Information
-
Audit Title SR Number
-
Location
-
Inspection Date:
Crew/Contractor Information
-
Select the crew/s from the drop down box. Multiple selections can be made.
- A1 Groundforce
- Allabout Excavations
- ATMS
- Citywide
- Donnaz
- Evolution Traffic
- Global Traffic
- Gramac
- IV Plumbing
- Jetstream
- JMH Excavations
- L&K Earthworks
- LMF
- Maintech
- McLean Civil
- Meiss Plumbing
- Metro Utilities Traffic
- MRB Excavations
- Other
- P&B Plumbing
- PFM M&E
- PFM SEWER
- PFM TRAFFIC
- PFM WATER
- Rangedale
- Rangedale Traffic Management (RTM)
- RBM Sewer
- Sunny Excavations
- Taylord Plumbing
- Toxfree
- The Blockage Bloke
- Underground Logistics
- 30XY
-
List the names of the crew/s
-
Are all personnel on site carrying their current CWW ID cards?
Tap to enter information
Section 1.0 HSEQ Considerations
-
1.1 Has the pre start JSEA been completed correctly with all risks identified? Has the JSEA been signed by all personnel on site? Please take a photo.
Tap to enter information
-
Please enter action
-
1.2 Have all controls identified on the JSEA been implemented appropriately?
Tap to enter information
-
Please enter action
-
1.3 Is the proper PPE being worn and in good condition? i.e. long long uniform, hard hats, safety glasses, vests, gloves, etc.
Tap to enter information
-
Please enter action
-
1.4 Is the AVDD unit being used for this task? If so, is the AVDD unit within calibration date?
Tap to enter information
-
Please enter action
-
1.5 Are the AVDD cables, earth leads and gloves in good condition? i.e. gloves not torn or have holes, cables do not have bare wires exposed or damaged insulation, earth leads dated and tagged.
Tap to enter information
-
Please enter action
-
1.6 Are the Main to Meter tickets current? Please take a photo.
-
Please enter action
-
1.7 Is there a first aid kit available and is it appropriately stocked for the activity being carried out?
Tap to enter information
-
Please enter action
-
1.8 Are all hazardous substances correctly labeled and stored correctly in spill trays?
Tap to enter information
-
Please enter actionp
-
1.9 is there a refuelling container available, is it fitted with a transfer nozzle and if a plastic fuel container, is it less than 5 years old? (date of manufacture is stamped on the bottom of plastic fuel containers)
Tap to enter information
-
Please enter action
-
1.10 Are gas offsets available? If planned or scheduled works, are DBYD plans available, including permits (if required by the DBYD plans)?
Tap to enter information
-
Please enter action
-
1.11 Is there a pipe locator available and was it used to locate services? Have all other services in the vicinity been located and marked to alleviate accidental strikes?
Tap to enter information
-
Please enter action
Section 4.0: Customer
-
4.1 Prior to commencing the activity, have all considerations for customers been taken? i.e. blocked driveways, water off, customers notified (if required) while repairs are being taken.
Tap to enter information
-
Please enter action
-
4.2 During the task has the water main/service been kept free of contamination?
Tap to enter information
-
Please enter action
-
4.3 On completion of the task was the main, service, or hydrant flushed and or disinfected to ensure a clean supply?
Tap to enter information
-
Please enter action
-
4.4 Does the worksite require a specific clean up/disinfection due to a sewer spill etc.?
Tap to enter information
-
Please enter action
-
4.5 Has there been any damage caused to other assets or customers property?
Tap to enter information
-
Please enter action
-
4.6 If there are damages, have all the relevant details been recorded and reported? Please provide a photo of the damage and complete "Insurance report " and/or "Damage to other services report".
Tap to enter information
-
Please enter action
-
4.7 Have flanges/fittings etc. where required, e.g. planned or scheduled works, been checked for correct torque on bolts etc. with a tension wrench?
Tap to enter information
-
Please enter action
-
4.8 Has the task completion or progress been reported back to CWW? Ie. water off reported, job completed (Focus), damage, etc
Tap to enter information
-
Please enter action
Section 5.0: Vehicles Plant and Equipment
-
5.1 Are all vehicles and equipment in good working order, clean and presentable?
Tap to enter information
-
Please enter action
-
5.2 Are the correct tools/truck/crew being used for the task, i.e. no cross contamination due to a sewer spill carrying out a water task or vice versa?
Tap to enter information
-
Please enter action
-
5.3 Are vehicle and plant log books correctly filled out with any faults listed? Provide a photo of the log book/s.
Tap to enter information
-
Please enter action
-
5.4 Is there a fire extinguisher available, is it secured correctly and is it in service, i.e. been checked and tagged within the last 6 months, if the extinguisher was purchased within the last 6 months, sight the receipt of purchase.
Tap to enter information
-
Please enter action
-
5.5 Are the probes for locating services in good condition with insulated handles?
Tap to enter information
-
Please enter action
-
5.6 Is there a "sharps container and sharps grab tool" available?
Tap to enter information
-
Please enter action
Section 12.0: Opportunities for Improvement
-
Are there any Opportunities for Improvement identified in the audit?
Tap to enter information
-
Enter the details of the identified opportunities.
Section 13.0: Signatures and sign off.
-
Signature of Auditor/Supervisor/Manager
-
Signature of Additional Auditor/Supervisor/Manager