Resource Partner Field Inspection Checklist

• Conducted on

  Date

• CitiPower/Powercor Contract Responsible Officer

• Resource Partner (Contract Company)

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

  Yes

  No

  N/A

C6 - Construction Projects >$250,000

• Has site induction been performed and documented onsite?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• Contract No / PM Order No

• Location
  Address

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Where applicable has site specific induction been performed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Lineworker Registration Card (Record Number)

  Yes

  No

  N/A

• VEDN U/G Accreditation (minimum 1 person onsite)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Apply ESI safety rules (Initial Only)

  Yes

  No

  N/A

• CPR and First (ESI Environment) (yearly)

  Yes

  No

  N/A

• EWP Rescue & EWP Controlled Descent Escape (yearly)

  Yes

  No

  N/A

• Testing of Connections (Servicing Procedures) (yearly)

  Yes

  No

  N/A

• VESI Safety Framework (3 yearly)

  Yes

  No

  N/A

• VESI Environmental Framework (3 yearly)

  Yes

  No

  N/A

• Glove & Barrier - Live Line (yearly)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Safe Approach Distances (yearly - if applicable)

  Yes

  No

  N/A

• Safe to Approach SWER (3 yearly)

  Yes

  No

  N/A

• Traffic Management (3 yearly - if applicable)

  Yes

  No

  N/A

• Entry to Enclosures (3 yearly - if applicable)

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

C3 - Vehicle Signage

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

C5 - Safety Observer

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

  Yes

  No

  N/A

• Name Required:

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

  Yes

  No

  N/A

Q - QUALITY

Q1 - JSA Related Documentation

• Are completed risk assessments available onsite?

  Yes

  No

  N/A

• JSA / Toolbox?

  Yes

  No

  N/A

• Traffic and/or Environmental Plan?

  Yes

  No

  N/A

• CSCC and/or Fault Log Sheet?

  Yes

  No

  N/A

• Apprentice JSA (if appliacble)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Q3 - Vehicle Log Book

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Q4 - Procedures

• Is the work being undertaken covered by appropriate permits or HV suppressions?

  Yes

  No

  N/A

• Note Feeder suppressed:

• Is a signed Vicinity Access Authority onsite where required?

  Yes

  No

  N/A

H - HEALTH & SAFETY

H1 - Personal Protective Equipment

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

  Yes

  No

  N/A

• Are Safety Boots being worn and in good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is High Visibility clothing/vest being worn?

  Yes

  No

  N/A

• Are Working Gloves required and/or worn?

  Yes

  No

  N/A

• Is Eye Protection required and/or worn?

  Yes

  No

  N/A

• Is Hearing Protection required and/or worn?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is Sun Cream available and/or supplied?

  Yes

  No

  N/A

H2 - Electrical & Permit Procedures

• Is the most current Green Book available onsite?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Where Connection work is being performed are the following documents available & current?

  Yes

  No

  N/A

• Connection Worker Manual?

  Yes

  No

  N/A

• VESI Procedures?

  Yes

  No

  N/A

• Construction Manuals?

  Yes

  No

  N/A

• Is an Electrical Access Permit (EAP) required and appropriate for the work?

  Yes

  No

  N/A

• EAP Number:

• Do the recipients understand the permit (EAP) requirements?

  Yes

  No

  N/A

• Are ALL persons signed onto the Permit (EAP)?

  Yes

  No

  N/A

• Are isolations as per the Permit (EAP)?

  Yes

  No

  N/A

• Is Earthing as per the Permit (EAP)?

  Yes

  No

  N/A

• Is a work site earth/bonder applied/required?

  Yes

  No

  N/A

• Are the Crane Operator/Dogman and/or Resource Partner signed onto a Vicinity Authority? (Mandatory when working within close proximity of LIVE conductors)

  Yes

  No

  N/A

• Have Confined Spaces been identified?

  Yes

  No

  N/A

• Have Confined Space Entry Procedures been implemented prior to entry? (if applicable)

  Yes

  No

  N/A

• Is air monitoring device within test period?

  Yes

  No

  N/A

• Test Due Date:

H3 - Traffic Management

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

  Yes

  No

  N/A

• Note Traffic Company:

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• Note Traffic WSL Name & Authroities

Name

• WSL Name

• RIIOHS205A

• RIIOHS302A

• Other

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Advanced warning signs?

  Yes

  No

  N/A

• Worksite signs? (Symbolic Worker - Bright Orange)

  Yes

  No

  N/A

• Speed Indicator signs / Speed Advisory signs?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Detour signs / Road Closure signs?

  Yes

  No

  N/A

• Divergence signs?

