Title Page

  • Site conducted

  • Conducted on

  • Prepared by (Enter First name and Surname)

  • Location
  • Supervisor

  • Crew

  • Shift

  • Today's Safety Focus is:

  • I AM FIT FOR WORK ACCORDING TO NBG GUIDELINES

  • Sign Inspection Sheet

Deposition - Northern Line

  • Is the Northern line depositing slurry?

  • Take photos to show the tailings buffer at the discharging spigots

  • Is there greater than 0.5 metre freeboard (crest to water level) at the discharging spigots?

  • Record the spigots ID that are affected

  • Tagged Valve out of Service and Updated DCS that valve is out of service

  • Informed RDA Supervisor

  • Is there greater than 0.5 metre tailings buffer (crest to beach level) at the discharging spigots?

  • Record the spigots ID that are affected

  • Tagged Valve out of Service and Updated DCS that valve is out of service

  • Informed RDA Supervisor

  • Any Spigots Open as per the Deposition Plan?

  • Reasons for not following Plan

  • Informed RDA Supervisor

  • Is this line suppose to be in service?

  • Is the slurry discharging from at least 3 spigots?

  • Toubleshoot the issue and comment

  • Are there adequate spigots open downstream of where it is discharging?

  • Toubleshoot the issue and comment

  • Is there Distressed Wildlife or Wildlife Mortality?

  • Contact Environmental Department -Processing Enviro 0419 759 721 -Mining Enviro 0409 215 019

  • Upload Photo/s

  • Estimated Cloud Cover %

  • Record Action Taken

Deposition - Southern Line

  • Is the Southern line depositing slurry?

  • Take photos to show the tailings buffer at the discharging spigots?

  • Is there greater than 0.5 metre freeboard (crest to water level) at the discharging spigots?

  • Record the spigots ID that are affected

  • Tagged Valve out of Service and Updated DCS that valve is out of service

  • Informed RDA Supervisor

  • Is there greater than 0.5 metre tailings buffer (crest to beach level) at the discharging spigots?

  • Record the spigots ID that are affected

  • Tagged Valve out of Service and Updated DCS that valve is out of service

  • Informed RDA Supervisor

  • Any Spigots Open as per the Deposition Plan?

  • Reasons for not following Plan

  • Informed RDA Supervisor

  • Is this line suppose to be in service?

  • Is the slurry discharging from at least 3 spigots?

  • Toubleshoot the issue and comment

  • Are there adequate spigots open downstream of where it is discharging?

  • Toubleshoot the issue and comment

  • Is there Distressed Wildlife or Wildlife Mortality?

  • Contact Environmental Department -Processing Enviro 0419 759 721 -Mining Enviro 0409 215 019

  • Upload Photo/s

  • Estimated Cloud Cover %

  • Record Action Taken

Deposition - Eastern Line

  • Is the Eastern line depositing slurry?

  • Take photos to show the tailings buffer at the discharging spigots?

  • Is there greater than 0.5 metre freeboard (crest to water level) at the discharging spigots?

  • Take a Photo of the Area

  • Record the spigots ID that are affected

  • Tagged Valve out of Service and Updated DCS that valve is out of service

  • Informed RDA Supervisor

  • Is there greater than 0.5 metre tailings buffer (crest to beach level) at the discharging spigots?

  • Take a Photo of the Area

  • Record the spigots ID that are affected

  • Tagged Valve out of Service and Updated DCS that valve is out of service

  • Informed RDA Supervisor

  • Any Spigots Open as per the Deposition Plan?

  • Reasons for not following Plan

  • Informed RDA Supervisor

  • Is this line suppose to be in service?

  • Is the slurry discharging from at least 3 spigots?

  • Toubleshoot the issue and comment

  • Are there adequate spigots open downstream of where it is discharging?

  • Toubleshoot the issue and comment

  • Is there Distressed Wildlife or Wildlife Mortality?

  • Contact Environmental Department -Processing Enviro 0419 759 721 -Mining Enviro 0409 215 019

  • Upload Photo/s

  • Estimated Cloud Cover %

  • Record Action Taken

Embankments

Seepage

  • Is there evidence of NEW Seepage observed?

  • Evidence of Seepage

  • Location
  • Enter Time and Date Seepage Identified

  • Locate the Area of Seepage
  • Take Photo/s of the area

  • Contacted RDA Supervisor

  • Contacted RDA Engineer

Erosion

  • Is there evidence of Erosion observed?

