OHSE 13 - APA WAG Pipeline Protection Inspection

• Document No.

• Audit Title

• Client / Site (displayed on first page)

• Conducted on

  Date

• Prepared by

More than one auditor?

• Additional auditors

Groundwater Spear Installation & Excavation

• Physical fall prevention established?

  Yes

  No

  N/A

• Signage to be displayed a minimum two meters from the excavation

  Yes

  No

  N/A

• Current permits/ certificates in place for earthworks (e.g. Ground penetration)

  Yes

  No

  N/A

• As a minimum excavations are benched at sand (clean) 1.5 : 1

  Yes

  No

  N/A

• No Go Zone signage installed, along with hard barriers, at the ends of Kooringa Way and Webb Dock Drive to prevent from entering Howe parade.

  Yes

  No

  N/A

• Ingress, egress, deep excavation and authorised personnel only signs implemented

  Yes

  No

  N/A

• Toothed buckets to be used to dig either side of the pipes (no closer than 300mm to the pipelines).

  Yes

  No

  N/A

General Observations

Excavation access/egress

• 45 degree access ramp installed at the end of excavation where the pipes are located

  Yes

  No

  N/A

• Crushed rock placed and maintained to ensure non-slip conditions are maintained at all times.

  Yes

  No

  N/A

• Access/ egress ramp free from obstructions

  Yes

  No

  N/A

Traffic Management

• All vehicles, plant and equipment are fitted with flashing rotating Amber beacons and audible reverse alarms are operational

  Yes

  No

  N/A

• Condition of internal roads maintained to acceptable standard

  Yes

  No

  N/A

• Are traffic management plans current?

  Yes

  No

  N/A

• Are internal road intersections clearly sign posted?

  Yes

  No

  N/A

Coating Removal Works

• Coating removed in small pieces by way of brass hammer

  Yes

  No

  N/A

• Removed coating pieces are captured in plastic and double bagged for off-site removal.

  Yes

  No

  N/A

General

• 5m exclusion zone around each item of plant established

  Yes

  No

  N/A

• Any other hazard

  Yes

  No

  N/A

Training

• Personnel inducted onto site (BMD/ Shell / APA)

  Yes

  No

  N/A
Action required?

• Action

• Action due

  Date

• Allocated to

• Signed PoMC Representative:

  Sign

• Signed Principal Contractor Representative (optional):

  Sign