  Yes

  No

  N/A

• Pedestrian signs?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Onsite traffic lights?

  Yes

  No

  N/A

• Electronic indicators/arrows?

  Yes

  No

  N/A

• Stop/Slow battens? (Identify signage used)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

H4 - Vehilces

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

H5 - First Aid Kit

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

  Yes

  No

  N/A

• Is the First Aid Kit clean and tidy?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Date First Aid Kit last checked:

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

H6 - Fall Prevention

• Has fall prevention been considered in JSA?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Test Due Date:

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Test Due Date:

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

  Yes

  No

  N/A

H7 - LV Equipment

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

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

  Yes

  No

  N/A

• Test Due Date:

• Is an Independent Earth Reel available?

  Yes

  No

  N/A

• Is Voltmeter available and within test period?

  Yes

  No

  N/A

• Test Due Date:

• Is the Height / Telescopic Stick available, in good condition and within test period?

  Yes

  No

  N/A

• Test Due Date:

• Is the Meter Tester (Hair Dryer) available and in good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

H8 - HV Equipment

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

  Yes

  No

  N/A

• Test Due Date:

• Are HV Mats/Covers available, within test period and in good condition?

  Yes

  No

  N/A

• Test Due Date:

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

  Yes

  No

  N/A

• Test Due Date:

• Are personal HV Gauntlets/Sleeves available, within test period and in good condition? (G&B - 6 monthly)

  Yes

  No

  N/A

• Test Due Date:

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

  Yes

  No

  N/A

• Test Due Date:

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

  Yes

  No

  N/A

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?

  Yes

  No

  N/A

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

• Is Mobile Plant (EWP/Crane etc) connected to earth via a permanent earth or driven stake? (if applicable)

  Yes

  No

  N/A

• Note type of Earth connection:

Elevating Work Platform (EWP)

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

  Yes

  No

  N/A

• Is the EWP in a clean and serviceable condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Electrical Test Due Date:

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

  Yes

  No

  N/A

• Note type of Earth connection:

Mobile Cranes (If applicable)

• Is the Crane Operator Certificate of Competency available?

  Yes

  No

  N/A

• Does the crane have WorkSafe registration or interstate equivalent?

  Yes

  No

  N/A

• Note Number (if appliacble)

• Is there a copy of the Operators Manual available in the cabin? (Cranes over 10 tonne)

  Yes

  No

  N/A

• Is the Crane Log Book available onsite?

  Yes

  No

  N/A

• Are pre-start checks and daily inspections being performed and recorded?

  Yes

  No

  N/A

• Are pre-start checks and daily inspections being performed and recorded?

  Yes

  No

  N/A

• What is the SWL/WWL of the crane?

  Yes

  No

  N/A

• Are BOTH a minimum 10mm 1 metre chain (Vicinity of LIVE conductors) and E & SC (Live Line work) being used as per WorkSafe requirements?

  Yes

  No

  N/A

• Is there a DANGER notice displayed in the cabin relating to electrical hazards? (e.g. DANGER - Watch Out for Overhead Powerlines)

  Yes

  No

  N/A

• Is there a DANGER notice displayed near the outrigger controls? (e.g. DANGER - Watch Out for Crush Zone)

  Yes

  No

  N/A

Plant & Equipment cont.

• Are portable Electric Tools and Leads within test period?

  Yes

  No

  N/A

• Test Due Date:

• Generators (Minimum 12 monthly)

  Yes

  No

  N/A

• Service Due Date:

• Earth Meggar

  Yes

  No

  N/A

• Test Due Date:

• Other

  Yes

  No

  N/A

• Test Due Date:

• Is lifting tackle including chains, slings, etc within inspection period and tagged or painted appropriately? (Current colours: 2011/2015 Bronze, 2012/2016 Blue, 2013/2017 White, 2014/2018 Green)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are hoses and fittings in good condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

H10 - Work Practices

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

  Yes

  No

  N/A

• Were LV Gloves being worn when working within 1 metre of LIVE overhead electricity?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is a handline required and/or in place?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Safety Observer

  Yes

  No

  N/A

• Sufficient Covering / Matting

  Yes

  No

  N/A

• Ladder Secured

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Polarity/NST/Check Testing

  Yes

  No

  N/A

• Safe to Climb

  Yes

  No

  N/A

• Safe to Approach SWER

  Yes

  No

  N/A

• Entry to Enclosures

  Yes

  No

  N/A

• Are insulated tools being used where appropriate?

  Yes

  No

  N/A

• Are correct clearances being maintained during Live Line and/or G&B work?

  Yes

  No

  N/A

• Are Ampac Tools and Cartridges stored appropriately and are cleaning tools available?

