Information

  • Document No.

  • Company Name:

  • ConSol Number:

  • Auditee's Name:

  • Audit Location:

  • Location
  • Conducted on

  • Auditor's Name:

  • Vehicle Registration Number:

1.0 Personal Protective Equipment (PPE)

  • 1.1. Safety Boots (steel capped) X 2?

  • 1.2. Riggers Gloves?

  • 1.3. Safety Helmet / Hard Hat? (3 years from manufacture date)?

  • Expiry date?

  • 1.4. Safety Helmet / Harness? (2 years from manufacture date)?

  • Expiry date?

  • 1.5. Safety Glasses (AS stamped AS 1891)?

  • 1.6. Wide. Brimmed hat?

  • 1.7. Hearing Protection - General purpose ear muffs?

  • 1.8. High Visibility Safety Vest?

  • 1.9. Full Body Harness? (within 10 years)

  • 1.9.1. Serial Number

  • 1.9.2. Expiry date

  • 1.10. Pole Strap? (within 10 years)

  • 1.10.1. Serial Number

  • 1.10.2. Expiry date

  • 1.11. Safety rope?

  • 1.12. LVIV Rubber Gloves 650V (Electrical)

  • 1.12.1. Expiry Date (12 months from stamped date on glove)

  • 1.13. P2 masks available (asbestos work)?

  • 1.14. Disposable coveralls for asbestos work?

  • 1.15. Long sleeved high visibility UV protective clothing available including long pants?

2.0 Gas Detection

  • 2.1. Gas Detector - 4 sensors?

  • 2.1.1. Serial Number

  • 2.1.2. Expiry date for calibration certificate

3.0 First Aid

  • 3.1. First Aid Kit (Approved Marking +) meets Model Code of Practice contents?

  • 3.2. Signage on Vehicle to indicate location of First Aid Kit?

  • 3.3. Contents within expiry date?

  • 3.3.1. Expiry Date of Eye wash

  • 3.4. Is there evidence of an annual inspects of first aid kit (i.e. sticker)

4.0 Licences and Accreditation

  • 4.1. ISGM letter of Introduction Issued?

  • 4.1.1. Date of issue

  • 4.2. Drivers Licence? (current and relevant for applicable vehicle)

  • 4.2.1. Drivers Licence number?

  • 4.2.2. Drivers Licence Expiry Date

  • 4.3. Plant licence or accreditation

  • 4.3.1. Date of Licence or letter of accreditation

  • 4.4. Power Awareness Card? (For prisons working within 3m restricted zone to .5m no go zone)

  • 4.4.1. Power Awareness Card number?

  • 4.4.2. Power Awareness Card Expiry Date

  • 4.5. Telstra Accreditation manholes/poles/ladders (or similar)?

  • 4.5.1. Telstra Accreditation manholes/poles/ladders (or similar) Expiry Date

  • 4.6. Construction Induction Card?

  • 4.6.1. Construction Induction Card number?

  • 4.6.2. Construction Induction Card Issue Date

  • 4.7. First Aid Trained?

  • 4.7.1. First Aid training Expiry Date

5.0 Vehicle Inspection

  • 5.1. Make?

  • 5.2. Model?

  • 5.3. Registered?

  • 5.3.1. Registration Number?

  • 5.3.2. Registration Expires?

  • 5.4. Colour of Vehicle

  • 5.5. Lights - Check operation of brake, indicator and reversing lights. All operational?

  • 5.6. Cargo Barrier Installed?

  • 5.7. Vehicle in good condition - free of damage?

  • 5.8. Windscreen condition OK, no chips or cracks?

  • 5.9. Vented gas safe storage adequate?

  • 5.10. Open tray vehicles gas. Containers stored upright and secured?

  • 5.11. Ladders secured effectively?

6.0 Safety Equipment

  • 6.1. Sharps kit available?

  • 6.2. Rubber Mat electrical 650V rated?

  • 6.3. Manhole Guards (minimum 1x full set)?

  • 6.4. Reflective cones / witches hats x 6 (450mm)?

  • 6.5. Road Safety Sign ('Workman Ahead')?

  • 6.6. Road Safety Pedestrian Sign ('Pedestrians with arrow' left and right arrow)?

  • 6.7. Safety Sign ('Asbestos Removal in Progress' or similar)?

  • 6.8. 240v Electrical Leads and tools (6 monthly test and tagged)?

  • 6.8.1. Date Next Test Due

  • 6.9. RCD Tested if 240v tools or leads carried?

  • 6.9.1. Date Next RCD Test Due

  • 6.10. Lock Out Tags available?

  • 6.11. Fire Blanket available?

  • 6.12. Fire Extinguisher (2kg) available (and in date)?

  • 6.12.1. Next Test Date for Fire Extinguisher (tested every 6 months)

  • 6.13. Equipotential Bonding Straps available (HFC work only)?

  • 6.14. Pole bag available?

  • 6.15. Insulated Rods and Reel available? (For Pre-pro, BCIMs and Jointers only)

  • 6.16. Insulated 'fishing' device available? (For Pre-pros, BCIMs and Jointers)

  • 6.17. Test Set no.2 (insulated clips) available, with working buzzer and flashing light (cable work)?

  • 6.18. Industrial Fibreglass Extension Ladder available and in good condition?

  • 6.19. Industrial Fibreglass Step Ladder available and in good condition?

  • 6.20. Gas Bottle LPG 1kg in good condition?

  • 6.20.1. Testing date for bottle (Bottles to be tested every 10 years)

  • 6.21. Gas regulator, hand piece, burner, neck tube all in good condition?

  • 6.22. Hose for gas bottle longer than 10 metres?

  • 6.23. Insulated Screwdriver available?

  • 6.24. Wooden/Fibreglass handled crowbar available?

  • 6.25. Long Handled ( Wooden/Fibreglass) Shovel available?

  • 6.26. Torch available?

  • 6.27. Seal breaker available?

  • 6.28. Pit Key - size appropriate?

  • 6.29. Cable Locator?

7.0 Documentation

  • 7.1. Safety Management Plan

  • 7.2. Site Safety Rules

  • 7.3. Working Access to Relevant Safe Work Method Statements (SWMS)

  • 7.4. Copies of Relevant Daily JSEA form, if required

  • 7.5. Safety Data Sheets (SDS) for all chemicals carried

  • 7.6. Emergency Contact List

  • 7.7. DBYD site plans and statement

  • 7.8. Traffic Control Plans

BRIEF DESCRIPTION OF NON CONFORMANCE ISSUES

  • NON CONFORMANCE ISSUE 1.0

  • NON CONFORMANCE ISSUE 2.0

  • NON CONFORMANCE ISSUE 3.0

  • NON CONFORMANCE ISSUE 4.0

  • NON CONFORMANCE ISSUE 5.0

  • NON CONFORMANCE ISSUE 6.0

  • NON CONFORMANCE ISSUE 7.0

  • NON CONFORMANCE ISSUE 8.0

  • NON CONFORMANCE ISSUE 9.0

  • NON CONFORMANCE ISSUE 10.0

Sign Off

  • Contractor's Signature

  • Reviewer's Signature

  • Version Number 0.1 Dated 16 January 2013

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