TasWater Safety Interaction

• Title

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

0.0 Introduction

1.0 Security

• 1.1 Perimeter fences and gates maintained and secure?

  Yes

  No

  N/A

• Corrective Action Required

• 1.2 Is the TasWater logo clearly displayed?

  Yes

  No

  N/A

• Corrective Action Required

• 1.3 Visitors are inducted onto the site? (Induction not exceeding 2 years)

  Yes

  No

  N/A

• Corrective Action Required

• 1.4 Visitors are signed onto visitors register?

  Yes

  No

  N/A

• Corrective Action Required

2.0 Public Protection

• 2.1 Appropriate barricading in place?

  Yes

  No

  N/A

• Corrective Action Required

• 2.2 Appropriate signage in place?

  Yes

  No

  N/A

• Corrective Action Required

• 2.3 Are on-site noise levels likely to cause nuisance or complaints?

  Yes

  No

  NA

• Corrective Action Required

• 2.4 Are dust and noise controls in place?

  Yes

  No

  N/A

• Corrective Action Required

• 2.5 Footpaths clean and suitable for public use?

  Yes

  No

  N/A

• Corrective Action Required

• 2.6 Appropriate traffic control measures in place?

  Yes

  No

  N/A

• Corrective Action Required

3.0 Fire Control

• 3.1 Fire fighting equipment is serviced and tagged within last 6 months?

  Yes

  No

  N/A

• Corrective Action Required

• 3.2 Extinguishers are appropriately signed and easy to locate?

  Yes

  No

  N/A

• Corrective Action Required

• 3.3 Smoking/naked flame restrictions are observed?

  Yes

  No

  N/A

• Corrective Action Required

• 3.4 Minimum quantities of flammables stored in work area?

  Yes

  No

  N/A

• Corrective Action Required

• 3.5 Can anyone be injured by fire or explosion?

  Yes

  No

  NA

• Corrective Action Required

• 3.6 Regrowth of vegetation or plant debris build-up causing a hazard?

  Yes

  No

  NA

• Corrective Action Required

4.0 Emergency

• 4.1 Emergency exit signs in place and illuminated where appropriate?

  Yes

  No

  N/A

• Corrective Action Required

• 4.2 Exit pathways are clear of obstructions?

  Yes

  No

  N/A

• Corrective Action Required

• 4.3 Employees are aware of their muster area?

  Yes

  No

  N/A

• Corrective Action Required

• 4.4 Emergency number displayed on or near telephone?

  Yes

  No

  N/A

• Corrective Action Required

• 4.5 Exit doors are easily opened from inside?

  Yes

  No

  N/A

• Corrective Action Required

• 4.6 Emergency procedures clearly displayed?

  Yes

  No

  N/A

• Corrective Action Required

• 4.7 Evacuation floor plans clearly displayed?

  Yes

  No

  N/A

• Corrective Action Required

• 4.8 Alarms are tested regularly?

  Yes

  No

  N/A

• Corrective Action Required

5.0 Systems of work

• 5.1 Employees aware of how to report incidents?

  Yes

  No

  N/A

• Corrective Action Required

6.0 Goods and Hazardous Substances (incl Asbestos)

• 6.1 Is Asbestos material known to be present on site?

  Yes

  No

  NA

• Action Required

• 6.2 Material Safety Data Sheets available and current?

  Yes

  No

  N/A

• Corrective Action Required

• 6.3 Chemicals stored in a safe manner and bunded appropriately?

  Yes

  No

  N/A

• Corrective Action Required

• 6.4 Dangerous goods and hazardous substances stored in line with segregation requirements?

  Yes

  No

  N/A

• Corrective Action Required

• 6.5 HAZCHEM signage displayed where required?

  Yes

  No

  N/A

• Corrective Action Required

• 6.6 Adequate ventilation/exhaust systems?

  Yes

  No

  N/A

• Corrective Action Required

• 6.7 Containers labelled appropriately?

  Yes

  No

  N/A

• Corrective Action Required

• 6.8 PPE available and used?

  Yes

  No

  N/A

• Corrective Action Required

• 6.9 Facilities available to ensure personal hygiene?

  Yes

  No

  N/A

• Corrective Action Required

• 6.10 Waste procedure known and used?

  Yes

  No

  N/A

• Corrective Action Required

• 6.11 Spill kit available and placed near bunds/chemicals/potential spills?

  Yes

  No

  N/A

• Corrective Action Required

• 6.12 Chemical handling procedures followed?

  Yes

  No

  N/A

• Corrective Action Required

• 6.13 Appropriate emergency/first aid equipment available?