  Yes

  No

  N/A

• Is the location of the Cartridges identified by an "Explosive Sticker"?

  Yes

  No

  N/A

H11 - Metering & Servicing Work Practices

• Has the CP/PAL Connection Standards Compliance Certification been completed?

  Yes

  No

  N/A

• Were correct Polarity, NST, Phase Sequence & Voltage tests performed as per VESI Guidelines?

  Yes

  No

  N/A

• Are ALL tags/plates in place where required?

  Yes

  No

  N/A

• If asbestos (Zelemite) panels are being drilled or screwed, are appropriate control measures being implemented? (e.g. One hole drilled: plastic drop sheets and silicon required - multiple holes drilled: disposable coveralls required etc)

  Yes

  No

  N/A

• Are appropriate insulating mats being used when connecting/disconnecting UG supply? (e.g. pit end)

  Yes

  No

  N/A

• Were mats/hoses/gloves inspected for damage prior to use?

  Yes

  No

  N/A

• Has Hazard/Installation Under Test signage been appropriately displayed?

  Yes

  No

  N/A

H12 - Civil Works Installation (Earths/Cables etc)

• Is there a copy of the Pole to Pit Guidelines and/or appropriate Construction Manuals available onsite?

  Yes

  No

  N/A

• Are installed earths being testing if required?

  Yes

  No

  N/A

• Are newly installed earths being tested prior to backfilling?

  Yes

  No

  N/A

• Is the appropriate permanent earth being installed? (e.g. HV & LV, common, SWER, pad mount etc)

  Yes

  No

  N/A

• State type

• Have ALL existing underground services been located?

  Yes

  No

  N/A

• Is the trench adequately protected for live work, exposure of HV/LV for service joints?

  Yes

  No

  N/A

• Are ALL workers adequately protected from trench collapse?

  Yes

  No

  N/A

• Is there safe access to the trench and/or shaft?

  Yes

  No

  N/A

• Is the public adequately protected from ALL stock piles, hazards and the trench etc, with installed barriers?

  Yes

  No

  N/A

• Are ALL workers in the excavation wearing Safety Helmets?

  Yes

  No

  N/A

• Are Coverguards been installed at the correct height? (2.4m above ground)

  Yes

  No

  N/A

• Is conduit installed at the correct depth?

  Yes

  No

  N/A

• Are conduits being clued where appropriate?

  Yes

  No

  N/A

• Is marker tape being installed 300mm below ground for ALL open trenches?

  Yes

  No

  N/A

• Is Pit/Pillar being installed correctly?

  Yes

  No

  N/A

• Is crushed rock being used as a foundation for the pit?

  Yes

  No

  N/A

• Are distances for conduit/warning signs/cover strips/warning tape being noted and observed?

  Yes

  No

  N/A

• Are cable ends being sealed?

  Yes

  No

  N/A

• Is the method being used appropriate? (state method)

  Yes

  No

  N/A

E - ENVIRONMENTAL

E1 - Site Management

• Has an Environmental Management Plan been developed for the job site and available? (e.g. Hydro Excavation, Delivery and/or Removal of soil, sand, Transportation SF6 Switch gear, asbestos panel being drilled/screwed/removed etc)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the Work Site Leader have a plan for the disposal of wastes?

  Yes

  No

  N/A

• Are all temporary stockpiles appropriately located and/or bunded?

  Yes

  No

  N/A

• Is water used in under road bores/concrete and or bitumen cutting being contained and/or disposed of appropriately?

  Yes

  No

  N/A

• Are all exposed drains and open waterways in the vicinity of the work site appropriately protected?

  Yes

  No

  N/A

• Is the storm water system, e.g. spoon drains, kerbs and channel, pits etc in the vicinity of the works clean of clippings and debris generated by the work?

  Yes

  No

  N/A

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

  Yes

  No

  N/A
Material

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

  Yes

  No

  N/A

E2 - Incident Response

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

E3 - Vehicle Washing

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Have pest plants on work site been identified and management plan been put in place?

  Yes

  No

  N/A

E4 - Housekeeping

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

  Yes

  No

  N/A

• Are hazardous areas protected?

  Yes

  No

  N/A

• Are hazardous goods clearly labelled and being stored appropriately?

  Yes

  No

  N/A

• Are dusts, fumes or mists being controlled?

  Yes

  No

  N/A

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?

  Yes

  No

  N/A

• CARE Number:

• Observation

OBs

• Section

• Identified Observation (Agree Corrective Action)

• Responsible Person(s)

• Date for Completion

• Has a CARE been raised?

  Yes

  No

  N/A

• CARE Number:

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

• Representative

Name

• Name

• Company / Position

• Signature

  Sign