Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
UEA Crew Name or Subcontractor
-
Job Number
General Site Safety
Mandatory Pre-start Requirements
-
Daily HAC or JSEA completed
-
Works to be conducted for the day is defined and communicated to work party
-
SWMS reviewed and signed
-
Mandatory PPE as defined by SWMS being worn by personnel
-
Toolbox Talk for site conditions completed
-
Take 5's conducted and completed
-
Emergency Evacuation Muster Point defined and relayed to all personnel
-
Drop Zones defined and marked with witches hats
-
Appropriate Traffic and Pedestrian Management in place supplemented with Traffic / Pedestrian Management Plan
-
RTA Road Occupancy License, Council Road Opening Permit and other legislative requirements in place and on-site
-
Relevant RTA Certificates of Competency held by traffic controllers
-
Works site is controlled and segregated from general public
-
Appropriate signage in place defining pedestrian and traffic access around work site
-
Slips, Trips and Fall hazards are segregated from general public
-
Construction material is stored in areas that do not cause obstruction to access or egress (including in case of emergency).
-
First aid kit is provided & trained First Aider allocated
-
Environmental controls in place as per Environmental Impact Assessment and UEA Environmental Management Plan
-
People on work site have been UEA inducted
Supply Authority Mandatory Requirements
-
Current copy of the Electrical Safety Rules on site
-
Standards for the works being conducted available on site
-
Personnel undertaking works have electrical passports with relevant training for the task and are authorised to work on the network
-
LV Rescue and / or Pole Top Rescue Kit checked and in place as required
PPE and Equipment Tested as per the regulation, industry guides and Australian Standards
-
Hard Hats are within 3 years of the date of issue (as per AS/NZ 1800)
-
EWP Insulation Tested within the last 12 months
-
Height Sticks Insulation Tested within the last 12 months
-
LV Rescue Gloves less than 5 years from manufacture
-
LV Working Gloves less than 3 years from manufacture
-
Fall Arrest Harnesses have been tested and tagged within the last 6 months
-
Electrical Testing equipment tested and calibrated
Moving Plant & Equipment
-
Daily inspection of plant and equipment completed and record exists.
-
Plant and equipment operator licence or certificate of competency sighted and on site.
-
Operators reversing are looking in direction of travel. Operators slow down or stop in places where pedestrians could be. Plant is driven safely (walking pace)
-
Machine reversing alarms and flashing lights are in place and operating correctly
-
Mobile phones not used whilst operating any plant.
-
Plant is left parked on level ground and keys are not left when unattended.
-
Maintenance carried out on plant as per manufacturer's schedule and records exist.
-
Lock out in place when conducting maintenance on plant and equipment.
-
Fire extinguisher available, tested and tagged within past 6 months
Manual Handling
-
People not twisting while lifting loads.
-
People not lifting awkward loads alone (that is, use of team lifts).
-
People bending knees when lifting.
-
People using mechanical aids (e.g., trolleys, etc) when one is able to be used.
Work at Heights
-
Person on the ladder is facing task to be performed and is working within easy reach of the work.
-
Ladders are not used to work from when a person could fall 1.8 metres or more (eg, like next to penetrations) unless 1 metre back from edge for every 1 metre of height on the ladder.
-
People are not stepping above third highest rung and have 3 points of contact (2 feet and one hand, or 2 hands and 1 foot) during going up or coming down the ladder.
-
Person on ladders is carrying tools and equipment in a belt or bag or use a hand lanyard.
-
Builders or extension ladders are securely fixed at top.
-
Ladders are rated for max 120 kg, industrial strength, are fully open (& locked) and in good working order.
-
Electricians when required use fibreglass ladders only.
Work Near Overhead Power Lines
-
Minimum distance is maintained to overhead powerlines. Voltage up to 132kV - min 3m, 132 to 330kV - min 6m, Greater than 330kV - min 8m. Advisory stickers in Plant.
-
Plant is operated by 'ticketed' person.
-
The area of overhead power line is barricaded and/or an observer is used for all work near overhead power lines.
-
Network assets are in a condition to allow work to commence
SMR Crew Assessment
-
PPE worn as per SWMS
-
Tasks allocated and identified as per roles and responsibilites
-
Coloured brims assigned as per work roles
-
Communication channels established and adequate
-
Daily role rotations established
SMR Groundie
-
No other tasks to be done while watching EWP Operator
-
Communicating well with EWP Operator
-
Worksite kept clean and footpaths kept clear
-
Controls dropzone and immediate worksite
SMR Cat 3
-
Was a Pre Work inspection on the structure performed prior to working aloft?
-
Is a Safety Observer in place for the EWP
-
Rubber mats installed on any conductors and earthed situations within clearances
-
All test equipment calibrated, in date and used according to specifications
-
Services raised and tensioned to approved procedures and standards
-
Worksite clean up after work has been completed
SMR Cat 4
-
Is a LV Rescue Kit located for immediate use
-
P2 mask worn on approach to suspect asbestos panels
-
Proximity test of switchboard surround completed
-
Pole top rescue kit in place for work above 2m
-
Ladders lashed at top to POA
-
Harness worn when working over 2m
-
Pole strap used to appropriate fixing point when working over 2m
-
All test equipment calibrated, in date and used according to specifications
-
Worksite clean up after work has been completed
Environment
-
Controls specified in EMP are complied with.
-
Spill kit available to contain the amount of substances on site.
Chemicals (Hazardous Substances)
-
MSDSs (not older than 5 years) available on site for all substances stored or in use.
-
Register of Hazardous Substances kept on site.
-
All substances are left in their original containers and are clearly labelled (with risk and safety phrases).
-
Flammable substances are more than 3 metres away from sources of ignition (eg, welding) and fire extinguisher inspected within last 6 months (with complying tag) is available nearby (within 10 metres).
-
Dangerous Goods are stored in bunded areas and appropriately segregated.
Sharp Edges
-
Guarding fitted on saws and other tools.
-
Gloves used on sharp or rough objects.
Falling Objects - Material Storage
-
Materials are securely stacked so as not to fall or be easily dislodged. Materials are stored in a stable condition (eg, on the base rather than upright position).
-
Adequate access is maintained around stored material for emergencies.
-
No sharp or rough edges are to protrude into any walkway.
Document Box
-
Copy of all personnel tickets available
-
Copy of current insurance policies/COC's checked and in date?
-
Test and tag register up to date?
-
WHS Management Plan in date?
-
Environmental Management Plan in date?
-
Plant & vehicle logbooks being completed daily
-
All SWMS signed and in date?
-
Current version of ITP signed and in date?
Electricity
-
RCDs have been tagged and records exist for testing within the last 3 months.
-
Electrical leads and tools have been tested and tagged within the last month.
-
Electrical leads are protected from mechanical damage and elevated accordingly.
-
No obvious sign of damage to any lead or tool.
Lifting
-
All equipment & attachments being used are marked with SWL and are being used within their SWL.
-
Daily inspection of lifting equipment (e.g., crane, chains, slings, etc) completed and record exists.
-
Lifting chains and shackles have annual test exam certificate and tagged accordingly.
-
Suspended load is under the control of a Dogman (if required).
-
Crane operator and dogman licence or certificate of competency sighted and on site.
-
Exclusion zones are established around drop zone. People not underneath suspended loads (for any purpose).
-
Maintenance carried out on lifting equipment (e.g., crane) as per manufacturer's schedule and records exist.
-
Comments and Corrective Actions
-
Auditor Signature
-
Crew Leader Signature