  Yes

  No

  N/A

• Corrective Action Required

• 6.14 Safety shower/eye wash available & working?

  Yes

  No

  N/A

• Corrective Action Required

• 6.15 Visible chemical spills outside of bunded areas?

  Yes

  No

  NA

• Corrective Action Required

• 6.16 Visible waste water spills outside of bunded areas?

  Yes

  No

  NA

• Corrective Action Required

• 6.17 Leaking/dripping taps or valves on chemical storage vessels?

  Yes

  No

  NA

• Corrective Action Required

• 6.18 Exposure to chemicals, toxic gases, fumes, dust, noise, vibration, radiation, pressure, vacuum?

  Yes

  No

  NA

• Corrective Action Required

7.0 Housekeeping

• 7.1 Are the floors of offices and passageways, store rooms and stairways:<br>Kept free from obstruction?<br>

  Yes

  No

  N/A

• Corrective Action Required

• 7.3 Are the floors of offices and passageways, store rooms and stairways:<br>Clear of electrical leads?

  Yes

  No

  N/A

• Corrective Action Required

• 7.4 Are work surfaces:<br>Safe and suitable for task?

  Yes

  No

  N/A

• Corrective Action Required

• 7.5 Are work surfaces:<br>Clear of rubbish?

  Yes

  No

  N/A

• Corrective Action Required

• 7.6 Are work surfaces: Tools put away?

  Yes

  No

  N/A

• Corrective Action Required

• 7.7 Are Work Surfaces: Areas free of slip and trip hazards?

  Yes

  No

  N/A

• Corrective Action Required

• 7.8 Are Work Surfaces: Any floor openings covered and clearly identified?

  Yes

  No

  N/A

• Corrective Action Required

• 7.9 Are Work Surfaces: All stock and material stored safely?

  Yes

  No

  N/A

• Corrective Action Required

• 7.10 Are Work Surfaces: Surface water drains clear of debris and no sign of damage?

  Yes

  No

  N/A

• Corrective Action Required

• 7.11 Grounds and Site Maintenance: Grass cutting & weed control?

  Yes

  No

  N/A

• Corrective Action Required

• 7.12 Grounds and Site Maintenance: Pest (non-native animals) & Vermin control?

  Yes

  No

  N/A

• Corrective Action Required

• 7.13 Grounds and Site Maintenance: Is any vegetation required to be removed?

  Yes

  No

  NA

• Corrective Action Required

8.0 Stairs, Steps, Landings, walkways, handrails, ladders

• 8.1 Stairs, Steps, Landings, walkways, handrails, ladders: Excessively worn or broken steps?

  Yes

  No

  NA

• Corrective Action Required

• 8.2 Stairs, Steps, Landings, walkways, handrails, ladders: Handrail in good repair/order?

  Yes

  No

  N/A

• Corrective Action Required

• 8.3 Stairs, Steps, Landings, walkways, handrails, ladders: Non-slip treatment to treads?

  Yes

  No

  N/A

• Corrective Action Required

• 8.4 Stairs, Steps, Landings, walkways, handrails, ladders: Kick plates where appropriate?

  Yes

  No

  N/A

• Corrective Action Required

• 8.5 Stairs, Steps, Landings, walkways, handrails, ladders: Treads have liquid spilt on them?

  Yes

  No

  NA

• Corrective Action Required

• 8.6 Stairs, Steps, Landings, walkways, handrails, ladders: Step edge highlighted where appropriate i.e. painted yellow?

  Yes

  No

  N/A

• Corrective Action Required

• 8.7 Stairs, Steps, Landings, walkways, handrails, ladders: Any signs of degradation (i.e. rust)

  Yes

  No

  NA

• Corrective Action Required

• 8.8 Stairs, Steps, Landings, walkways, handrails, ladders: Uneven surfaces, obstacles, wet or greasy surfaces

  Yes

  No

  NA

• Corrective Action Required

9.0 Reticulation work

• 9.1 Disinfection Procedure followed while administering remedial works.

  Yes

  No

  N/A

• 9.2 Mains flushed and free of air & colour

  Yes

  No

  N/A

• 9.3 Chlorine residuals and turbidity readings undertaken

  Yes

  No

  N/A

• 9.4 Area clean and surplus materials removed

  Yes

  No

  N/A

• 9.5 Surface fittings remain level and flush to finished surface

  Yes

  No

  N/A

• 9.6 Final reinstatement quality satisfactory and complies with requirements

  Yes

  No

  N/A

10.0 Materials Storage

• 10.1 Are stacked materials stable?

  Yes

  No

  N/A

• Corrective Action Required

• 10.2 Sufficient space is allowed for moving items into and out of storage areas?

