Information

  • Conducted on

  • Safety Reviewer

  • Location

Work Site Personnel

Work Site Leader

  • Work Site Leader

  • WSL
  • Name & Number of Abloy Key held;

Work Site Personnel

  • Work Site Personnel

  • Employee
  • Name & Number of Abloy Key held;

1. Job Preparation

  • Is the work being performed as per the Application?

  • Are written switching instructions with attached drawings on site?

  • Are completed switching steps marked off?

  • Was the Control Room contacted at the commencement of the job?

2. Safety Clothing & Equipment (Being used and in test date?)

  • Safety Hat

  • Safety Footwear

  • Hard Working Gloves

  • Eye Protection Worn

  • 3 Piece Suit/Overall

  • HV Operating Gloves

  • Modiewark Working

  • HV Operating Mat

  • HV Sleeves

  • LV Gloves Available

  • Operating Sticks OK

3. ID Card & Training Card

  • Do all members of the work party have an identification card?

  • Are all members of the work party carrying an authorisation card and are authorities within refresher date?

  • Are all members of the work party undertaking duties that align with their authorisations?

4. Access Permit

  • Have all members of the work party signed on to the Access Permit?

  • Is the operational earth correctly located?

  • Are work site earths in position and are they recorded on the EAP?

  • Was an access permit issued and was it written correctly?

  • Are switches used as isolation points locked and tagged?

5. Diagrams (Check accuracy of diagram on relation to shutdown area)

  • Are the switch pole numbers correct?

  • Is the substation either side of shutdown area correct?

  • Are the correct Symbols being used?

  • Does the work party have the latest copy of Operations Diagrams?

6. Dead LV Work

  • Is the EAP and map on site and marked up with Access Area?

  • Are LV Bonders fitted?

  • Are Isolation Points tagged?

General Comments

Safety Review Conducted By:

  • Representative

  • Name
  • Name

  • Company / Position

  • Signature

NOTE: Forward copy of Operations Safety Review Report to relevant Resource Manager / Coordinator and the Training and Procedures Officer. Notify H&S Officer that Safety Review is complete.

CORRECTIVE ACTIONS

  • Agreed Corrective Actions

  • Actions
  • Action

  • Responsible Person(s)

  • Has a CARE been raised?

  • CARE Number:

  • Date for Completion

Corrective Actions are to be entered into the Training and Procedures Actions Register. This review is then to be signed off and filed by the Training and Procedures group. Actions are then to be signed off on the Register when completed.

  • Representative

  • Name
  • Training and Procedures Group Sign Off:

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.