PE Mains & Services Laying Audit

• Location:

• Project / Work Order Reference:

• Crew Name:

• Scope of Works:

• Conducted on

  Date

1. Site Risk Management and General Safety

• DBYD information on site and current

  Yes

  No

  N/A

• Pre-start completed correctly

  Yes

  No

  N/A

• Pre-start for plant

  Yes

  No

  N/A

• All necessary personnel are aware of risks and have implemented appropriate controls

  Yes

  No

  N/A

• Hazardous task permit required

  Yes

  No

  N/A

• License check I.e. plant & truck

  Yes

  No

  N/A

• Fire Ant Site Inspection Report

  Yes

  No

  N/A

• Permits (Police and Council)

  Yes

  No

  N/A

• Signed & up to date WMS & fit for task

  Yes

  No

  N/A

• CSP signed and current

  Yes

  No

  N/A

• SDS current & cover all products

  Yes

  No

  N/A

• Industry Construction Card Onsite (all staff)

  Yes

  No

  N/A

• APA ID Card Onsite (all staff)

  Yes

  No

  N/A

2. Traffic & Road Management

• Traffic Management Plan in place

  Yes

  No

  N/A

• Appropriate Authorities notified

  Yes

  No

  N/A

• Personnel wearing high visibility vests

  Yes

  No

  N/A

• Signage complies as per MUTCD

  Yes

  No

  N/A

• Safe pedestrian access and egress

  Yes

  No

  N/A

• Traffic delineation well defined

  Yes

  No

  N/A

• Vehicles positioned in a safe location

  Yes

  No

  N/A

3. Personal Protective Equipment

• Overalls (proban) good condition

  Yes

  No

  N/A

• Overalls - not more than 12 months old

  Yes

  No

  N/A

• Fire hood

  Yes

  No

  N/A

• Protective footwear

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Sunscreen

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Hard hat

  Yes

  No

  N/A

• Sun hat

  Yes

  No

  N/A

• High visibility clothing

  Yes

  No

  N/A

• Face shield / goggles

  Yes

  No

  N/A

4. Equipment, Tools and Vehicles

4.1. Vehicles

• Clean and Tidy

  Yes

  No

  N/A

• Company logo displayed

  Yes

  No

  N/A

• No oil leaks

  Yes

  No

  N/A

• Registration on date

  Yes

  No

  N/A

• Fire extinguishers in test and tagged

  Yes

  No

  N/A

• Current APA Operations Field Book in truck

  Yes

  No

  N/A

• Electrical equip with in test

  Yes

  No

  N/A

• Neon tester and cross bonding leads in truck

  Yes

  No

  N/A

• Wacker Packer

  Yes

  No

  N/A

• SCBA Gear

  Yes

  No

  N/A

• Mask x 2

  Yes

  No

  N/A

• Regulator

  Yes

  No

  N/A

• Safety rope x 2

  Yes

  No

  N/A

• Harness x 2

  Yes

  No

  N/A

• Hoses x 2

  Yes

  No

  N/A

• Air bottles x 2

  Yes

  No

  N/A

• Joiner x 2

  Yes

  No

  N/A

• Y valve

  Yes

  No

  N/A

• First Aid Kit Stocked and in date

  Yes

  No

  N/A

• Squeeze Off Clamps

  Yes

  No

  N/A

• Electro Fusion Machine

  Yes

  No

  N/A

• Washington tester in date

  Yes

  No

  N/A

• Gas Detector Calibrated

  Yes

  No

  N/A

• Service locator

  Yes

  No

  N/A

4.2. Fusion Equipment

• Fusion plane in good condition

  Yes

  No

  N/A

• Shaving tool in good condition

  Yes

  No

  N/A

• Plate temp 220-230 degrees celcius

  Yes

  No

  N/A

• Check procedure for sizes SDR

  Yes

  No

  N/A

5. Environmental

5.1. General

• Spoil contained to prevent sediment runoff

  Yes

  No

  N/A

5.2. Dust is minimised

• Silt bags in place and effective

  Yes

  No

  N/A

• No excessive exhaust emissions from machinery

  Yes

  No

  N/A

• All creeks and drains protected from contamination

  Yes

  No

  N/A

• Sludge from directional boring is transported

  Yes

  No

  N/A

• Stock piles barricaded off

  Yes

  No

  N/A

• No oil and fuel spills

  Yes

  No

  N/A

• Excavations around trees kept to a minimum

  Yes

  No

  N/A

• Public protected from site activities

  Yes

  No

  N/A

• Spill Kit Onsite

  Yes

  No

  N/A

6. Excavation and PE Installation

6.1. Excavations

• Excavations kept to a minimum

  Yes

  No

  N/A

• Hard hats worn whilst plant in operation

  Yes

  No

  N/A

• Public safety diverted around excavation

  Yes

  No

  N/A

• Depth does not exceed 1.4m or in unstable ground

  Yes

  No

  N/A

