Origin ALC - Seeps - CRI - Worker could be harmed when working in or near water.

Origin ALC - Seeps - CRI - Worker could be harmed when working in or near water.

• Origin Operations Area: ( i.e. Combabula)

• Detailed Location:

• Contractor:

• Conducted on

  Date

• Prepared by

• Inspection Team

• Describe Task or Activity being Conducted:

• Did the job have a site specific ER Plan?<br><br>Is everyone familiar with it?<br><br>Are all ER contacts listed and up to date?<br><br>Is any required rescue equipment available at the work site?

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  N/a

• Are all personnel appropriately trained to conduct rescue?<br><br>Are all personnel aware of the role they will play if a rescue is required?<br><br>

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  N/a

• Did the team have positive communications with the supervisor.<br><br>Are communication devices checked to be functional each day?<br><br>Are there 2 forms of communication available?

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  N/a

• Pre start/Toolbox talk - did it communicate the risks and controls with the planned activity.<br><br>Is a hazard hunt conducted with any findings communicated at pre start?<br><br>Is the JSA amended with any hazard hunt findings?<br><br>Is the JSA at the work site and all personnel signed onto it?

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  N/a

Additional Comments

• Comments

Auditee

• Role:

• Signature

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Origin Energy Representative

• Role:

• Signature:

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