PLANT & LV SAFETY INSPECTION CHECKLIST

• 1343-CHK-0056

• PLANT & LV SAFETY INSPECTION CHECKLIST

• MC(APLNG)JV

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel involved

• APLNG Upstream PH1 - Pipelines

• Project No: 1343

• PLANT & LV SAFETY INSPECTION CHECKLIST

• 1343-CHK-0056

• Inspected by Name:

• Inspected by Company:

• Inspected by Position:

• Work Area:

• LV / Plant Registration:

• Photo of LV / Plant Registration:

  Media

• LV / Plant ID:

• Photo of LV/Plant ID:

  Media

• Photo of LV/Plant:

  Media

• Date and time of inspection:

  Date

• Is a health and safety representative present?

  Yes

  No

  N/A

• Name of representative:

• No representative with crew

  Representative not available

• Note 1 - In the event that noncompliance with a Golden Rule, HSE legislation or any other high risk is identified, the personnel conducting the inspection are to stop work immediately, discuss the issue with relevant workers and report the breach to the Project HSE Management Representative and Project Manager.
  
  Note 2 - Employee representatives and subcontractors are to be invited to attend Inspections for their relevant areas whenever practical and available. Names of personnel attending such inspections are to be a noted on inspection documents accordingly.

LV

• Tick if inspecting an LV

• IVMS Installed:

  Yes

  No

  N/A

• Driver Authorized

  Yes

  No

  N/A

• Driver using personal IVMS Key:

  Yes

  No

  N/A

• Daily per-start checks completed:

  Yes

  No

  N/A

• Faults recorded:

  Yes

  No

  N/A

• No oil or fuel leaks:

  Yes

  No

  N/A

• Operators manual in LV/Plant:

  Yes

  No

  N/A

• Incoming plant inspection:

  Yes

  No

  N/A

• Weed and seed inspection certificate:

  Yes

  No

  N/A

• Registration current:

  Yes

  No

  N/A

• Seat belts installed/worn:

  Yes

  No

  N/A

• Bodywork clean and in good condition:

  Yes

  No

  N/A

Mine Spec Equipment

• Tick if inspecting mine spec equipment

• Fire extinguisher fitted:

  Yes

  No

  N/A

• Fire extinguisher charged and in date:

  Yes

  No

  N/A

• First aid kit:

  Yes

  No

  N/A

• Snake bite kit:

  Yes

  No

  N/A

• Warning triangles:

  Yes

  No

  N/A

• ROPS:

  Yes

  No

  N/A

• Headlights 'always on' fitted:

  Yes

  No

  N/A

• UHF/VHF fitted and operational:

  Yes

  No

  N/A

• Wheel nut indicators installed:

  Yes

  No

  N/A

• Beacon and reversing alarm working:

  Yes

  No

  N/A

• All lights and indicators working:

  Yes

  No

  N/A

• Windscreen in good condition:

  Yes

  No

  N/A

• Tyres: Correct pressure and good condition:

  Yes

  No

  N/A

• Tyres: 2 spares:

  Yes

  No

  N/A

• Complying with No Smoking In Vehicle Policy:

  Yes

  No

  N/A

• Spill kit as required:

  Yes

  No

  N/A

• Cargo net and any load secured:

  Yes

  No

  N/A

Plant

• Tick if inspecting plant

• Operator authorized and VOC'd:

  Yes

  No

  N/A

• Plant ID:

  Yes

  No

  N/A

• Incoming plant inspection:

  Yes

  No

  N/A

• Daily pre-start checks completed:

  Yes

  No

  N/A

• Faults recorded:

  Yes

  No

  N/A

• No oil or fuel leaks:

  Yes

  No

  N/A

• Plant risk assessment available:

  Yes

  No

  N/A

• Operators manual:

  Yes

  No

  N/A

• First aid kit available:

  Yes

  No

  N/A

• UHF radio installed:

  Yes

  No

  N/A

• Weed and seed inspection certificate:

  Yes

  No

  N/A

• Bodywork clean and in good condition:

  Yes

  No

  N/A

• Fire extinguisher fitted:

  Yes

  No

  N/A

• Fire extinguisher charged and in date:

  Yes

  No

  N/A

• Seat belts installed/worn:

  Yes

  No

  N/A

• All lights and indicators working:

  Yes

  No

  N/A

• Complying with No Smoking In Vehicle Policy:

  Yes

  No

  N/A

• Spill kit as required:

  Yes

  No

  N/A

• Warning signs in place:

  Yes

  No

  N/A

• PPE worn for type of plant:

  Yes

  No

  N/A

Cranage and Rigging

• Tick if inspecting carnage and rigging

• Log book/maintenance records:

  Yes

  No

  N/A

• Operator, dogman, rigger, ticketed:

  Yes

  No

  N/A

• Daily pre-start checks completed:

  Yes

  No

  N/A

• Load charts/certificates available:

  Yes

  No

  N/A

• All rigging gear tagged/colour:

  Yes

  No

  N/A

• Rigging gear/slings stored correctly:

  Yes

  No

  N/A

• Fire extinguisher fitted:

  Yes

  No

  N/A

• Fire extinguisher charged and in date:

  Yes

  No

  N/A

• 2 tag lines available:

  Yes

  No

  N/A

• Hooks, claps, shackles in good condition:

  Yes

  No

  N/A

• Outriggers used as necessary:

  Yes

  No

  N/A

• PPE available and worn:

  Yes

  No

  N/A

Close out of corrective actions

• Have all deficiencies identified and documented on the inspection checklist been rectified:

  Yes

  No

  N/A

• Corrective actions list

Corrective action

• Corrective action?

• By whom?

• Expected completion date?

  Date

• Inspection completed by?

Inspected by

• Name:

  Sign