Test Site Construction Audit

• Subdivision Name

• Stage

• Reeds Project Number

• Conducted on

  Date

• Prepared By

  Frank Mendolia

  Haydon Day

• Form: fun oh

• Weather

  Fine

  Overcast

  Rain

  Windy

  Other (Specify)

• Site Conditions

  Wet

  Dry

  Muddy

  Dusty

• Type of Audit?

  Select Road & Drainage Sewer Water & Recycled Water

  • Road & Drainage
  • Sewer
  • Water & Recycled Water
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• Are current plans onsite?

  Yes

  No

  N/A

Road & Drainage

• Tree Clearing
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• %Complete

• Comments

• Stripping
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• % Complete

• Comments

• Bulk Earthworks
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• % Complete

• Comments

• Boxing
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• % Complete

• Comments

• Drainage
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• % Complete

• Comments

• Pits
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• % Complete

• Comments

• Subgrade Improvement
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• % Complete

• Comments

• Subsoil Drains
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• % Complete

• Comments

• Sub Base FCR
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• % Complete

• Comments

• Upper Sub Base FCR
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• % Complete

• Comments

• Base FCR
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• % Complete

• Comments

• Asphalt
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• % Complete

• Comments

• Conduits (Road Crossings)
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• % Complete

• Comments

• House Drains
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• % Complete

• Comments

• Electrical Works
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• % Complete

• Comments

• Telstra Works
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• % Complete

• Comments

• Kerb & Channel
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• % Complete

• Comments

• Footpath
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• % Complete

• Comments

• Crossings
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• % Complete

• Comments

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Sewer

• Retail Water Authority

  South East Water

  City West Water

  Yarra Valley Water

• Retail Water Authority Project Number:

• Contractor

  FH

  Mooroolbark

1. Protection of People, Property & Environment

• 1.01. Trenching Operations (Benching & Shields) - Cl13.5

  Safe

  At Risk

  N/A

• 1.02. Site Plant & Equipment

  Safe

  At Risk

  N/A

• 1.03. Helmets if appropriate

  Safe

  At Risk

  N/A

• 1.04. steel capped Boots

  Safe

  At Risk

  N/A

• 1.05. Safety Vests

  Safe

  At Risk

  N/A

• 1.06. Parawebbing of Non Working Open Trenches

  Safe

  At Risk

  N/A

• 1.07. Egress From Site - Traffic Control?

  Safe

  At Risk

  N/A

2. Materials Inspection

• 2.01. Storage and Handling of Materials

  Yes

  No

  N/A

• 2.02. Materials and Products Meet Authorised Purchase Specification

  Yes

  No

  N/A

• 2.03. Delivery Inspection of Products and Materials

  Yes

  No

  N/A

• 2.04. Are current plans /specifications onsite

  Yes

  No

  N/A

3. Excavations

• 3.01. Visual Inspection of Survey Set Out

  Yes

  No

  N/A

• 3.02. Shoring, Benching, Battering

  Safe

  At Risk

  N/A

• 3.03. Excavation Tolerances

  Yes

  No

  N/A

• 3.04. De-watering, Bulkheads & Trench Drainage

  Yes

  No

  N/A

• 3.05. Blasting Compliance

  Yes

  No

  N/A

• 3.06. Foundation Improvement Required

  Yes

  No

  N/A

• 3.07. Stockpiling of Excavated Material

  Safe

  At Risk

  N/A

4. Installation of Pipelines

• 4.01. Accredited Main Layer on site

  Yes

  No

  N/A

• 4.02. Trench Floor Preparation & Bedding Placement

  Yes

  No

  N/A

• 4.03. Pipe Jointing - Cleaning, Inspection, and Preparation

  Yes

  No

  N/A

• 4.04. Pipe Laying to Required Line and level

  Yes

  No

  N/A

• 4.05. Property Connection Sewers & Marker Tape to standard

  Yes

  No

  N/A

• 4.06. Trenchfill: Approved Material Only & Layered

  Yes

  No

  N/A

• 4.07. Compaction to Standard

  Yes

  No

  N/A

5. Structures

• 5.01. Pre Cast Conforming - Dimensions, Cover, Frame, Collar/Taper

  Yes

  No

  N/A

• 5.02. In Situ Conforming - Dimensions, Cover & Frame

  Yes

  No

  N/A

• 5.03. Shaft Assembled with Steps and & Spacing Correct

  Yes

  No

  N/A

• 5.04. Sealant, Make Up Rings 7 Lids to Standard

  Yes

  No

  N/A

• 5.05. Concrete Type to Specification

  Yes

  No

  N/A

6.0 Connection to Existing Manholes

• 6.01. All Relevant QA Documentation Previously Provided

  Yes

  No

  N/A

• 6.02. Approved Personnel Conducting Works

  Yes

  No

  N/A

• 6.03. OH&S Requirements are being met - copy of Live Entry Permit on site - Entry No. and Expiry Date & Time

  Yes

  No

  N/A

• 6.04. Connection to Live Sewer - Existing Junction / Cut in Junction

  Yes

  No

  N/A

7. Practical Completion Inspection

• 7.01. Site Cleared and Restored

  Yes

  No

  N/A
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Water

• Retail Authority

  Yes

  No

  N/A

• Retail Water Authority Project Number

• Contractor

  Yes

  No

  N/A

1. Protection of People, Property and Environment

• 1.01. Trenching Operations (Benching & Shields)

  Safe

  At Risk

  N/A

• 1.02. Helmets

  Safe

  At Risk

  N/A

• 1.03. Steel Capped Boots

  Safe

  At Risk

  N/A

• 1.04 Safety Vests

  Safe

  At Risk

  N/A

• 1.05. Parawebbing of Non Working Open Trenches

  Safe

  At Risk

  N/A

• 1.06. Egress From Site - Traffic Control?

  Safe

  At Risk

  N/A

2. Product and Materials

• 2.01. Transportation, Handling and Storage of Products and Materials

  Safe

  At Risk

  N/A

• 2.02. Materials and Products Meet Authorised Purchase Specification and Plan Requirements

  Safe

  At Risk

  N/A

• 2.03. Delivery Inspection of Products and Materials

  Safe

  At Risk

  N/A

• 2.04. Current Plan on Site / Specification on Site

  Safe

  At Risk

  N/A

3. Excavations

• 3.01. Visual Inspection of Survey Set Out

  Safe

  At Risk

  N/A

• 3.02. Shoring, Benching

  Safe

  At Risk

  N/A

• 3.03. Excavation Tolerances / Excessive Excavation Treatment

  Safe

  At Risk

  N/A

• 3.03(ii). Trenchless Excavation

  Safe

  At Risk

  N/A

• 3.04. De-Watering Drainage

  Safe

  At Risk

  N/A

• 3.05. Blasting Compliance

  Safe

  At Risk

  N/A

• 3.06. Foundation Improvement

  Safe

  At Risk

  N/A

• 3.07. Stockpiling of Excavated Material

  Safe

  At Risk

  N/A

4. Installation of Pipelines

• 4.01. Accredited Main Layer on Site

  Safe

  At Risk

  N/A

• 4.02. Trench Floor Preparation & Bedding Placement

  Safe

  At Risk

  N/A

• 4.03. Pipe Jointing - Cleaning, Inspection, and Preparation

  Safe

  At Risk

  N/A

• 4.04. Pipe Laying to Required Line and Level

  Safe

  At Risk

  N/A

• 4.05. Thrust Restraints and Anchor Blocks

  Safe

  At Risk

  N/A

• 4.06. Valves, hydrants & Surface Fittings Installed

  Safe

  At Risk

  N/A

• 4.07. Marking Tapes

  Safe

  At Risk

  N/A

• 4.08. Water Tapping Bands Aligned Correctly

  Safe

  At Risk

  N/A

• 4.09. Trench fill Approved Material Only & Layered

  Safe

  At Risk

  N/A

• 4.09(ii). Trenchless Excavations fill

  Safe

  At Risk

  N/A

• 4.10. Compaction to Standard

  Safe

  At Risk

  N/A

5. Acceptance Testing

• 5.01. Chlorination/Swabbing – As Marked Up on Attached Plan

  Safe

  At Risk

  N/A

• 5.02. Pressure Testing – As marked Up on Attached Plan

  Safe

  At Risk

  N/A

• 5.03. Visual Inspection

  Safe

  At Risk

  N/A

6. Connection to Existing Watermain

• 6.01. All Relevant QA Documentation Previously Provided

  Safe

  At Risk

  N/A

• 6.02. Accredited Personnel Conducting Works

  Safe

  At Risk

  N/A

• 6.03. Under Pressure Connections

  Safe

  At Risk

  N/A

7. Practical Completion Inspection

• 7.01. Site Cleared and Restored

  Safe

  At Risk

  N/A

• Project:

• Job No:

• Contractor:

• Sub-Contractor

• Date:

  Date

• Time:

  Date

• Site Conditions:

  Select Fine Overcast Rain Windy Other (Specify)

  • Fine
  • Overcast
  • Rain
  • Windy
  • Other (Specify)

• Other: (Specify):

• Road and Drainage Progress:

• Water Reticulation Progress:

• Sewer Reticulation Progress:

• Main Drainage Progress:

Occupational Health and Safety

• General:

  Select Safety Vest Helmets Eye Protection Hearing Protection Boots Other

  • Safety Vest
  • Helmets
  • Eye Protection
  • Hearing Protection
  • Boots
  • Other

• Other: (Specify):

• Live Entry Works

  Select Confined Space Entry Permits Pit Covers/Falls Prevention Grate

  • Confined Space Entry Permits
  • Pit Covers/Falls Prevention Grate

• Trenching:

  Select Trenching Open Benching of Trench Shields/Timbers Fencing/Para-Web Around Trenching

  • Trenching Open
  • Benching of Trench
  • Shields/Timbers
  • Fencing/Para-Web Around Trenching

• Traffic Management

  Select Signs/Control Mud on Road Dusty

  • Signs/Control
  • Mud on Road
  • Dusty

• Other Comments:

Environmental

• Pollution:

  Select Dust Control Sediment Control Noise Abatement Measures Waste Management

  • Dust Control
  • Sediment Control
  • Noise Abatement Measures
  • Waste Management

• Significant Flora/Fauna/Cultural:

  Select Protection/Fencing Fuel/Chemical Storage Current Plans/Other Relevant Documents Onsite

  • Protection/Fencing
  • Fuel/Chemical Storage
  • Current Plans/Other Relevant Documents Onsite

• Other: (Specify):

• Comments:

Safety Checklist: To be provided by Contractor prior to release of Progress Payment.

• Copy of Contractors Safety Checklists provided or acknowledge that works adheres to OHS Act 2004:

  Yes

  No

  N/A

• Comments:

• Report By:

Site Hazard/Risk Identification & Action

• Image of Hazard Legend

Possible Hazards/Risks & Work Instructions

• Ultra Violet Rays

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Is the Hazard Controlled?

  Yes

  No

  N/A

• Comment:

• Extreme Weather

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Traffic Movement/Control

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Construction Vehicles, Equipment, Machinery

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Working in or near excavations

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Remote Work

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Working near Railway

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Objects falling from above

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Needles/Syringes

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Working with lasers

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Heights and Falls

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Manual Handling

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Noise

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Snakes, Spiders, Insects

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• High/Long Grass

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Overhead Power Lines

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Lifting Pit Lids Falls Protection Grate (FPG)

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Confined Spaces

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Wet/Slippery Conditions

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Dogs/Dangerous Animals

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Fencing

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Watercourses/Open Drains

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Over Hanging Trees

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Contaminated Soil

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Hazard Atmosphere

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• Hazard Chemicals

  Select Fatality Permanent Disability Lost Time Injury Medical Treatment Minor Injury

  • Fatality
  • Permanent Disability
  • Lost Time Injury
  • Medical Treatment
  • Minor Injury

• I/We confirm that prior to commencement of work on site I/We have conducted a hazard/risk assessment and will follow all procedures and will tale all appropriate action to ensure SAFE WORK PRACTICES.

• Engineer Name/s:

• Date:

  Date

• Signature/s:

  Sign

• DO NOT PLACE YOURSELF OR OTHERS IN A DANGEROUS SITUATION