NG SHE Tour Form Construction April 2014

• Audit Title

Prompt: Before commencing the SHES visit, please review the findings and actions from the last visit and note any that are not closed out

• Project Name

• Scheduled Month

• Contractor

• Visit Type

  Adhoc

  Scheduled

  Safety Leadership Day

  Unannounced

• Visit Category

  Select Construction - Electricity Transmission Construction - Gas Transmission and ISS Electricity Transmission Asset Management ENCC Gas Distribution Gas Transmission Asset Management GNCCg Grain LNGS Metering Offices and Stores

  • Construction - Electricity Transmission
  • Construction - Gas Transmission and ISS
  • Electricity Transmission Asset Management
  • ENCC
  • Gas Distribution
  • Gas Transmission Asset Management
  • GNCCg
  • Grain LNGS
  • Metering
  • Offices and Stores

• Zone/Area

• Site Address
  Address

• Site Contact

• Booked By

• Brief Description of Work

• Visit Completion Date

  Date

Key Risk Areas

Process Safety

• Has process safety been discussed? Y/N

  Yes

  No

  N/A

Please tick which areas have been discussed

• Maintenance & Inspection

• Modification Process

• Fault & Defect Management

• Work Control & Permits

• Emergency Plans

• Competency / Resources

• Hazard Identification / HAZOP /HAZID

• Monitoring & Audit

• What process safety systems did you praise?

• What process safety behaviour changes were agreed with the individuals?

• What process safety systems were found to be inappropriate/substandard?

• Process Safety Comments

Occupational Safety

• Has occupational safety been discussed?

  Yes

  No

  N/A

Please tick which areas have been discussed

• Slips Trips & Falls

• Healthy Working

• Welfare Facilities

• Working at Height

• Use of Tools, Equipment & Machinery

• Confined Spaces including Excavations

• Manual Handling

• Security

• What unsafe/inappropriate behaviours were identified?

• What SHES behaviours did you praise?

• What behaviour changes were agreed with the individuals?

• Occupational Safety Comments

Health & Wellbeing

• Has health and wellbeing been discussed?

  Yes

  No

  N/A

• What Health & Wellbeing areas did you praise?

• What areas of health and wellbeing were found to be inappropriate / substandard?

• Health & Wellbeing Comments

Environmental Management

• Has environmental management been discussed?

  Yes

  No

  N/A

• What are the main environmental risks for the project?

• What environmental management areas did you praise?

• What areas of environmental management were found to be inappropriate /substandard?

• Environmental Management Comments

Sustainability

• Has sustainability been discussed?

  Yes

  No

  N/A

• What designs or ways of working did you observe that would improve the sustainability of the construction phase, operation or end of life of this asset? Refer to Our Contribution targets: positive about resources, climate positive, enhancing Eco-systems. (Discussion prompt: Sustainable Options Appraisal Tool, SOAT )

• What aspect of the construction phase has the most significant impact on the carbon footprint of the project? (Discussion prompt: Carbon Interface Tool, CIT results)

• Sustainability Comments

Please select which sustainability communication materials are on display and any tools used

• Hot Topics

• Z-Cards

• Tool Box Talks

• Sustainability Posters

• Training Presentations

• Case Studies

• Good Practice Handbook

• Materials Exchange Tool

• Podcasts

Improvement Actions

• What improvement actions are outstanding?

• What other improvement actions were taken on site?

• Additional Notes/ Comments

• What Health and Safety Triangle score have you given for the site visit?

  Select 2 1 -1 -2 0

  • 2
  • 1
  • -1
  • -2
  • 0

• What Environmental Triangle Score have you given for the site visit? Meets or exceeds expectations, good practices observed = +2 Generally meets expectations = +1 Average = 0 Some improvements required = -1 Significant improvements required -2

  Select 2 1 -1 -2 0

  • 2
  • 1
  • -1
  • -2
  • 0

• Please add any photos if applicable

  Media

• Signature

  Sign