  • Evidence of Erosion

  • Location
  • Enter Time and Date Erosion Identified

  • Locate the Area of Erosion
  • Take Photo/s of the area

  • Contacted RDA Supervisor

  • Contacted RDA Engineer

Cracking

  • Is there evidence of Cracking observed?

  • Evidence of Cracking

  • Location
  • Enter Time and Date Cracking Identified

  • Locate the Area of Cracking
  • Take Photo/s of the area

  • Contacted RDA Supervisor

  • Contacted RDA Engineer

Spillway

  • Is the Freeboard at Spillway Greater than 1.0 Metre of Residue?

  • Contacted RDA Supervisor

  • Enter the Time and Date contact was made

  • Contacted RDA Engineer

  • Enter the Time and Date contact was made

  • Is Freeboard at Spillway Greater than 1.5 Metres of Water?

  • Contacted RDA Supervisor

  • Enter the Time and Date contact was made

  • Contacted RDA Engineer

  • Enter the Time and Date contact was made

LCRS and Underdrainage

Underdrainage 1 (430-PPU-001)

  • What is the Water Level Reading?

  • What is the Water Flowrate Reading?

  • Is the Pump Operational?

  • Enter the Reason the Pump is not Running

Underdrainage 2 (430-PPU-002)

  • What is the Water Level Reading?

  • What is the Water Flowrate Reading?

  • Is the Pump Operational?

  • Enter the Reason the Pump is not Running

Underdrainage 3 (Currently Xylem Hire Unit)

  • What is the Water Level Reading?

  • What is the Water Flowrate Reading?

  • What is the Totaliser Reading

  • Is the Pump Operational?

  • Enter the Reason the Pump is not Running

Eastern LCRS (430-PPU-004)

  • What is the Water Level Reading?

  • What is the Water Flowrate Reading?

  • Is the Pump Operational?

  • Enter the Reason the Pump is not Running

Residue Lines

CIL Train 1 Residue Line

  • Is there any visible leaks on pipes, flanges or vacuum breakers?

  • Identified Leaks on pipes, flanges or vacuum breakers?

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of Issue
  • Take Photo/s of the area

  • Work Notification Entered?

  • Enter Work Notification Number

  • Are the Tell-tale pressure gauges indicating pressure?

  • Identified tell-tale pressure gauges indicating pressure

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of Issue
  • Take Photo/s of the area

  • Work Notification Entered?

  • Enter Work Notification Number

CIL Train 2 Residue Line

  • Is there any visible leaks on pipes, flanges or vacuum breakers?

  • Identified Leaks on pipes, flanges or vacuum breakers?

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of Issue
  • Take Photo/s of the area

  • Work Notification Entered?

  • Enter Work Notification Number

  • Are the Tell-tale pressure gauges indicating pressure?

  • Identified tell-tale pressure gauges indicating pressure

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of Issue
  • Take Photo/s of the area

  • Work Notification Entered?

  • Enter Work Notification Number

Residue line pipeline containment bunding

  • Is the pipeline containment bunding damaged ?

  • What is the damage and where is it located?

  • Photo of damage taken?

  • Reported to supervisor?

RDA Roadways and Access

  • Are the Perimeter Roads Outside the RDA embankments in drive-able condition?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Are the Access Ramps to the Embankments in drive-able condition?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • F1/F3 pipeline perimeter Road in drive-able condition?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Is the Access Road from CIL in drive-able condition?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

Open Trenches and Drains Outside of the F1/F3 Dams

  • Is there Animal damage Present?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Are there any washouts present?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Are there Breaks in Windrows?

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Are there any External Wet Spots?<br>Note - All Wet Spots are to be reported to the RDA Supervisor

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Reported to RDA Supervisor

Catchpits

Catchpit 1

  • Are there any cracks or damage to the concrete drive in sump?

  • Work notification entered?

  • Are Water Levels Acceptable?

  • Are there any leaks, damage or hazards?

  • Are the Weir bars in place?

Catchpit 2

  • Are there any cracks or damage to the concrete drive in sump?

  • Work notification entered?

  • Is the clay liner in the catch pit disturbed

  • Report to supervisor

  • Are Water Levels Acceptable?

  • Are there any leaks, damage or hazards?

  • Are the Weir bars in place?

