Information

  • Conducted on

  • CitiPower/Powercor Contract Responsible Officer

  • Resource Partner (Contract Company)

  • Does the Inspection Project Site involve construction work with a value >$250,000

C6 - Construction Projects >$250,000

  • Has site induction been performed and documented onsite?

  • Has a site H&S Co-ordination Plan been developed, available for inspection and communicated to all employees onsite?

  • Is Principal Contractor signage detailing company name and contract information displayed at worksite? (If project is for a short duration, signage on vehicles displaying the Company name will suffice)

  • Contract No / PM Order No

  • Location
  • Inspection No

  • Brief Description of Job

  • Prepared by

C - CUSTOMER SERVICE

C1 - Identification

  • Do ALL personnel on job site have CitiPower/Powercor IDs available?

  • Employee
  • Name & ID No. required

C2 - Passports & Authorities

  • Do ALL personnel have ESI Skills Passports and/or relevant Authorities/Licences present?

  • Are personnel undertaking duties that align with their job role displayed on their photo ID?

  • Where applicable has site specific induction been performed?

Passport/Licence Authority Matrix

  • List the names of all Traffic Controllers (Ensure ESI Skills Passport is available and listed Training is up to date)

  • Employee
  • Name

  • ESI Skills Passport on site and signed

  • Lineworker Registration Card (Record Number)

  • CP/PAL Authority label/s in passport (if applicable)

  • Construction Industry Induction Card (e.g. White/Red Card)

  • WorkSafe High Risk License (e.g. WP,DG)

  • Apply ESI safety rules (Initial Only)

  • CPR and First (ESI Environment) (yearly)

  • EWP Rescue & EWP Controlled Descent Escape (yearly)

  • Live LV Work (e.g. O/H, Cable Jointing - 3 yearly)

  • Testing of Connections (Servicing Procedures) (yearly)

  • VESI Safety Framework (3 yearly)

  • VESI Environmental Framework (3 yearly)

  • Safe Approach Distances (yearly - if applicable)

  • Safe to Approach SWER (3 yearly)

  • Traffic Management (3 yearly - if applicable)

  • Other?

C3 - Vehicle Signage

  • Do the vehicles have CP/PAL signage correctly displayed?

  • List All Vehicles & Plant

  • Vehicles / Plant
  • Registration No. & Vehicle Type

C4 - Company Logo

  • Are the contract company employees wearing attire with their company logo clearly displayed?

C5 - Safety Observer

  • Does the work being performed require a dedicated Safety Observer?

  • Name Required:

  • If a Safety Observer has been nominated for HV Live Line works, are they wearing a dedicated "Safety Observer" vest or equivalent?

Q - QUALITY

Q1 - JSA Related Documentation

  • Are completed risk assessments available onsite?

  • JSA / Toolbox?

  • Traffic and/or Environmental Plan?

  • CSCC and/or Fault Log Sheet?

  • Apprentice JSA (if appliacble)

  • Safe Work Method Statement? (Mandatory for Construction Projects >$250,000)

  • Do the risk assessments reflect ALL hazards of the job and have the appropriate control measures been documented? (e.g Exposure to potential LIVE Electrical sources, SWER earth exposure, asbestos removal, etc)

  • Does the risk assessment reflect all the Environmental aspects of the job and have the appropriate control measures been documented? (e.g. Cartage delivery & removal of soils, concrete, bitumen etc)

  • Is the latest copy of the Field Traffic Management Guidelines available? (i.e. When Traffic Control performed by work crew)

Q2 - Job File Documentation

  • Does Job File contain adequate information? (e.g. "Dial Before You Dig", Civil MOC's (from Shire and/or Vic Roads), work instruction, applications, permits, switching instructions, plans, maps)

  • Is the job being performed in accordance with the Work Request?

Q3 - Vehicle Log Book

  • Does the vehicle have a CP/PAL daily/weekly/ drivers Log Book or equivalent available onsite?

  • Is it being filled out correctly and is vehicle washing being recorded?

H - HEALTH & SAFETY

H1 - Personal Protective Equipment

  • Are Hardhats being worn/available and within safety period? (Two (2) years from issue date)

  • Are Safety Boots being worn and in good condition?

  • Is PPE in good condition and worn appropriately? (e.g. coveralls, dust coat)

  • Is High Visibility clothing/vest being worn?

  • Are Working Gloves required and/or worn?

  • Is Eye Protection required and/or worn?

  • Is Hearing Protection required and/or worn?

  • Is Respiratory Protection required and/or worn? (Drilling of CCA Poles, Dusty conditions)

  • Is Sun Cream available and/or supplied?