• Other underground assets marked

  Yes

  No

  N/A

• Exhaust fumes (must not be present) in excavation

  Yes

  No

  N/A

• Ignition sources identified

  Yes

  No

  N/A

• Position vehicles away from excavation

  Yes

  No

  N/A

6.2. Stopping Off Supply

• Correct stopping off equipment being used

  Yes

  No

  N/A

• Operation as per Gas Mains & Services Procedures

  Yes

  No

  N/A

• Pressure monitored for 20 minutes

  Yes

  No

  N/A

• Fire extinguisher on site

  Yes

  No

  N/A

• SCBA, overalls and hood

  Yes

  No

  N/A

6.3. Break Out

• 150m and above purged with air prior to break out

  Yes

  No

  N/A

6.4. Insert Main / Service

• Pipe protected at entry point of old main

  Yes

  No

  N/A

• Pipe ends covered to prevent entry of debris

  Yes

  No

  N/A

• Pipe centred and foam applied

  Yes

  No

  N/A

6.5. Lay Main & Service

• Depth of main/service meets min standard requirements (refer procedure manual)

  Yes

  No

  N/A

• Marker tape used

  Yes

  No

  N/A

• Tracer wire used

  Yes

  No

  N/A

• Copper riser painted and wrapped

  Yes

  No

  N/A

• New service pipe matches appliance load

  Yes

  No

  N/A

• Laid to APA specifications

  Yes

  No

  N/A

6.6. Backfill & Reinstate

• Correct backfill material being used

  Yes

  No

  N/A

• Correct Sand bedding in place

  Yes

  No

  N/A

• Compaction as per requirement

  Yes

  No

  N/A

• Warning tape at correct depth

  Yes

  No

  N/A

• Grass turf and topsoil

  Yes

  No

  N/A

• Bitumen/ concrete reinstatement a completed

  Yes

  No

  N/A

• Spoil removed

  Yes

  No

  N/A

• Complies to company / council requirements

  Yes

  No

  N/A

6.7. Fittings Used on Main

• Pipe cleaned

  Yes

  No

  N/A

• Pipe scraped

  Yes

  No

  N/A

• Pipe scraping tool

  Yes

  No

  N/A

• Correct fitting for pipe

  Yes

  No

  N/A

• Pipe marked for fitting

  Yes

  No

  N/A

• Weld clamps used

  Yes

  No

  N/A

• Correct cooling time observed

  Yes

  No

  N/A

7. Pressure Testing, Purging, Meter Set and Records

7.1. Pressure Test

• Test equipment in calibration

  Yes

  No

  N/A

• Class of pipe/pressure determined

  Yes

  No

  N/A

• Operator observes stabilisation time

  Yes

  No

  N/A

• Operator observes test time

  Yes

  No

  N/A

• Work being conducted outside of trench during test

  Yes

  No

  N/A

• Operator depressurises in safe manner

  Yes

  No

  N/A

7.2. Direct Purging

• Well ventilated and free from ignition sources

  Yes

  No

  N/A

• Gas detector in calibration

  Yes

  No

  N/A

• 2 people on purging

  Yes

  No

  N/A

• Fire extinguisher on site and in place

  Yes

  No

  N/A

• No smoking signs are placed in suitable locations

  Yes

  No

  N/A

• Purge completed without interruptions

  Yes

  No

  N/A

• Personnel wearing Proban Overalls

  Yes

  No

  N/A

• SCBA on standby

  Yes

  No

  N/A

• Approved Purge Stack Used

  Yes

  No

  N/A

7.3. Meter

• Meter position complies with AS5601

  Yes

  No

  N/A

• Size of meter matches appliance load

  Yes

  No

  N/A

• Regulator matches job sheet (kPA)

  Yes

  No

  N/A

• Inlet capped off

  Yes

  No

  N/A

• Stand off bracket attached

  Yes

  No

  N/A

7.3. Records

• Pressure test record completed

  Yes

  No

  N/A

• 'As Laid' plans completed

  Yes

  No

  N/A

• Service card completed

  Yes

  No

  N/A

8. Sign / Barricade / Sediment Control

• Road work ahead x 2

  Yes

  No

  N/A

• Workman ahead sign, symbolic work x 2

  Yes

  No

  N/A

• Danger Gas No Smoking x 2

  Yes

  No

  N/A

• Pedestrian x 2

  Yes

  No

  N/A

• Road cones, Retro - reflect x 30

  Yes

  No

  N/A

• Sign stand x 30

  Yes

  No

  N/A

• Flashing light x 4

  Yes

  No

  N/A

• Use other footpath x 2

  Yes

  No

  N/A

• Barricade x 2

  Yes

  No

  N/A

• End of road work sign x 2

  Yes

  No

  N/A

• Sign frames x 4

  Yes

  No

  N/A

• Star pickets and caps x 8

  Yes

  No

  N/A

• Silt bag x 4

  Yes

  No

  N/A

• Silt barrier fencing 15m

  Yes

  No

  N/A

• Additional Comments:

• Supervisor:

  Sign

• Auditor:

  Sign