Catchpit 3

  • Are there holes or damage to the HDPE liner?

  • Report to supervisor

  • Work notification entered?

  • Take photo of the damage

  • Are there any cracks or damage to the concrete drive in sump?

  • Work notification entered?

  • Are Water Levels Acceptable?

  • Are there any leaks, damage or hazards?

  • Are the Weir bars in place?

  • Visual Inspection - Is there any damage to HDPE Liner?

Catchpit 4

  • Are there any cracks or damage to the concrete drive in sump?

  • Work notification entered?

  • Is the clay liner in the catch pit disturbed

  • Report to supervisor

  • Are Water Levels Acceptable?

  • Are there any leaks, damage or hazards?

  • Are the Weir bars in place?

  • Visual Inspection - Is there any damage to HDPE Liner?

Decant Facility and Access

  • Is there any wildlife in distress on the tailings dam?

  • Reported to the appropriate people

  • Are the Perimeter Roads Outside the RDA embankments in drive-able condition?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Is there good access to the Decant Facility?

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Is overflow pipeline & discharging area clear of excessive build up?<br>

  • Location of Issue

  • Location
  • Enter Time and Date Issue Identified

  • Locate the Area of with the issue
  • Take Photo/s of the area

  • Is the Decant Water clarity clear?

  • Reported to RDA Supervisor

  • Is the Pond positioned on HDPE Lined area?

  • Reported to RDA Supervisor

  • Is their any holes or damage to the HDPE liner that is visible?

  • Report the RDA construction team supervisor

  • Take of photo of the damage

  • Record the Decant Station Level % Reading

Pumping System

  • Should the Diesel Pumps be operating?

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pumps?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 1E

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 3W

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 3E

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 4

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 5

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 7

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any air or water leaks?

  • Troubleshoot and organise for repair

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 8

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 9

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 9E

  • Should the Toe Well be operating?

  • Record Water Level (m)

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 10E

  • Record Water Level (m)

  • Record Totaliser reading m3

  • Should the Toe Well be operating?

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Toe Well - Saddle Dam 10W

  • Record Water Level (m)

  • Record Totaliser reading m3

  • Should the Toe Well be operating?

  • Any unusual noises, heat, vibrations or leaks from Generator?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Any water leaks?

  • Troubleshoot and organise for repair

  • Does it look like there is sufficient discharge of water while pumps are operating?

  • Troubleshoot and organise for repair

  • Why is it not operating?

  • Enter the Reason

  • Do all Generator electrical leads look in good condition and have an in date electrical tag?

  • Alert supervisor and arrange for inspection and tagging immediately.

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump 3B

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

Perimeter Sump 4

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump 5A

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump SD7A

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump SD7B

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump SD8A

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump 8B

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading (m3)

  • Enter the Time of Totaliser Reading

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump SD9

  • Should the Perimeter Sump be operating?

  • Record Totaliser Reading that goes to F1 (m3)

  • Record Totaliser Reading that goes to R4 (m3)

  • Enter the Time of Totaliser Readings

  • Any leaks?

  • Troubleshoot and organise for repair

  • Any unusual noises, heat or vibration from diesel pump?

  • Troubleshoot and organise for repair, add photos and notes if possible

  • Notes on issue

  • Photos

  • Why is it not operating?

  • Enter the Reason

  • Is the fire extinguisher in date, pin in place and stored correctly?

  • Alert supervisor and arrange for replacement immediately

  • Is a life ring in place, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

  • Is there a yellow spill kit bin in place, stocked and free of rubbish?

  • Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit

  • Is there rubbish around or is the work area untidy?

  • Remove of any rubbish from area and dispose of correctly.

Perimeter Sump Condition

Sump Condition

  • Is there any wildlife in distress in any of the sumps?

  • Which Sumps have distressed wildlife?

  • Reported to the appropriate people

  • Is a life ring in place at each of the sumps, stored off the ground and with a retrieval rope in good condition?

  • Alert supervisor and arrange for replacement immediately

Beach Drains

  • Beach Drains in Operation

  • Are there any leaks from the pipework?

  • Record information on leak

  • Location
  • Select the location

  • Notes on the leak

  • Photos

  • Arrangements made for rectification

  • Totaliser Reading

Was the Inspection Completed?

  • Was the Inspection able to be completed?

  • Please Select a Reason

  • Comment on why inspection was not completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.