H2 - Electrical & Permit Procedures

  • Is the most current Green Book available onsite?

  • Is the work being performed in accordance with Green Book, CP/PAL Technical Standards, Acts, Regulations & Code of Practices, etc?

H3 - Traffic Management

  • Is Traffic Control for the job site under the direct of CP/PAL/Resource Partner or Traffic Company?

  • Note Traffic Company:

  • In your opinion doe the Traffic Management Plan meet the requirements of Australian Standards & Vic Roads Code of Practice?

  • Is the Traffic Plan relevant for the work site and available?

  • Is the Traffic Plan a separate document or a linked Plan reference to the JSA?

  • Is the Traffic WSL qualified to draw a plan? (Traffic T/L must have RIIOHS205A Control traffic with a stop/slow bat & RIIOHS302A Implement traffic management plan or equivlent)

  • Note Traffic WSL Name & Authroities

  • Name
  • WSL Name

  • RIIOHS205A

  • RIIOHS302A

  • Other

  • Has the Traffic Control WSL signed onto the CP/PAL/Resource Partner JSA?

  • Are the appropriate traffic management signs & devices being used? (Class 1 Retro Reflective)

  • Advanced warning signs?

  • Worksite signs? (Symbolic Worker - Bright Orange)

  • Speed Indicator signs / Speed Advisory signs?

  • Traffic cones/bollards/barriers? (With Retro Reflective bands)

  • Detour signs / Road Closure signs?

  • Divergence signs?

  • Pedestrian signs?

  • Pedestrian Barriers? (e.g. Mesh fence)

  • Onsite traffic lights?

  • Electronic indicators/arrows?

  • Stop/Slow battens? (Identify signage used)

  • Is there a copy of the Traffic Memorandum of Authority ("Permission for works on the road") available and on site? (ALL Victorian Roads)

  • Is the Traffic signage monitored during the course of the work and has it been documented on the Traffic Plan and/or SWMS?

  • Have the speed limits been determined correctly through the worksite?

  • Are worksite signs reflecting the actual job and used in conjunction with other traffic signs as required?

  • Are the worksite and vehicles adequately protected and clearances maintained between workers/vehicles and adjacent traffic?

  • Is the 600mm clearance being maintained between the extended EWP boom elbow and/or crane counter weight and cones/barriers/bollards?

  • Is the method of traffic/plant/pedestrian management on site suitable and effective?

  • Has possible traffic congestion been considered and are sufficient measures in place to avoid it?

  • How does the Traffic Controller manage it?

  • Have two flags been placed in the initial approach & speed indicator signs? (Flags are only required in Multi Message signs)

  • Are signs in pairs where needed? (if required)

  • Have signs been placed on ALL approach roads? (if required)

  • Are ALL spaces in multi-message signs filled? (with reflective yellow black minimum)

  • Is the signage level & at least 200mm off the ground?

  • Is the signage in a reasonable condition and of the correct size?

  • Is the signage legible, safely placed and clear of obstructions?

  • Have rotation & rest periods of Traffic Controllers been considered? (Break every 2 hours)

H4 - Vehilces

  • Are the vehicle(s), (including trailers) in a clean and serviceable condition?

  • Is the vehicle presented in an appropriate & road worthy manner? (i.e. Visually check for broken tail lights / windscreen etc)

  • Is the vehicle cabin, load area clean & tidy?

  • Can equipment be securely restrained when in transit? (including trailers)

  • Are safety pins on trailers fitted and being used? (If applicable)

  • Are ALL vehicle warning lights/arrows operable and being used appropriately? (Flashing Lights need to be operating when in a designated work zone unless on Private Property or over 3 metres from edge of the road)

  • Is an appropriate Fire Extinguisher available for ALL hydraulic plant and/or vehicles carrying a gas bottle or fuel container and where entry into enclosures is required? (minimum 1L pressurised)

  • Fire Extinguishers over 1.5kg require testing to comply with A & NZ Safety Standards - yearly

  • Is the correct fire control equipment available? (Declared Bush Fire period - 9L knapsack, shovel, rake, drinking water - Powercor area)

  • Have the requirements for working on a day of Total Fire Ban been considered? (if applicable)

H5 - First Aid Kit

  • Is the First Aid Kit available and located by signage?

  • Is the First Aid Kit clean and tidy?

  • Are both content and audit checklists included in the First Aid Kit?

  • Has the First Aid Kit been audited & signed off by an appropriate person? (Once yearly - minimum)

  • Date First Aid Kit last checked:

  • Is the First Aid Kit stocked as per content list?