  Yes

  No

  N/A

• Corrective Action Required

• 10.3 Materials are stored in appropriate areas i.e. racks, bins, etc.?

  Yes

  No

  N/A

• Corrective Action Required

• 10.4 Storage shelves are free of rubbish and clean?

  Yes

  No

  N/A

• Corrective Action Required

• 10.5 Pallets are in good repair?

  Yes

  No

  N/A

• Corrective Action Required

• 10.6 Heavier items are stored at waist height?

  Yes

  No

  N/A

• Corrective Action Required

• 10.7 Items stored are not in danger of falling?

  Yes

  No

  N/A

• Corrective Action Required

• 10.8 Items stored do not have protruding sharp edges?

  Yes

  No

  N/A

• Corrective Action Required

• 10.9 Safe means available for accessing high shelves?

  Yes

  No

  N/A

• Corrective Action Required

• 10.10 Storage racks present a hazard with lights, sprinklers or fittings?

  Yes

  No

  NA

• Corrective Action Required

13.0 Manual Handling

• 13.1 Hazardous manual handling tasks been assessed and controlled?

  Yes

  No

  N/A

• Corrective Action Required

• 13.2 Mechanical aids provided and used?

  Yes

  No

  N/A

• Corrective Action Required

14.0 First Aid

• 14.1 Cabinets and contents clean and checked in last 12 months?

  Yes

  No

  N/A

• Corrective Action Required

• 14.2 First aid material adequate for work area?

  Yes

  No

  N/A

• Corrective Action Required

15.0 Personal Protective Equipment

• 15.1 Appropriate PPE being worn for tasks?

  Yes

  No

  N/A

• Corrective Action Required

• 15.2 PPE stored and maintained appropriately?

  Yes

  No

  N/A

• Corrective Action Required

• 15.3 PPE signage is appropriately displayed?

  Yes

  No

  N/A

• Corrective Action Required

16.0 Sunsmart

• 16.1 Recommended clothing being worn?

  Yes

  No

  N/A

• Corrective Action Required

• 16.2 30+ sunscreen available and being used?

  Yes

  No

  N/A

• Corrective Action Required

17.0 Traffic Management

• 17.1 Traffic flows present any hazards?

  Yes

  No

  NA

• Corrective Action Required

• 17.2 Vehicle parking presents any hazards?

  Yes

  No

  NA

• Corrective Action Required

18.0 Prevention of Falls

• 18.1 All work platforms have secure handrails and guarding?

  Yes

  No

  N/A

• Corrective Action Required

• 18.2 Unsafe area signposted and barricaded?

  Yes

  No

  N/A

• Corrective Action Required

• 18.3 Employees are aware of fall prevention requirements?

  Yes

  No

  N/A

• Corrective Action Required

• 18.4 All ladders are visibly in good condition?

  Yes

  No

  N/A

• Corrective Action Required

• 18.5 Ladders used as work platforms?

  Yes

  No

  NA

• Corrective Action Required

• 18.6 Ladders are securely fixed at the top and bottom?

  Yes

  No

  N/A

• Corrective Action Required

• 18.7 Metal ladders used near live exposed electrical equipment?

  Yes

  No

  NA

• Corrective Action Required

• 18.8 Areas free of slip and trip hazards?

  Yes

  No

  N/A

• Corrective Action Required

19.0 Electrical equipment & Control Cubicles

• 19.1 Broken plugs, sockets or switches?

  Yes

  No

  NA

• Corrective Action Required

• 19.2 Frayed or uninsulated leads?

  Yes

  No

  NA

• Corrective Action Required

• 19.3 Electrical equipment & appliances tested tagged & current?

  Yes

  No

  N/A

• Corrective Action Required

• 19.4 Power tools in a visibly good condition?

  Yes

  No

  N/A

• Corrective Action Required

• 19.5 Work being conducted near exposed live electrical equipment?

  Yes

  No

  NA

• Corrective Action Required

• 19.6 Strained leads?

  Yes

  No

  NA

• Corrective Action Required

• 19.7 Lock out procedures and danger tags used where appropriate?

  Yes

  No

  N/A

• Corrective Action Required

• 19.8 Earth leakage devices used?

  Yes

  No

  N/A

• Corrective Action Required

• 19.9 Start/Stop switches clearly identified?

  Yes

  No

  N/A

• Corrective Action Required

• 19.10 Switchboards secured?

  Yes

  No

  N/A

• Corrective Action Required

• 19.11 Visible signs of vermin?

