UE NBN Worksite Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Region

  North

  South

• Contractor/s

• Job Description

• Date

  Date

• Time

  Date

1. Site Risk Management

• Is a relevant SWMS available and a Site Risk Assessment (JSA) completed for the work?

  Yes

  No

  N/A

• Has the JSA been signed and dated daily and the SWMS identified?

  Yes

  No

  N/A

• Have sub-contractors (e.g. Traffic Management) been inducted onto the site and signed onto the JSA?

  Yes

  No

  N/A

• Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?

  Yes

  No

  N/A

• Overall, is the JSA adequate for the worksite?

  Yes

  No

  N/A

2. Traffic Management

• Has the Traffic/Pedestrian Management Plan been identified/created and available on site and documented on the JSA?

  Yes

  No

  N/A

• Is the Traffic Management adequate?

  Yes

  No

  N/A

3. Personnel Protective Equipment

• Is approved PPE clothing worn and is wrist to ankle coverage maintained?

  Yes

  No

  N/A

• Is approved safety footwear worn?

  Yes

  No

  N/A

• Is other appropriate PPE utilised and in good condition? (e.g. hard hats, hearing and eye protection)?

  Yes

  No

  N/A

4. Forms/Documentation

• Is there a job file available on site?

  Yes

  No

  N/A

• Does the job file contain a daily job sheet / work instruction?

  Yes

  No

  N/A

• Does the job file contain design drawings?

  Yes

  No

  N/A

• Does the job file contain an Application for EAP / HV Suppression?

  Yes

  No

  N/A

5. Skills and Competency

• Do all personnel have current training according to VESI standards?

  Yes

  No

  N/A

• Is all training current for the functional role of the worker?

  Yes

  No

  N/A

6. Vehicles/Plant

• Are all plant operators licensed as required?

  Yes

  No

  N/A

• Are EWPs within the electrical test due date?

  Yes

  No

  N/A

• Are EWPs within the weight test due date?

  Yes

  No

  N/A

• Is there appropriate identification on contractor vehicles?

  Yes

  No

  N/A

7. First Aid

• Is there an intact First Aid kit?

  Yes

  No

  N/A

• Is the kits location marked on the vehicle?

  Yes

  No

  N/A

• Do the contents appear to be complete, in good condition and within expiry dates

  Yes

  No

  N/A

8. Tools and Equipment: Testing and Condition

• Are all electrical tools and PETE items within their test date range?

  Yes

  No

  N/A

• Is all electrical test and measurement equipment in test date?

  Yes

  No

  N/A

• Is lifting tackle in test date?

  Yes

  No

  N/A

9. Environment and Hazardous Goods

• Are there any control measures to manage spills and leaks? (e.g. spill kit)

  Yes

  No

  N/A

10. Working at Heights

• Is the correct fall prevention equipment used?

  Yes

  No

  N/A

• Are harnesses, pole belts, lanyards and any other fall prevention equipment in test date?

  Yes

  No

  N/A

• Are Rescue Kits available, in test and in position?

  Yes

  No

  N/A

• Are ladders in use in an adequate condition?

  Yes

  No

  N/A

• Are ladders in use setup correctly?

  Yes

  No

  N/A

11. Worksite/Work Practices

• Effective Safety Observers in place?

  Yes

  No

  N/A

• Adequate cover utilised? (e.g. mats, LV covers, etc.)

  Yes

  No

  N/A

• Plant and equipment appropriately set up? (e.g. trucks earthed / bonded, trailing earth, outriggers in use, etc.)

  Yes

  No

  N/A

• Are Safe Approach Distances maintained?

  Yes

  No

  N/A

• Is the site tidy with no obvious tripping or other hazards?

  Yes

  No

  N/A

• Comments

• Overall Audit Rating

  Select 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10

  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 3.5
  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 7.5
  • 8
  • 8.5
  • 9
  • 9.5
  • 10