  • Does the First Aid Kit contain the mandatory CPR Mask, Emergency Blanket and Disposal Gloves?

H6 - Fall Prevention

  • Has fall prevention been considered in JSA?

  • Has the highest practicable fall prevention control been considered and employed on the work site?

  • Are Safety Harnesses & Lanyards required and/or worn within Test Period? (Required when bottom of feet are 2m above the ground)

  • Test Due Date:

  • Are the appropriate ladders being used? (non conductive)

  • Are safety Harnesses & Lanyards required and/or worn and with Test Period? (Required when bottom of feet are above 2m above the ground)

  • Is the Anchor Strap required, attached and utilised? (Mandatory for live ladder works)

  • Is the condition of ladders sound? (e.g. stiles, rungs, head and extension ropes)

  • Is the ladder secured to the pole correctly? (head rope - 12mm min)

  • Is a dedicated Pole Top Rescue Kit (LIVE ladder work) or Pit Rescue Kit available and within test period?

  • Test Due Date:

  • Is the Pole Top Rescue Kit location identified by signage?

H7 - LV Equipment

  • Are working Voltage, Neon & Phase Sequence Testers available?

  • Is a working Insulation Resistance and Continuity Tester available and within test period? (e.g. Meggar)

  • To establish Neutral Integrity Test Point (NITP) Test Due Date:

  • Is a working NST Tester available and within test period?

  • Test Due Date:

  • Is an Independent Earth Reel available?

  • Are LV Gloves available, in good condition and used correctly? (i.e. "work glove outers")

  • Was an Integrity Test of LV gloves performed by a "Roll Test" to confirm serviceability?

  • Are LV Matts/Hoses available and in good condition?

  • Are LV Hoppers and Bonders available and in good condition?

  • Is a Fuse Stick and adapter available and in good condition?

H8 - HV Equipment

  • Are ALL Operating Sticks and Live Line Equipment within test period and in good condition?

  • Test Due Date:

  • Are HV Operating Gloves and Sleeves available, within test period and in good condition? (yearly)

  • Test Due Date:

  • Is the Modiewark within test period and in operable condition? (yearly)

  • Test Due Date:

  • Are High Current (16Ka) and/or Trifurcating Earths available and used where required? (Operational / SWER and 3/12 Conductors)

H9 - Plant & Equipment

  • Note type of Equipment and Plant being used:

  • Equipment / Plant
  • Type of Equipment / Plant:

  • Is the Plant & Equipment being used in accordance with relevant safe work practices?

  • If NOT, is the appropriate Plant & Equipment available?

  • Are portable Electric Tools and Leads within test period?

  • Test Due Date:

  • Generators (Minimum 12 monthly)

  • Service Due Date:

  • Earth Meggar

  • Test Due Date:

  • Other

  • Test Due Date:

  • Are Gas Bottles securely and safely stored adequately in a ventilated area?

  • Does the vented cupboard have a "L.P.Gas Storage" sticker displayed?

  • Are hoses and fittings in good condition?

  • Is the Gas Bottle within 10 years of manufacture or test period?

  • Are all Fuel and/or Chemical containers labelled correctly?

  • Are Fuel and/or Chemical containers stored adequately in vented area?

  • Is portable straining and lifting equipment within inspection period?

Elevating Work Platform (EWP)

  • Is the EWP logbook available and completed? (Mandatory - WorkSafe requirement)

  • Is the EWP in a clean and serviceable condition?

  • Is the EWP correctly positioned and earth chain utilised? (Mandatory when working within close proximity of LIVE Conductors - WorkSafe requirement)

  • Are the chocks and stabilisers correctly used? (chocks behind front wheels & pads beneath stabilisers)

  • Is the EWP inspection & service sticker on top RHS of windscreen? (scheduled 3 monthly)

  • Is the EWP within its electrical test period & is sticker on top RHS of windscreen? (electrical test 6 monthly - insulated EWP)

  • Electrical Test Due Date:

  • Is the EWP within its mechanical/load weight test period & is sticker on top RHS of windscreen? (scheduled 12 monthly)

  • Note type of Earth connection:

Stabilisers/Outriggers and Level Indicators

  • Are Stabilisers/Outriggers deployed correctly?

  • Were the Stabilisers pads/chocks correctly used?

  • Can the Stabilisers be stowed correctly

  • What is the condition of the Stabilisers/Outriggers?

  • Are Level Indicators fitted?

  • What is the condition of the Level Indicators?

  • What is the condition of the Hydraulic Controls?

