Out and about SWR

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Tap to enter information

  Yes

  No

  N/A

Questions to ask.

• Tap to enter information

  Yes

  No

  N/A

• Is the job going to plan?

  Yes

  No

  N/A

• What are the risks? and are they managed?

  Yes

  No

  N/A

• Is there any safety concerns you want raise?

  Yes

  No

  N/A

• Are contractors working on site able .tp provide proof of induction, via there card?

  Yes

  No

  N/A

• Are they using contractors from the preferred supplier list?

  Yes

  No

  N/A

Actions of People

• Is the person/s displaying at risk behaviour?

  Yes

  No

  N/A

• When speaking to operators how open are they to changing their behaviour and are they aware of their safety requirements?

  Yes

  No

  N/A

• Do any of the crew change their body position or modify their behaviour and work practices because they know they were being observed?

  Yes

  No

  N/A

• Did the person stop what they were doing?

  Yes

  No

  N/A

Equipment Use

• Are the correct tools being used for the job?

  Yes

  No

  N/A

• Is the person competent with the equipment being used? and is it being used correctly?

  Yes

  No

  N/A

Adherence to procedures/guidelines

• Is the daily review meeting effective?

  Yes

  No

  N/A

• Safe job planning?

  Yes

  No

  N/A

• Has the appropriate level of SJP been used for this job?

  Yes

  No

  N/A

• Is the SJP completed and site specific?

  Yes

  No

  N/A

• Is the SJP signed on by contractors and all water corp staff?

  Yes

  No

  N/A

• Risk assessment and controls for hazards are in place?

  Yes

  No

  N/A

• Are permits required attached with the SJP document?

  Yes

  No

  N/A

• Is the person conducting the task the person assigned the step/activity?

  Yes

  No

  N/A

Traffic Management

• A manager or someone with basic traffic management training is on site?

  Yes

  No

  N/A

• Traffic management plan is in place and effective?

  Yes

  No

  N/A

• Signage etc is appropriate and complies with the diagram?

  Yes

  No

  N/A

• Adequate provisions for pedestrians?

  Yes

  No

  N/A

Tagging and Isolation

• What is the risk and is it identified?

  Yes

  No

  N/A

• Isolation is effective?

  Yes

  No

  N/A

• Correct tags being used?

  Yes

  No

  N/A

• Training is current?

  Yes

  No

  N/A

• Forms used correctly , where required?

  Yes

  No

  N/A

• Lockout used for high risk circumstances?

  Yes

  No

  N/A

Rescue planning/Prevention of Falls

• System training current?

  Yes

  No

  N/A

• Accessing high level tanks?

  Yes

  No

  N/A

• Using a harness correctly?

  Yes

  No

  N/A

• Using a tripod, sale c base, pro man correctly?

  Yes

  No

  N/A

• Rescue plans are in place? local details of cross st, hospital etc filled in?

  Yes

  No

  N/A

• Copy of the procedure and standard readily available on site?

  Yes

  No

  N/A

• Rescue equipment set up on site matches the resources required list?

  Yes

  No

  N/A

• Do they understand the responsibilities and have a first aider on site?

  Yes

  No

  N/A

Lone Worker

• Understanding of lone worker definition and use of LWMS including report back intervals?

  Yes

  No

  N/A

• Use of PLB ?

  Yes

  No

  N/A

• Assess supervisor use of monitoring LWMS usage?

  Yes

  No

  N/A

• Is local escalation system up to date?

  Yes

  No

  N/A

PPEC usage

• PPEC in good condition and being worn?

  Yes

  No

  N/A

• Long sleeve protective clothing worn?

  Yes

  No

  N/A

• High visibility clothing worn?

  Yes

  No

  N/A

• Safety glasses and gloves worn?

  Yes

  No

  N/A

• Did the person adjust their PPE to comply with safety standards?

  Yes

  No

  N/A

• Are adequate resources in place for purchasing of new items ?

  Yes

  No

  N/A

Body position and manual handling?

• Is the person placing any part of the body in a position that may result in an injury unnecessarily ?

  Yes

  No

  N/A

• Are operators aware of line of fire? (eg struck by moving objects, plant and equipment or traffic)

  Yes

  No

  N/A

• Does the work include regular use of awkward/restricted postures?(stooping , bending and twisting, working above head height, working away from the body)

  Yes

  No

  N/A

• If high manual handling factors are operators trying to mitigate these factors using good techniques, positioning etc of body, mechanical assist, assistance ?

  Yes

  No

  N/A

Vehicle and Plant

• Is vehicle and Plant housekeeping to a good standard?

  Yes

  No

  N/A

• Seat covers in use and fitted by dealership?

  Yes

  No

  N/A

• Ticketed and competent operators?

  Yes

  No

  N/A

• Condition of trailers and checks in place?

  Yes

  No

  N/A

• Are vehicle inspections conducted?

  Yes

  No

  N/A

• Is there a process for additional vehicle safety options?

  Yes

  No

  N/A

• Is the equipment purchased and fitted through fleet coordinator ?

  Yes

  No

  N/A

• Is driver safety and fatigue managed ?

  Yes

  No

  N/A

Any other business?

• Additional comments?

  Yes

  No

  N/A