Transmission And Distribution Site Safety Observation

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Note* Where possible rectify the Hazard upon identification, if not possible barricade or lock/tag out the area and notify the surrounding personnel

GENERAL

• Is the workplace clean and tidy? (including vehicle cabins, tool boxes and truck trays)?

  Yes

  No

  N/A

• Is there easy access to fire fighting equipment?

  Yes

  No

  N/A

• Are First Aid kits accessible? Are qualified first aiders easily identifiable?

  Yes

  No

  N/A

Drop Zones and Earthing

• Have drop zones been adequately cordoned off to ensure workers do not breach (I.e. Tap to stop entry)?

  Yes

  No

  N/A

• Are all workers observing and complying with the drop zones?

  Yes

  No

  N/A

• Are all earths compliant and visible to the operators?

  Yes

  No

  N/A

Tools

• Are all tools in good working order and tagged as required?

  Yes

  No

  N/A

• Are vehicle chicks in use as appropriate?

  Yes

  No

  N/A

• Are outrigger feet in a secure and where possible horizontal position ensuring the vehicle can not move?

  Yes

  No

  N/A

COMPRESSED GASES

• Are bottles stored upright and secured?

  Yes

  No

  N/A

• Are compressed air hoses secured with pins / chains?

  Yes

  No

  N/A

PLANT, EQUIPMENT & VEHICLES

• Are all plant / trucks fitted with functioning reversing alarms?

  Yes

  No

  N/A

• Are equipment operators licenced and competent to operate the plant / equipment?

  Yes

  No

  N/A

• Are all vehicles in good working order, registered to the relevant state (note any obvious damage)?

  Yes

  No

  N/A

• Have all operators and associated workers been trained in the requirements of the CSC Traffic?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Is eye protection, hard hats, etc. worn when necessary?

  Yes

  No

  N/A

• Has appropriate clothing been supplied?

  Yes

  No

  N/A

• Are appropriate gloves provided to protect hands?

  Yes

  No

  N/A

• Is hearing protection worn when necessary? (In general, if you need to raise your voice to communicate then hearing protection is probably required)

  Yes

  No

  N/A

• Is SPF15+ sunscreen, wide hard hat brims, etc. provided for personnel exposed to the sun?

  Yes

  No

  N/A

EXCAVATION WORK

• Are sides of excavations (>2 metres) benched, battered, shored or otherwise made safe?

  Yes

  No

  N/A

• Is safe access available into and out of excavations?

  Yes

  No

  N/A

• Are excavations adequately barricaded / fenced?

  Yes

  No

  N/A

• Has the area been checked for buried services?

  Yes

  No

  N/A

JSA

• Has the JSA identified all relevant risk specific to the task?

  Yes

  No

  N/A

• Have all workers signed onto the JSA?

  Yes

  No

  N/A

COMMENTS / CORRECTIVE ACTION REQUIRED

Comments

• Yes

  No

  N/A

Corrective Actions

• Yes

  No

  N/A

• To be signed off by the relevant workplace supervisor

  Sign

• To be signed of by the Executive conducting the Safety Walk

  Sign

• Select date

  Date

Note* This form is an IPad version of the Executive Site Safety Walk Checklist TP-H&S-CL-001