Title Page
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Site conducted
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Conducted on
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Prepared by (Enter First name and Surname)
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Location
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Supervisor
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Crew
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Shift
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Today's Safety Focus is:
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I AM FIT FOR WORK ACCORDING TO NBG GUIDELINES
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Sign Inspection Sheet
Pipeline
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Is the dam being filled from the river or is the dam being pumped to D6?
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Are there any pipework leaks on the between Hedges flow indicator and the discharge point into Hedges dam?
Issue
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Comment on Issue
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Take a photo
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Contact shift supervisor and RDA control
Pumps
Pumps
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Are there pumps installed?
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Is the fire extinguisher in date, pin in place and stored correctly?
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Alert supervisor and arrange for replacement immediately
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Is there rubbish around or is the work area untidy?
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Remove of any rubbish from area and dispose of correctly.
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Is there a yellow spill kit bin in place, stocked and free of rubbish?
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Cleanup any rubbish, notify your supervisor and arrange for restocking of spill kit
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Any unusual noises, heat or vibration from diesel pump?
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Troubleshoot and organise for repair, add photos and notes if possible
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Notes on issue
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Photos
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Are there any leaks on the pump or pipework?
Issue
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Comment on Issue
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Take a Photo
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Report to supervisor and enter notification for repair.
Photos of Hedges Dam
Photos Required
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Are you on Day Shift?
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Take the Photos from 6 different positions required
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Position for Photos to be taken from
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Position 1 - Take one photo like example below
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Position 1 Photo
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Position 2 LHS - Take one photo like example below
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Position 2 LHS Photo
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Position 3 RHS- Take one photo like example below
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Position 3 RHS Photo
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Position 4 LHS - Take one photo like example below
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Position 4LHS Photo
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Position 5RHS - Take one photo like example below
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Position 5 RHS Photo
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Position 6 Spillway - Take one photo like example below
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Position 6 Spillway Photo
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Position 7 Embankment - Take one photo like example below
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Position 7 Embankment Photo
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No Photos required on Night Shift
Embankment - Downstream
Embankment - Downstream
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Check the seepage in this area that has been reported
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Is there seepage?
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Is the seepage clear?
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Contact RDA Supervisor Immediately
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Does the seepage appear more than last time?
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IS there any other seepage on the embankment?
Seepage Identified
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Is the Seepage Clear?
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Contact RDA Supervisor Immediately
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Does the seepage appear more or less than last time it was identified?
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Take a Photo
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Record Location
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Report all areas of seepage noticed on the embankment to the RDA Supervisor
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IS there noticeable erosion on the embankment?
Identified Issue
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Record Location
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Take a Photo
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Add a comment
Embankment - Upstream
Embankment - Upstream
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Is there any signs of the upstream face slumping?
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Report to RDA Supervisor Immediately for assessment of the situation
Issue
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Take a Photo
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Take the location
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Is there any wave damage observed?
Issue
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Take a Photo
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Take the location
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Report to RDA Supervisor
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Is Riprap (rock protection) in good condition?
Issue
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Take a Photo
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Take the location
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Report to RDA Supervisor
Embankment - Crest
Embankment - Crest
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Is the Road in Good Condition?
Issue
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Take a Photo
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Take the location
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Report to RDA Supervisor
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Is the Road Barrier in good condition?
Issue
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Take a Photo
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Take the location
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Report to RDA Supervisor
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Does the Road Barrier appear straight?
Issue
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Take a Photo
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Take the location
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Report to RDA Supervisor
Water Level
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Is a life ring in place, stored off the ground and with a retrieval rope in good condition?
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Alert supervisor and arrange for replacement immediately
Water Level
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Record the Gauge Boards Water Level
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Take a Photo of the Gauge Boards
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Are the Gauge Boards in good condition?
Issue Identified
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Comment on Issue
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Action taken on resolving issue
Spillway
Spillway
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Is the spillway free from obstruction?
Issue Identified
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Comment on Issue
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Action taken on resolving issue
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Is there any vehicle trails observed in or around the spillway ?
Issue Identified
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Comment on Issue
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Action taken on resolving issue
Seepage Weir
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Take a photo of the weir gauge board showing the board and the v-notch
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Photo of seepage weir gauge board
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Record the reading of the gauge board
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Is the gauge board legible and the V-notch unobstructed?
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V-notch and gauge board cleaned?
Was the Inspection able to be completed?
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Was the Inspection able to be completed
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Please Select a Reason
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Comment on why inspection was not completed