Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Signature
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Location
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Personnel
Audit Requirements
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Have the following requirements specified in JH-MPR-WHS-010 Excavation and Trench procedure been implemented?<br>• Hazards identified, controlled, assessed and added in the Workplace Safety Management Plan and Workplace Risk Assessment<br>
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Has a Permit Controller been assigned to the Workplace and do they monitor the permit system?
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Has a JH-FRM-WHS-010-01 Excavation and Trench permit been raised for the works being conducted and has it been authorized by the permit controller and workplace manager?
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Has the Excavation and / or Trench been deemed a Confined Space and have JH-MPR-WHS-009 Confined Space Entry Procedure requirements been met?
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Has a Dial Before You Dig Request form been raised and have all affected under and above ground services been identified?
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Has a TRA been completed for the Excavation / Trench Activity and has it considered underground services (electrical / pressurised gas etc.), surrounding soils, structures, possible waters sources, mobile plant and other activities being undertaken in close proximity?
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Name of employee(s) undertaking excavation / trench activity appears on the task risk assessment (TRA)?
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Has their manager / supervisor communicated the TRA to them and do they understand the process?
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Are the employees able to identify the applicable hazards associated with the excavation / trench works to be conducted?
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Does the excavation / trench have a safe means of access / egress for fauna & employees?
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Photograph of access and egress points
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Has shoring/battering designed by a suitably qualified person in accordance with the procedure?
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Is the excavation / trench air quality routinely sampled to ensure that it is safe, i.e. emissions from plant operating in close proximity?
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Details of Testing Regime:
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Have barriers, signage and fencing been put in place to safe guard against falls?
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Photograph:
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Have barriers, signage and fencing been put in place to protect identified sensitive vegetation?
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Photograph
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Have emergency rescue plans been developed in accordance with the procedure and attached to the Excavation / Trench permit?
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Photograph of permit with emergency response plan attached.
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Are regular inspections / audits undertaken for excavations/trenches greater than 1.5 metres by a competent person to ensure controls are used being and remain appropriate (ref. JH-FRM-WHS-010-03)?
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Photograph of latest completed inspection sheet
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Has the excavation / trench works been communicated to other employees working in close proximity to the activity?
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Does the client have specified mandatory project excavation / trench requirements and are they being adhered too?