PRA WISEE Bridging Cables Inspection Form

• Sentinel Number

• Conducted on

  Date

• Prepared by

• Division

  North

  South

  Mandurah Murray

• Business Function

  Select Service Delivery Finance and Administration HSEQ Assets Projects Human Resources Business Performance

  • Service Delivery
  • Finance and Administration
  • HSEQ
  • Assets
  • Projects
  • Human Resources
  • Business Performance

• Who is in control of the site? (Level 4, Contractor, Supervisor, Incident Manager)

• Project/Site
  Address

• Work Order Number

Bridging Cables

• On site personnel trained and competent (e.g on site demonstration of required process)

  Yes

  No

  N/A

• Identification of employee/contractor (either Water Corporation Employee ID card or Water Corporation Induction Card)

  Media

• JHA/JSA completed

  Yes

  No

  N/A

• Take photo of JHA/JSA

  Media

• Are all hazard and risks identified?

  Yes

  No

• Revisit JHA/JSA accordingly

• Are appropriate controls in place?

  Yes

  No

• Revisit JHA/JSA accordingly and ensure appropriate controls are implemented

• All personnel including contractors have reviewed, understood and signed on to JHA/JSA?

  Yes

  No

  N/A

• Review and amend JHA/JSA accordingly

• Exclusion zone set up, barricading / signage in place (if applicable)

  Yes

  No

  N/A

• Adequate PPE fit for purpose and used (e.g approved rubber gloves)

  Yes

  No

  N/A

• Does Bridging Cable have a current test tag ID number and has been inspected by the operator before use (e.g cuts, exposed wiring, fraying connections)

  Yes

  No

  N/A

• Defective bridging clamps tagged as 'Out of Service' where applicable

  Yes

  No

  N/A

• Water on-off process/procedure followed

  Yes

  No

  N/A

• Service line and bridging cables cleaned with wire brush / emery paper

  Yes

  No

  N/A

• Cables correctly fitted (clamps connected to pipes, not on fittings or meter, adequate connection ensured by rotating and working the clamp jaws)

  Yes

  No

  N/A

• Provide photo of Bridging Cables in use.

  Media

• Minimal tools / equipment / ground water within the work area

  Yes

  No

  N/A

• Where possible, no metallic items within the work area (poles, guy wires, stakes)

  Yes

  No

  N/A

• Task completed safely and continuously within the by-passed area

  Yes

  No

  N/A

• Bridging cables safely removed when task completed

  Yes

  No

  N/A

• Access and egress ways free of obstacle

  Yes

  No

  N/A

• Were there any identified hazards?

Hazard

• Describe hazard

• Picture of hazard

  Media

• Describe control

• Can hazard be rectified immediately

  Yes

  No

  N/A

• Responsible person

• Residual risk

• Completion date

  Date

• Describe immediate action taken

• Were there any points of merit?

Merit

• Deserving personnel (crew member, contractor)?

• Describe details

• Picture

  Media