Information

Origin Field Delivery - Fall from Heights ( to depth) could harm a worker.

  • Origin Operations Area ( e.g. Combabula)

  • Detailed Location

  • Contractor:

  • Conducted on

  • Inspection Team

  • Describe Task or Activity being conducted :

Origin Field Delivery - KCM Inspection - Worker could be harmed by falling from Height / to Depth

  • Excavations have the correct benching or battering? <br><br><br>( A high score indicates excavations are correctly benched/ buttered. Workers can explain controls required prior to entering an excavation )

  • Excavations have Barricading in place and Signage if required ? (Note - Not all project excavations require signage) <br><br><br>( A high score indicates barricading and signage is in place. Workers can explain barricading and signage requirements)

  • Zone of influence controls in place ? ( Usually berms or bunds ) <br><br><br>( A high score indicates zone of influence controls are in place. Workers can explain what the zone of influence is and controls if required)

  • SWMS/JSAs - Does it identify Fall from Height / to Depth hazards and offer suitable controls? <br><br><br>( A high score here indicates SWMS/JSAs are correctly filled out , recently reviewed by the work team, all task risks included. Controls in SWMS/JSAs are known by the work crew)

  • Additional Controls listed for 'On the Job / On the day' risks ?<br><br><br>( A high score here indicates that job specific additional controls have been added to the start card or similar e.g. Hot Day = drink fluids)

  • Work team has the ability to effectively respond to an emergency ? <br><br><br>( A high score here indicates that workers can explain/ describe - Communication protocols, Emergency Contacts, on site First Aiders, Muster Points and location of emergency equipment e.g. First Aid Kits)

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

Comments

Additional Comments

  • Comments

  • Photo of task being assessed.

Signoff

Contractor Representative

  • Role:

  • Signature

Origin Energy Representative

  • Role:

  • Signature:

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