UFF Health and Safety Audit

• UltraFast Fibre Health and Safety Observation

• Is this an active or an inactive work site?

  This is an active site i.e. workers onsite.

  This is an inactive site i.e. No workers onsite.

• Who is the UFB Owner? Is It.....

  Select UFB 1 Build UFB 2 Build UFB Provisioning UFB 2+ Build

  • UFB 1 Build
  • UFB 2 Build
  • UFB Provisioning
  • UFB 2+ Build

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Onsite. Take a photo of the attendance register.

• Add media

  Media

Aerial Installations

• Is this an aerial installation

  Select Yes and the asset owner is... WEL Networks Waipa Networks Powerco Chorus Privately Owned N/A move onto the next question. No

  • Yes and the asset owner is...
  • WEL Networks
  • Waipa Networks
  • Powerco
  • Chorus
  • Privately Owned
  • N/A move onto the next question.
  • No

• Are Work Type Competencies (WTC) up-to-date for staff members engaged in the aerial install...

  Select Yes move on to the next question. No the WTC are out of date for the following reasons Awaiting a refresher course

  • Yes move on to the next question.
  • No the WTC are out of date for the following reasons
  • Awaiting a refresher course

• Please take a photo of the identification number or tag...

  Media

• Have all team members and visitors read, understood and signed onto the job start?

  Select Yes, Move to the next question. No, The reason for not signing onto the Job start was... N/A Move onto the next question.

  • Yes, Move to the next question.
  • No, The reason for not signing onto the Job start was...
  • N/A Move onto the next question.

• Upon entering the site have you noticed tasks or practices that can seriously harm the health or endanger the safety of the workers and others onsite?

  Select Yes, I will inform the Site Supervisor at the Site Induction. No, Move on to the next question. N/A, Move on to the next question.

  • Yes, I will inform the Site Supervisor at the Site Induction.
  • No, Move on to the next question.
  • N/A, Move on to the next question.

GENERAL SITE. Has the site been established correctly and are items safe and tidy?

• Are there critical risks with any of the tasks on this work site?

  Select Yes, The critical risks have been escalated to the appropriate authority for approval to carry on with the Task? Yes, An approval notice is required and this is the number... No, An approval notice,or number is not required. No, The reason for not escalating to the appropriate authority for approval is... No move onto the next question. N/A, Move onto the next question.

  • Yes, The critical risks have been escalated to the appropriate authority for approval to carry on with the Task?
  • Yes, An approval notice is required and this is the number...
  • No, An approval notice,or number is not required.
  • No, The reason for not escalating to the appropriate authority for approval is...
  • No move onto the next question.
  • N/A, Move onto the next question.

• Is the correct PPE being worn in accordance with the hazard and risk assessment and the JSA for the tasks onsite?

  Select Yes move to the next question. No, The reason for the deviation from the JSA / Risk Assessment is. N/A move to the next question.

  • Yes move to the next question.
  • No, The reason for the deviation from the JSA / Risk Assessment is.
  • N/A move to the next question.

• Are current utility plans onsite?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Have all underground services been located?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is the excavation permit accurate, complete, current and onsite?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

PUBLIC SAFETY. Are the following being used where appropriate?

• Are barriers and fences being used correctly and in good condition?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

EMERGENCY PLANNING. Are the following items of safety equipment available and checked?

• Are there emergency plans in place, for when things go wrong at this work site?

  Select Yes, We have considered and implemented an emergency plan for the following scenarios. No, I did not consider an emergency plan as. N/A move on to the next question. Fire Medical Electrical Gas Water Sewage Notifiable Work to worksafe

  • Yes, We have considered and implemented an emergency plan for the following scenarios.
  • No, I did not consider an emergency plan as.
  • N/A move on to the next question.
  • Fire
  • Medical
  • Electrical
  • Gas
  • Water
  • Sewage
  • Notifiable Work to worksafe

• Is the site able to call for emergency assistance e.g. Fire, police, ambulance utility services, worksafe, and your employer?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is there a suitable 1st aid kit onsite, complete and easily accessible in an emergency?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Are fire extinguishers present, test stamped, fully charged and easily accessible?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Do you know how to operate the fire extinguisher? Have you been trained in it's use?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is there a suitable spill kit onsite and is it complete?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Have all sections within the job start form been completed?

  Select Yes move to the next question. No, the reason for incomplete sections on the job start are. Time consuming Lack of understanding around... Lack of training Being able to read the words. Understanding technical words and phases.

  • Yes move to the next question.
  • No, the reason for incomplete sections on the job start are.
  • Time consuming
  • Lack of understanding around...
  • Lack of training
  • Being able to read the words.
  • Understanding technical words and phases.

• Has the site induction provided a clear understanding of how to mitigate the risks associated with this job site?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

TRAFFIC CONTROL. Have the following traffic control requirements been met?

• Is a TMP required for this site?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Are the approved TMP drawings onsite?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Has a traffic control checklist / audit been completed and recorded for this site?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

ENVIRONMENTAL WORK PRACTICES. Are all environmental issues been addressed?

• Are any leaks, spills or discharge from the site being controlled?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Has the sediment and erosion control measures been installed in accordance with erosion and sediment control guidelines?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is damage to grass areas and vegetation being minimized?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• When working near trees, are the correct procedures being followed?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is the worksite clean and free from clutter?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is waste material (rubbish) disposed/stored correctly?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

PLANT AND EQUIPMENT. Are the following current and certified?

• Is the drill rig fully fenced with a 1metre exclusion zone and earthed?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Have plant checks of drill rigs and excavators been completed in the last week?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Are tools and equipment stored safely?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Are all fuels and chemicals safely and securely stored?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Are the Material Safety Data Sheets (MSDS) onsite for all fuels and chemicals?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

ELECTRICAL EQUIPMENT. Are all electrical equipment tested / tagged and protection used when required

• Have all electrical tools and leads been tested and tagged in the last 6 months?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

• Is RCD protection being used when required?

  Select Yes move onto the next question. No but education in the following areas can be beneficial towards providing clearer understanding. Hazard Management Risk Management Effective Controls Monitoring N/A move onto the next question.

  • Yes move onto the next question.
  • No but education in the following areas can be beneficial towards providing clearer understanding.
  • Hazard Management
  • Risk Management
  • Effective Controls
  • Monitoring
  • N/A move onto the next question.

Concluding Comments. Ensure feedback is passed onto the team before leaving the work site, that the report is emailed to the appropriate personnel in your respective areas and any actions from the reports are verbally escalated immediately to staff onsite, Site Supervisors, the appropriate Managers, the appropriate Health & Safety teams and that these actions are followed up on and closed off in a timely manner.

• What positive attitudes and behaviours did you observe during this site visit

• What improvements are needed to ensure the Health and Safety of oneself, workers, other contractors, the public, machinery and tools at this worksite?

• Site Supervisor Name

  Sign

• Auditors Name

  Sign