What type of barricading has been erected?
- Water filled Jersey
- Concrete
- Windrow
- Steel Permitier fencs
- Crowd Control
- Flagging
- Other
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Are there vehicles operating in the area?
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Have barriers been established to prevent vehicles form entering the zone of influence?
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Are there controls measures in place to prevent vehicle fumes from entering the trench?
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Is warning signage displayed in prominent locations?
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Is the barricading and signage in good condition?
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Take a photo
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For trenches deeper than 1.5 meters, is there a means of access/egress every 9 meters?
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Is the trench spoil located as per the SWMS? (at least equal to depth)
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Is there materials located within the 'zone of influence'?
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Are workers required to cross the trench/es?
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Are properly designed walkways or bridges with guard rails and kickboards provided? Are the trench/es near roadways or paths? Are they open at night? Are there flashing lights / reflective tape to mark the trench/es?
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If spotters are used for adjacent to services are they positioned in safe location
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Is the trench/es inspected by a competent person prior to commencing work or after an adverse weather event?
Action required?
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Action
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Allocated to
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Action due
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Evidence of actions
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Lead Inspector to sign
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Safety Differently - Anything good from this inspection that should be shared with the teams?