Origin Field Delivery - KCM Supervisor Inspection (Rev 4)

Origin Field Delivery - KCM - Supervisor Inspection (Rev 4)

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

• Detailed Location:

• Contractor:

• Conducted on

  Date

• Inspection Team Members

• Describe Task or Activity being conducted.

Standards

• Are the tools and equipment being used appropriate for the task and in good condition?

  Compliant

  Non compliant

  N/A

• If a work permit is in place are the work location , the equipment and the exact scope of works adequately described?

  Compliant

  Non compliant

  N/A

• If a work permit is in place is it correctly dated and all mandatory sections filled in and signed where appropriate?

  Compliant

  Non compliant

  N/A

• Where a permit calls up certificates /supporting docs. are these avail. at the work front eg. Gas Test Records , Isolation Lists

  Compliant

  Non compliant

  N/A

• Are qualified persons in charge of lifting operations ?

  Compliant

  Non compliant

  N/A

• If lifting is involved has a simple lift plan or other assessment of lifting risks been completed?

  Compliant

  Non compliant

  N/A

• Has lifting and rigging gear been inspected and has a current quarterly inspection tag or colour displayed and is marked with SWL?

  Compliant

  Non compliant

  N/A

Involvement

• Is PPE correct for task and being worn / used correctly?

  Compliant

  Non compliant

  N/A

• Work Areas Tidy and clear of trip Hazards?

  Compliant

  Non compliant

  N/A

• Current inspection tags on electrical equipment and no additional electrical hazards from water etc?

  Compliant

  Non compliant

  N/A

• First Aid Kit stocked and available at work front ?

  Compliant

  Non compliant

  N/A

• Spill kits stocked and available at work front ?

  Compliant

  Non compliant

  N/A

• Dust mitigation in area ?

  Compliant

  Non compliant

  N/A

• Adequate certified first aid personnel available for all shifts ?

  Compliant

  Non compliant

  N/A

• Are Isolations correctly specified , tagged and verified by Permit Holder prior to starting the task?

  Compliant

  Non compliant

  N/A

• Are the work team aware of heat stress precautions? Is an available supply of fresh, clean drinking water available?

  Compliant

  Non compliant

  N/A

• Have controls been put in place to identify all repetitive or sustained postures, movements or forces?

  Compliant

  Non compliant

  N/A

Communication

• Do the work team have a reliable and effective form of communication at the work front?

  Compliant

  Non compliant

  N/A

• In areas where Vehicle Management is under way is there evidence of clear, positive communication by all parties?

  Compliant

  Non compliant

  N/A

• If Vehicle Management is underway are clear signs and barricades in place?

  Compliant

  Non compliant

  N/A

• Where underground services exist have the service locations been communicated to the work team?

  Compliant

  Non compliant

  N/A

• Where overhead services exist is the exclusion zone and height of the operational plant documented ? Is appropriate signage and spotter in place if required?

  Compliant

  Non compliant

  N/A

• Have possible conflicts with other teams in the area been identified? ( SIMOPS?)

  Compliant

  Non compliant

  N/A

Risk Management

• Does the Risk Assessment ( TRA/SHEWMS etc, ) description match the task description ?

  Compliant

  Non compliant

  N/A

• Are appropriate hazards identified in the risk management document?

  Compliant

  Non compliant

  N/A

• Are effective controls listed for each hazard and are these controls being carried out?

  Compliant

  Non compliant

  N/A

• Have the work party members read, understood and signed onto the Risk Assessment Tool. ( eg. TRA,SHEWMS or JHA)

  Compliant

  Non compliant

  N/A

• Have personal risk assessments been conducted e.g. ( Take 5, Job Start Cards)

  Compliant

  Non compliant

  N/A

Effectiveness

• Work Team demonstrates knowledge of the Life-Saving Rules / CPB Safety Essentials and the application of those to the task at hand?<br><br>(A high score here indicates the team know the specific lifesaving rules that apply to the task.

  Fully Effective

  Partially Effective

  Cause 4 Concern

  Absent/Ineffectual

  N/a

• Team has the ability to effectively respond to an emergency?

  Fully Effective

  Partially Effective

  Cause 4 Concern

  Absent/Ineffectual

  N/a

Additional Comments

• Comments

• Photo of task being assessed.

  Media

Contractor Representative

• Name:

• Role:

Origin Energy Representative

• Name:

• Role: