TORK SDU/ROW SITE AUDIT CHECKLIST

• Conducted on

  Date

• Prepared by

• Take 5 has been filled

  Yes

  No

  N/A

• Hazard has been identified/discussed

  Yes

  No

  N/A

• Do you have all proper tools for the work ?<br>

  Yes

  No

  N/A

• All Crew member has appropriate trainings

  Yes

  No

  N/A

• Job has been discussed in the team ?

  Yes

  No

  N/A

• If more than 2 Crew members

  Yes

  No

  N/A

• Pre Start has been filled

  Yes

  No

  N/A

• She form has been filled

  Yes

  No

  N/A

SHE/TMP

• All safety measure are implemented

  Yes

  No

  N/A

• Add pictures

  Media

• 3 Safety measure are implemented

  Yes

  No

  N/A

• Add pictures

  Media

• Proper TMP has been placed

  Yes

  No

  N/A

• Add pictures

  Media

• If Trenching involve ISB, utility service has been identified

  Yes

  No

  N/A

OSB Task

• OBS plan obtained

  Yes

  No

  N/A

• Add photos

  Media

• MAD

  Yes

  No

  N/A

• Add photos

  Media

• Utility service plan has been obtained

  Yes

  No

  N/A

• TMP is placed

  Yes

  No

  N/A

• Add photos

  Media

• 1.2m pedestrian corridor has been considered on the footpath

  Yes

  No

  N/A

• Restricted poles have been identified ?

  Yes

  No

  N/A

• Add photos

  Media

Site check after Completion Job

• All the fibre waste has removed

  Yes

  No

  N/A

• Dust from hole has cleared

  Yes

  No

  N/A

• All standard has been followed

  Yes

  No

  N/A

• Reinstatement has done properly

  Yes

  No

  N/A

• Before and after work photos has been taken

  Yes

  No

  N/A