Information
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Audit Title SR Number
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Location
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Inspection Date:
Crew/Contractor Information
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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
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List the names of the crew/s
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Are all personnel on site carrying their current CWW ID cards?
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Section 1.0 HSEQ Considerations
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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.
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1.2 Have all controls identified on the JSEA been implemented appropriately?
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1.3 Is the proper PPE being worn and in good condition? i.e. long long uniform, hard hats, safety glasses, vests, gloves, etc.
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1.7 Is there a first aid kit available and is it appropriately stocked for the activity being carried out?
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1.8 Are all hazardous substances correctly labeled and stored correctly in spill trays?
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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)
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Section 3.0: Environmental Aspects
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3.1 Has the worksite been reinstated as per requirements and standards? i.e. clean up of driveways, gutters, nature strip, etc. Please take a photo.
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3.2 Are silt traps correctly placed out to prevent excessive entry of contaminants into storm water drains?
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3.3 Are all silt traps in good condition and able to be used? i.e not split.
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Section 4.0: Customer
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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.
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4.2 During the task has the water main/service been kept free of contamination?
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4.3 On completion of the task was the main, service, or hydrant flushed and or disinfected to ensure a clean supply?
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4.4 Does the worksite require a specific clean up/disinfection due to a sewer spill etc.?
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4.5 Has there been any damage caused to other assets or customers property?
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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".
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4.8 Has the task completion or progress been reported back to CWW? Ie. water off reported, job completed (Focus), damage, etc
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Section 5.0: Vehicles Plant and Equipment
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5.1 Are all vehicles and equipment in good working order, clean and presentable?
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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?
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5.3 Are vehicle and plant log books correctly filled out with any faults listed? Provide a photo of the log book/s.
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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.
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Section 9.0: Road Opening
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9.1 Have the correct materials been used, compacted, all drill holes and cuts been filled?
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9.2 Has the Road Opening been measured and correctly marked for completion?
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9.3 Provide a photo of the road opening.
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Section 12.0: Opportunities for Improvement
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Are there any Opportunities for Improvement identified in the audit?
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Enter the details of the identified opportunities.
Section 13.0: Signatures and sign off.
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Signature of Auditor/Supervisor/Manager
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Signature of Additional Auditor/Supervisor/Manager
