Origin CSG Projects - KCM Inspection - Exposure to live parts could harm a Worker.

KCM Inspection - Live Parts (Rev3)

• Origin Operations Area ( i.e. Combabula)

• Detailed Location

• Contractor:

• Conducted on

  Date

• Inspection Team

• Describe Task or Activity being Conducted.

KCM Inspection - Live Parts

• Permit in place and correct <br><br>( A high score here indicates the permit is correctly titled, correctly filled out and signed)

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• Identification of services including exclusion zones. Drawings/Site Layouts/Maps /DBYD/GIS)?<br><br><br>( A high score here would indicate the team have Drawings, Site Layouts, Maps & DBYD, GIS etc and can identify overhead and underground services)

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• Isolations including Boundary Isolations are in place and documented. <br><br><br>( A high score here indicates Isolations in place, documented and tagged . Work team can demonstrate location and knowledge of isolation so) <br>

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• Tradesman / Technician trained & competent, includes electrical spotters etc.<br><br><br>( A high score here would indicate tradesmen / technicians trained & VOC. Current LV Rescue if applicable. )

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• SWMS/JSAs identify live / pressurised risks and offer suitable controls. <br><br><br>( A high score here indicates SWMS/JSAs are correctly filled out, recently reviewed by work team, all task risks included. Controls identified in SWMS/JSAs are in place & known by work crew)

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• Additional Controls for 'On the Job / On the Day' risks are in place. <br><br><br>( A high score indicates additional controls are listed in permits or Job Start Cards e.g. Hot Day = Drink Fluids). Workers can explain why additional controls have been implemented. )

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• Work Team has the ability to effectively respond to an Emergency <br><br><br>( A high score here indicates knowledge of Communication protocols, Emergency Contacts, First Aiders and Muster Points etc. Team can identify location of emergency equipment on site eg. First Aid Kits)

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

• Team demonstrate knowledge of Lifesaving Rules and application of these to the task?

  Fully Effective

  Effective in Parts

  Cause 4 Concern

  Absent/ Ineffectual

  Not Applicable

Additional Comments

• Comments

• Photo of Work Site being Assessed

  Media

Contractor Representative

• Role:

• Signature

  Sign

Origin Energy Representative

• Role:

• Signature:

  Sign