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

Pipeline

  • Is the dam being filled from the river or is the dam being pumped to D6?

  • Are there any pipework leaks on the between Hedges flow indicator and the discharge point into Hedges dam?

Issue

  • Comment on Issue

  • Take a photo

  • Contact shift supervisor and RDA control

Pumps

Pumps

  • Are there pumps installed?

  • 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

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

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

  • Notes on issue

  • Photos

  • Are there any leaks on the pump or pipework?

  • Issue
  • Comment on Issue

  • Take a Photo

  • Report to supervisor and enter notification for repair.

Photos of Hedges Dam

Photos Required

  • Are you on Day Shift?

  • Take the Photos from 6 different positions required

  • Position for Photos to be taken from

    Hedges dam iAuditor.JPG
  • Position 1 - Take one photo like example below

    IMG_0110[1].JPG
  • Position 1 Photo

  • Position 2 LHS - Take one photo like example below

    IMG_0113[1].JPG
  • Position 2 LHS Photo

  • Position 3 RHS- Take one photo like example below

    IMG_0116[1].JPG
  • Position 3 RHS Photo

  • Position 4 LHS - Take one photo like example below

    IMG_0100[1].JPG
  • Position 4LHS Photo

  • Position 5RHS - Take one photo like example below

    IMG_0101[1].JPG
  • Position 5 RHS Photo

  • Position 6 Spillway - Take one photo like example below

    IMG_0108[1].JPG
  • Position 6 Spillway Photo

  • Position 7 Embankment - Take one photo like example below

    IMG_0109[1].JPG
  • Position 7 Embankment Photo

  • No Photos required on Night Shift

Embankment - Downstream

Embankment - Downstream

  • Check the seepage in this area that has been reported

    Hedges downstream seepage area.png
  • Is there seepage?

  • Is the seepage clear?

  • Contact RDA Supervisor Immediately

  • Does the seepage appear more than last time?

  • IS there any other seepage on the embankment?

  • Seepage Identified
  • Is the Seepage Clear?

  • Contact RDA Supervisor Immediately

  • Does the seepage appear more or less than last time it was identified?

  • Take a Photo

  • Record Location
  • Report all areas of seepage noticed on the embankment to the RDA Supervisor

  • IS there noticeable erosion on the embankment?

  • Identified Issue
  • Record Location
  • Take a Photo

  • Add a comment

Embankment - Upstream

Embankment - Upstream

  • Is there any signs of the upstream face slumping?

  • Report to RDA Supervisor Immediately for assessment of the situation

  • Issue
  • Take a Photo

  • Take the location
  • Is there any wave damage observed?

  • Issue
  • Take a Photo

  • Take the location
  • Report to RDA Supervisor

  • Is Riprap (rock protection) in good condition?

  • Issue
  • Take a Photo

  • Take the location
  • Report to RDA Supervisor

Embankment - Crest

Embankment - Crest

  • Is the Road in Good Condition?

  • Issue
  • Take a Photo

  • Take the location
  • Report to RDA Supervisor

  • Is the Road Barrier in good condition?

  • Issue
  • Take a Photo

  • Take the location
  • Report to RDA Supervisor

  • Does the Road Barrier appear straight?

  • Issue
  • Take a Photo

  • Take the location
  • Report to RDA Supervisor

Water Level

  • 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

Water Level

  • Record the Gauge Boards Water Level

  • Take a Photo of the Gauge Boards

  • Are the Gauge Boards in good condition?

  • Issue Identified
  • Comment on Issue

  • Action taken on resolving issue

Spillway

Spillway

  • Is the spillway free from obstruction?

  • Issue Identified
  • Comment on Issue

  • Action taken on resolving issue

  • Is there any vehicle trails observed in or around the spillway ?

  • Issue Identified
  • Comment on Issue

  • Action taken on resolving issue

Seepage Weir

  • Take a photo of the weir gauge board showing the board and the v-notch

    IMG_5605.JPG
  • Photo of seepage weir gauge board

  • Record the reading of the gauge board

  • Is the gauge board legible and the V-notch unobstructed?

  • V-notch and gauge board cleaned?

Was the Inspection able to be 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.