  • Are Spring Lock-outs functional? (if applicable)

Condition of EWP Boom

  • Are there any visible oil leaks?

  • Are the Boom Hoses in good condition?

  • Are there cracks visible in the Top Boom?

  • Are the EWP Booms clean?

Elevating Work Platform Basket

  • Is the Controlled Decent Device (CDD) in good condition?

  • What is the condition of the Protective Strip?

  • Is the SWL marked on the Basket?

  • Is the Basket clean and tidy?

  • Are the Controls clearly marked?

Hydraulic Controls

  • What is the condition of the EWP Basket Controls?

  • What is the condition of the Stabiliser Controls?

  • Are the Control Markings in the Basket legible?

  • What is the condition of the EWP Base Controls?

  • Are the Base Control Markings legible?

H10 - Work Practices

  • Were any unsafe work practices observed at the time of inspection?

  • Are mandatory test procedures being undertaken? (as required)

  • Polarity/NST/Check Testing

  • Safe to Climb

  • Safe to Approach SWER

  • Are the correct work practices being undertaken? (as required)

  • Safety Observer

  • Sufficient Covering / Matting

  • Ladder Secured

  • Are appropriate manual handling aids available and/or in use on site?

  • Is a handline required and/or in place?

  • Are insulated tools being used where appropriate?

Tasks completed as per Technical Specifications (Bulk Change)

  • Was lantern cleaned, including around PE Cell Housing?

  • Was lamp replaced with correct type of lamp?

  • Are PE Cells marked with installation month and year?

  • Was PE Cell replaced?

  • Was diffuser retaining screws greased?

  • Was diffuser thoroughly cleaned?

  • Was damaged diffuser replaced?

  • Was loose public lighting hardware tightened?

  • Was lanterns marked to indicate completion of Bulk Change?

  • Were faulty 99, 00 2A PE Cells kept for warranty?

  • Were stray light shields removed?

  • Was damaged lantern replaced with correct rated latern?

  • Was obsolete control/contractor box removed?

  • Was gear cassette replaced on roadster lantern and line replaced under year? (e.g. 99 00)

  • Was public lighting stay wire replaced and/or reported?

  • Were vegetation problems reported? (e.g. Vemco and/or controller)

  • Was priority 1 maintenance reported to Outage Co-ordinator?

  • Were public lighting faults reported?

E - ENVIRONMENTAL

E1 - Site Management

  • Has an Environmental Management Plan been developed for the job site and available?

  • Is it a separate plan or linked to JSA and/or SWMS?

  • Does the Environmental Management Plan include adequate transportation for removal of waste?

  • Are the wastes appropriately stored during transport?

  • Are there any restrictions placed on entry to the property and/or roadway?

  • Are any waste going off site? (e.g. Soil, Concrete, Bitumen etc)

  • Material
  • After completion of work is all debris on the site being picked up?

  • Are there any restrictions placed on entry to the property and/or roadway?

E2 - Incident Response

  • Does the Work Site Leader know the appropriate emergency contact phone numbers in the event of an incident?

  • Is there a minimum of one spill kit contents available on the job site for any vehicle with hydraulics or jobs involving oil filled equipment?

  • Are the spill kit contents sufficient to initially contain a spill situation for the job being performed?

E3 - Vehicle Washing

  • Is there Powercor Weeds and Seeds Guide available? (if applicable)

  • Are vehicles clean? (e.g. No obvious mud or vegetation present on vehicles)

E4 - Housekeeping

  • If the job has been completed, was the work site left orderly, neat and debris free?

  • Was suitable storage of materials on EWP/support vehicle retained for the correct disposal of lamps and PE Cells?

  • Are hazardous areas protected?

  • Are hazardous goods clearly labelled and being stored appropriately?

OVERALL INSPECTION COMMENTS:

  • Comments

COMMENTS REGARDING PREVIOUS NON-CONFORMANCES (if applicable):

  • Comments

NON-CONFORMANCE / OBSERVATION Raised

  • Non-Conformance

  • NC
  • Section

  • Identified Non-Conformance (Agree Corrective Action)

  • Responsible Person(s)

  • Date for Completion

  • Has a CARE been raised?

  • CARE Number:

  • Observation

  • OBs
  • Section

  • Identified Observation (Agree Corrective Action)

  • Responsible Person(s)

  • Date for Completion

  • Has a CARE been raised?

  • CARE Number:

Inspected Party Representative - CP/PAL Inspector - Observer (if appliacble)

  • Representative

  • Name
  • Name

  • Company / Position

  • Signature

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