MG AP CP1.020 CP General WP Overview & HSE Requirements Audit Protocol Version 2 2021

• Site conducted

  Select

• Audit Title

• Job Description

• Location
  Address

• Service Provider

  Comdain

  Downer

  Diona

  Ventia

• Crew Leader

• Subcontractor

• Prepared by

• Conducted on

  Date

Prior to Commencing Work

• Do all personnel have MG passports on site?

  Yes

  No

  N/A

• Is all training, authorisations and qualifications current for the functional role of the passport holder? <br>• UEGNSG411 Maintain cathodic protection systems <br>• UEGNSG412 Install cathodic protection systems <br>

  Yes

  No

  N/A

• Are all relevant SWMS on site?

  Yes

  No

  N/A

• Has the JSA/site risk assessment identified site specific risks, been signed and dated by all crew members and have SWMS for task been identified? i.e <br>Has the work area and inside the test point been checked for dangerous items such as syringes, insects, sharp objects?<br>

  Yes

  No

  N/A

• Are all identified risk control measures on SWMS and JSA/site risk assessment in place?<br>Review PTA / high risk work and associated permits / checklists.

  Yes

  No

  N/A

• Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?<br>Has vehicle been parked in a safe location?<br>

  Yes

  No

  N/A

• Is PPE in accordance with Multinet Gas as a minimum and Service Provider expectations and within inspection/ replacement dates?

  Yes

  No

  N/A

• Does the excavation / manhole have appropriate support / effective engineering controls – i.e. battered, shields, shoring etc<br>Is the excavation / manhole large enough to work in comfortably & has safe entry/exit been provided e.g. ladder and consideration for emergency situations

  Yes

  No

  N/A

• For deep excavations - Has a permit been authorised by the Supervisors / notification made to WorkSafe.<br>Is the excavation being monitored during work and controls in place for unmanned work. <br>

  Yes

  No

  N/A

• Are field employees aware of the emergency plan and is emergency equipment readily available i.e. extinguisher located up wind from the worksite

  Yes

  No

  N/A

• Have environment impacts been considered on the risk assessment?<br>i.e. waste, water (including syphon water), soil management, sediment control, contamination, emission, flora (incl tree mgt) and fauna, heritage. <br>Has risk / contamination been effectively controlled?

  Yes

  No

  N/A

• Have all hazardous chemicals / substances (including asbestos) been managed and disposed of as per expectations & SWPs by competent and trained persons.

  Yes

  No

  N/A

• Have naked flames / sources of ignition been eliminated from work area.

  Yes

  No

  N/A

Locate and Prove Assets

• Have the 5P’s been utilised effectively <br>- Plan: has planning been completed prior to work commencing – identify risk / controls to be implemented <br>(including DBYD plans, no go zone rules )<br>- Prepare : have trained & competent (DBYD class/field certified) employees been utilised to identify underground assets – using approved DBYD locators <br>- Pothole/Prove: has Potholing been used to establish the exact location of the asset <br>- Protect: has the infrastructure been protected by – marking assets, identifying exclusion zones, placing barriers and communicate effectively. <br>- Proceed: has work proceed with all of the above risk controls in place.

  Yes

  No

  N/A

• Have underground assets been documented on asset location sheet and Supervisor been advised of high-risk scenario (including HV checklist)

  Yes

  No

  N/A

Specific HSE Checks

• Are all persons required to work in confined space trained & competent and are completing assigned tasks effectively?<br>(check passports and ‘prior to work checks’ have been completed)<br>

  Yes

  No

  N/A

• Are all persons required to work in a gaseous environment trained & competent in the operation and care of medical air respirator - Are completing assigned tasks effectively? (check passports and ‘prior to work checks’ have been completed) <br>Has the following been considered?<br>- Presents of ignition sources <br>- Adequate ventilation for air and gas mixture to disperse.<br>- Second person must remain outside of the trench or access hole observing and manning the equipment / fire extinguisher.<br>

  Yes

  No

  N/A

General Tests

• If voltage is detected – was area restricted, consumer informed, power isolated, supervisor contacted?<br>Note: do not carry out any work until fault has been determined.

  Yes

  No

  N/A

• Comments / Audit Findings Summary

• Auditor(s)

  Sign

• Auditee (Crew Leader)

  Sign