SAPN stobie pole asset inspection

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Audited field officer

Equipment checklist

• Photo identification

  Yes

  No

  N/A

• Palm pilot

  Yes

  No

  N/A

• Leather gloves

  Yes

  No

  N/A

• Contour guage

  Yes

  No

  N/A

• Hi-vis shirt, cotton pants (if no, please take photo)

  Yes

  No

  N/A

• Pick and potholling tool

  Yes

  No

  N/A

• Safety glasses, safety boots

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Hard hat (if required)

  Yes

  No

  N/A

• Hat, sunscreen

  Yes

  No

  N/A

SAPN procedure knowledge

• Has daily JSA been completed in palm pilot

  Yes

  No

  N/A

• Is vehicle pack on site

  Yes

  No

  N/A

• Can field tech explain the incident reporting process

  Yes

  No

  N/A

Asset inspection procedure

• Has vehicle been parked in a safe location and locked

  Yes

  No

  N/A

• Hazard assessment completed for the work area

  Yes

  No

  N/A

• Confirm pole matches information in palm pilot

  Yes

  No

  N/A

• Tech has appropriate tools and equipment at work site

  Yes

  No

  N/A

• Tools and equipment in good working order

  Yes

  No

  N/A

• Tech has inputted base condition into palm pilot and taken photos

  Yes

  No

  N/A

• Field officer safely excavated base of stobie pole

  Yes

  No

  N/A

• Field officer correctly assessed corrosion level and entered data into palm pilot

  Yes

  No

  N/A

• Field officer replaced soil around base of stobie pole

  Yes

  No

  N/A

• Tidied site including removal of all tools and equipment

  Yes

  No

  N/A

Vehicle audit

• SAPN magnets (2) visible on sides of vehicle

  Yes

  No

  N/A

• All vehicle lights operational

  Yes

  No

  N/A

• Exterior free from damage

  Yes

  No

  N/A

• clean, internal & external

  Yes

  No

  N/A

• Roadworthy tyres

  Yes

  No

  N/A

• Tools and equipment stored safely

  Yes

  No

  N/A

• Emergengy break operational

  Yes

  No

  N/A

• Vehicle jack, handle, brace

  Yes

  No

  N/A

• Windscreen free of cracks

  Yes

  No

  N/A

• Registration expiry

  Date

• Field officer

  Sign

• Auditor

  Sign