M4E WORKPLACE INSPECTION NO 20: Refueling Mobile Plant Rev 2

• 

• Area -

• Conducted on

  Date

• WestConnex M4E - Parramatta Rd Civil

• M4E - WORKPLACE INSPECTION NO 20: REFUELING MOBILE PLANT

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?

• Additional auditors

• 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 a risk assessment been completed and recorded for refueling activities on the site?

  Compliant

  Unacceptable

  Needs Improvement

  Not Applicable

• Has the refueling requirements been communicated to workers on the site?

  Yes

  No

  N/A

• Have all workers who perform refueling duties been approved by the project manager?

  Yes

  No

  N/A

• Has preference been made to accommodate for permanent refueling areas?

  Yes

  No

  N/A

• Has a risk assessment been completed to allow refueling trucks to enter an operational work environment?

  Yes

  No

  N/A

• Has a VMP been produced for all refueling operations, does it include alterations or changes?

  Yes

  No

  N/A

• Has a SWMS been developed against the procedure and include, competency training and monitoring?

  Yes

  No

  N/A

• Does the fuel truck operator hold the appropriate licence and has been assessed for spill, fire prevention and control?

  Yes

  No

  N/A

• Has a site specific procedure been developed for the permanent refueling and does it include traffic movements?

  Yes

  No

  N/A

• Does the refueling truck have Safety Data Sheets's for all substances being carried and used?

  Yes

  No

  N/A

• Has the refueling truck operator undertaken a Daily Pre start check on the truck and refueling station/s?

  Yes

  No

  N/A

• Is the refueling area physically separated (exclusion zone) from operational plant in the immediate area?

  Yes

  No

  N/A

• Is there a Safe Zone for the operator to stand in whilst refueling?

  Yes

  No

  N/A

• Are signs erected to indicate NO ENTRY - REFUELING IN PROGRESS at each access way?

  Yes

  No

  N/A

• Are fire extinguishers and spill kits on the refueling truck or at the base refueling zone?

  Yes

  No

  N/A

• Please enter Items requiring action

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• Action Required:

• Action assigned to?

• Due Date

  Date

• Provide evidence that the Corrective Action/s, has been completed controlled or eliminated.

• Take photo of evidence to close

  Media

• Date action closed

  Date

• Lead Inspector to sign

  Sign

• Other members of the inspection team to sign:

  Sign