VEMCO CONSTRUCTION - Site Behavior Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

All Sites ( Life Saving Safety Rules )

• Safe Approach Distances

  Safe

  At Risk

  N/A

• Working at Heights

  Safe

  At Risk

  N/A

• JRA / JSA

  Safe

  At Risk

  N/A

• P.P.E

  Safe

  At Risk

  N/A

• Traffic Control

  Safe

  At Risk

  N/A

• Position of Vehicle

  Safe

  At Risk

  N/A

• Slips/Trips and Falls Hazards

  Safe

  At Risk

  N/A

• Manual Handling

  Safe

  At Risk

  N/A

• Licence Authorisation

  Safe

  At Risk

  N/A

Driving Activities

• Safe Following Distances

  Safe

  At Risk

  N/A

• Intersections

  Safe

  At Risk

  N/A

• Indicating

  Safe

  At Risk

  N/A

• Speed

  Safe

  At Risk

  N/A

• Backing up

  Safe

  At Risk

  N/A

EWP Activities

• EWP setup

  Safe

  At Risk

  N/A

• Observer in place

  Safe

  At Risk

  N/A

• Communication

  Safe

  At Risk

  N/A

• Drop Zone

  Safe

  At Risk

  N/A

• Move, Don't Reach

  Safe

  At Risk

  N/A

Linesman Activities

• Conductor Inspection

  Safe

  At Risk

  N/A

• Working off Ladders

  Safe

  At Risk

  N/A

• Live Line HV

  Safe

  At Risk

  N/A

• Live Line LV

  Safe

  At Risk

  N/A

• Working Under EAP

  Safe

  At Risk

  N/A

• Working Outside Angle

  Safe

  At Risk

  N/A

• Crane Borer

  Safe

  At Risk

  N/A

• Hydraulic Pole Jack

  Yes

  No

  N/A

Comments

Non-Conformances / Improvements

• Responsible Person

  Select Scott Martin Juan Pino Brad Sydenham Chris Westman Craig Timbrell Rob Owen Graeme Vernon Colin McDermott

  • Scott Martin
  • Juan Pino
  • Brad Sydenham
  • Chris Westman
  • Craig Timbrell
  • Rob Owen
  • Graeme Vernon
  • Colin McDermott

• Responsible Person

  Select Scott Martin Juan Pino Brad Sydenham Chris Westman Craig Timbrell Rob Owen Graeme Vernon Colin McDermott

  • Scott Martin
  • Juan Pino
  • Brad Sydenham
  • Chris Westman
  • Craig Timbrell
  • Rob Owen
  • Graeme Vernon
  • Colin McDermott

• Responsible Person

  Select Scott Martin Juan Pino Brad Sydenham Chris Westman Craig Timbrell Rob Owen Graeme Vernon Colin McDermott

  • Scott Martin
  • Juan Pino
  • Brad Sydenham
  • Chris Westman
  • Craig Timbrell
  • Rob Owen
  • Graeme Vernon
  • Colin McDermott

• Responsible Person

  Select Scott Martin Juan Pino Brad Sydenham Chris Westman Craig Timbrell Rob Owen Graeme Vernon Colin McDermott

  • Scott Martin
  • Juan Pino
  • Brad Sydenham
  • Chris Westman
  • Craig Timbrell
  • Rob Owen
  • Graeme Vernon
  • Colin McDermott

• Responsible Person

  Select Scott Martin Juan Pino Brad Sydenham Chris Westman Craig Timbrell Rob Owen Graeme Vernon Colin McDermott

  • Scott Martin
  • Juan Pino
  • Brad Sydenham
  • Chris Westman
  • Craig Timbrell
  • Rob Owen
  • Graeme Vernon
  • Colin McDermott

• Responsible Person

  Select Scott Martin Juan Pino Brad Sydenham Chris Westman Craig Timbrell Rob Owen Graeme Vernon Colin McDermott

  • Scott Martin
  • Juan Pino
  • Brad Sydenham
  • Chris Westman
  • Craig Timbrell
  • Rob Owen
  • Graeme Vernon
  • Colin McDermott

Sign off

• Auditor Signature

  Sign

• Crew leader / Supervisor Signature

  Sign