  Yes

  No

  NA

• Corrective Action Required

20.0 JSEA & Job Start

• 20.1 JSEA / Permits / Take 5 available and being completed?

  Yes

  No

  N/A

• Corrective Action Required

21.0 Lifting Equipment

• 21.1 All portable lifting equipment tested and tagged?

  Yes

  No

  N/A

• Corrective Action Required

22.0 Confined Spaces

• 22.1 Confined Space Permits completed correctly?

  Yes

  No

  N/A

• Corrective Action Required

23.0 Pits and Manholes

• 23.1 Correct signage in place?

  Yes

  No

  N/A

• Corrective Action Required

• 23.2 Pit or Manhole structurally sound?

  Yes

  No

  N/A

• Corrective Action Required

• 23.3 Covers & lids in good condition?

  Yes

  No

  N/A

• Corrective Action Required

• 23.4 Covers & lids prevent unauthorised access to pit or manhole?

  Yes

  No

  N/A

• Corrective Action Required

• 23.5 Free of pests & vermin?

  Yes

  No

  N/A

• Corrective Action Required

• 23.6 Ventilation adequate for normal operations?

  Yes

  No

  N/A

• Corrective Action Required

• 23.7 Ventilation sufficient to prevent asset damage?

  Yes

  No

  N/A

• Corrective Action Required

24.0 Pumps

• 24.1 Leaks?

  Yes

  No

  NA

• Corrective Action Required

• 24.2 Are pumps in good operating order?

  Yes

  No

  N/A

• Corrective Action Required

25.0 Storage Tanks ,Basins & pits

• 25.1 Adequate barriers, guard rails & signage to prevent falling?

  Yes

  No

  N/A

• Corrective Action Required

• 25.2 Non-slip walkways fitted to floating basin covers?

  Yes

  No

  N/A

• Corrective Action Required

• 25.3 Tank or basin in good condition?

  Yes

  No

  N/A

• Corrective Action Required

• 25.4 Covers & lids in good condition?

  Yes

  No

  N/A

• Corrective Action Required

• 25.5 Covers & lids prevent unauthorised access?

  Yes

  No

  N/A

• Corrective Action Required

• 25.6 Is it possible for a person to enter a storage pit without authorisation?

  Yes

  No

  NA

• Corrective Action Required

• 25.7 Storage freeboard level maintained to prevent over-topping?

  Yes

  No

  N/A

• Corrective Action Required

• 25.8 Observable signs of leakage or seepage?

  Yes

  No

  NA

• Corrective Action Required

• 25.9 Algae present in lagoon or basin?

  Yes

  No

  NA

• Has algae type been identified and risks communicated?

  Yes

  No

  N/A

• Any Further Action Required?

• Corrective Action Required

• 25.10 Potential damage to lagoon walls (e.g. erosion, vegetation)?

  Yes

  No

  NA

• Corrective Action Required

26.0 Exposure to raw sewerage/contaminated water

• 26.1 Is there potential for exposure to raw sewerage/contaminated water?

  Yes

  No

  NA

• Corrective Action Required

27.0 Damage to Assets

• 27.1 Is there potential for accidental/deliberate damage to assets?

  Yes

  No

  NA

• Corrective Action Required

28.0 Structural Integrity of Building

• 28.1 Can the structural condition of buildings contribute to a hazard?

  Yes

  No

  NA

• Corrective Action Required

30.0 Extremes of Temperature

• 30.1 Can anyone come into contact with objects at high temperature?

  Yes

  No

  NA

• Corrective Action Required

• 30.2 Can anyone suffer ill health due to high or low temperature?

  Yes

  No

  NA

• Corrective Action Required

32.0 Environmental Management

• 32.1 Have there recently been uncontrolled discharges to the environment beyond the site boundary (e.g. odour, chemicals, water, wastes)?

  Yes

  No

  NA

• Have actions required been completed?

  Yes

  No

  N/A

• Further actions required?

• 32.2 Have there been any recent complaints regarding noise, odour, air emissions, water, waste?

  Yes

  No

  NA

• Have actions required been completed?

  Yes

  No

  N/A

• Further actions required?

• 32.3 Natural water bodies and lagoons fenced from access by livestock?

  Yes

  No

  N/A

• Corrective Action Required

• 32.4 Bank erosion or visible contamination of waterways?

  Yes

  No

  NA

• Corrective Action Required

• 32.5 Waste generated on-site transferred to a waste or recycling facility?

  Yes

  No

  N/A

• Corrective Action Required

• 32.6 Are portable monitoring devices being calibrated as required?

  Yes

  No

  N/A

• Corrective Action Required

Comments

Completed By:

• Add signature

  Sign