Information
Origin Field Delivery - Fall from Heights ( to depth) could harm a worker.
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Origin Operations Area ( e.g. Combabula)
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Detailed Location
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Contractor:
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Conducted on
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Inspection Team
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Describe Task or Activity being conducted :
Origin Field Delivery - KCM Inspection - Worker could be harmed by falling from Height / to Depth
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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 )
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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)
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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)
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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)
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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)
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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)
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Team demonstrate knowledge of the Lifesaving Rules and the application of these to the task at hand?
Comments
Additional Comments
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Comments
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Photo of task being assessed.
Signoff
Contractor Representative
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Role:
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Signature
Origin Energy Representative
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Role:
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Signature: