Information
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Conducted on
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Prepared by
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Location
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Person conducting the Audit
General
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Start Cards filled out?
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All required tickets onsite (white card etc)?
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Can you talk through all the hazards onsite. Show me on the start card where you would put any hazards if not covered by the SWMS?
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Blue book onsite and available?
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Can you tell me where in the blue book would you find MSDS, Emergency Contact Details, SWMS, Calibration records, Ladder Inspection Records
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Is the SWMS signed onto and re-inducted?
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Do all members of crew have White cards, First aid certs, ID(enable), Traffic management Tickets, Working At Heights, Pole Top Rescue, EP licence or any other mandatory tickets onsite and available?
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Are First aid kits onsite and all items in date?
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Is there a sharps kit onsite?
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Is there a spill kit onsite?
Civil
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Does one member of the crew have a valid implement traffic management ticket
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Is traffic management set up according to a scenario from the blue book
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Have you done a Walk\Drive through? ( to ensure the site makes sense to the public - Pedestrian and vehicular)
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Is Pedestrian management accounted for ?(pedestrians not put in danger or directed in an un safe manner)
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Are all areas barricaded and safe to the public?
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Is there a Dig permit onsite and filled out correctly?
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Have you performed a pre start for any plant and is the plant register up to date.?
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Can you explain what you do if conditions change? (weather, traffic, third party crew starts to work near by)?
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Is all plant service history onsite and in date?<br>
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Gas detector onsite, Calibrated and in blue book register?
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Is there a cable locator onsite?
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Is PPE being worn, i.e hard hats near plant, Safety Glasses, Gloves, steel cap boots in good condition
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Is there any ACM onsite, are their trained people and site set up safe. including correct signage, Supervisor within 20min and licence available?
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Are the DBYD onsite and on a readable device?<br>
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Please explain the local assets in relation to the DBYD?
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Can you explain one of the symbols on the DBYD?
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Is the lic dug to depth, 300mm from top of conduit to ground level.?<br>If digging in the street network is it to depth 450mm from top of conduit to ground level?
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Is the lic placed in accordance with the PCD guidelines. i.e 100mm from corners, 150mm from taps, 150mm from power sources, 1000mm from gas meters and 1500mm from gas bottles?
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Is the reinstatement up to an acceptable level?
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Is the customer aware of the works onsite?
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Are pit entry/exits compliant regarding location and spigots fit flush with pit wall
Questions?
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Is their anything that the crew requires to improve day to day operations?
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Does the crew have any concerns?
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Auditor to sign