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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.