Ventia - LEAD Form 2019

• Conducted on

  Date

• Prepared by

• Project and work type

• Location
  Address

General Safety

• Have all personnel completed a Pre-taskhazard assessments (eg STARTCARD / TAKE 5)? Including subcontractors.

  Yes

  No

  N/A

• Is there be a SHEWMS completed for the<br>task?

  Yes

  No

  N/A

• Have all relevant personnel signed on to the SHEWMS?

  Yes

  No

  N/A

• Is work being performed & controlsimplemented as per detailed in the SHEWMS

  Yes

  No

  N/A

• Is an Emergency Response Plan / process been required for the site?

  Yes

  No

  N/A

• Has an Emergency Response Plan / process been developed?

  Select Hand dig Vac truck Visual (Pits, trench etc) Electronic locator GPR Other N/A

  • Hand dig
  • Vac truck
  • Visual (Pits, trench etc)
  • Electronic locator
  • GPR
  • Other
  • N/A

• Has an emergency muster point / assembly point been established?

  Yes

  No

  N/A

• Is emergency equipment readily available, in test date and fit for purpose?

  Yes

  No

  N/A

• What equipment is unavailable or out of date?

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

• Which critical risk protocol apply to the works? (Pick at least one)

  Select Working around mobile plant Managing hazardous energies Working around live services Working around live traffic Working at heights Working with Asbestos and ACM Confined space Electrical safety Ground excavation Isolated work Lifting operations No critical risk

  • Working around mobile plant
  • Managing hazardous energies
  • Working around live services
  • Working around live traffic
  • Working at heights
  • Working with Asbestos and ACM
  • Confined space
  • Electrical safety
  • Ground excavation
  • Isolated work
  • Lifting operations
  • No critical risk

Managing hazardous energies

• Is work being performed (or about to be) on de-energised systems or equipment?

  Yes

  No

  N/A

• Is there a process detailing the method for “Testing For Dead” (confirming effective / positive isolation)?

  Yes

  No

  N/A

• Is there a process detailing the method for implementing group isolations?

  Yes

  No

  N/A

• Is there a process detailing the method for implementing isolations extending over single shifts?

  Yes

  No

  N/A

• Are members of the work crew able to provide a current valid isolation permit?

  Yes

  No

  N/A

• Is there a process detailing the method for returning the equipment / system back to service?

  Yes

  No

  N/A

• Have members of the work crew been provided with Personal Locks and a supply of “Out Of Service” and “Danger” Tags”?

  Yes

  No

  N/A

• Observing any system in an “isolated” condition, have “Out Of Service Tags” & locking devices been fitted to dedicated locking points?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Working around live services

• Is there a process of identifying & confirming the presence of services (overhead and underground) in / near the work area?

  Yes

  No

  N/A

• Are overhead services located near or within the work area?

  Yes

  No

  N/A

• Are members of the work crew able to explain / detail the minimum safe approach distance to those specific services”?

  Yes

  No

  N/A

• Are members of the work crew maintaining safe approach distances to all overhead services?

  Yes

  No

  N/A

• Do any travel ways under overhead services have physical warning devices (e.g. signage, height barriers & tiger tails) been installed?

  Yes

  No

  N/A

• Are underground services located near or within the work area?

  Yes

  No

  N/A

• Are members of the work crew able to detail the minimum safe approach distance to any underground critical assets (i.e. HV / Gas)?

  Yes

  No

  N/A

• Are members of the work crew maintaining safe approach distances to all underground services?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Working around live traffic

• Observing a work area that has live traffic conditions, has a site-specific Vehicle Management Plan been developed?

  Yes

  No

  N/A

• Observing a work area that has live traffic conditions, have designated travel paths for mobile plant / vehicles been set up?

  Yes

  No

  N/A

• Have designated travel paths for pedestrians or<br>other site workers been provided?

  Yes

  No

  N/A

• Is there a process detailing the responsibilities of team members with traffic control / vehicle management duties?

  Yes

  No

  N/A

• Is there a process detailing the requirements of traffic management in the event of an emergency?

  Yes

  No

  N/A

• Is there a process detailing the requirements of inspecting / maintaining the effectiveness of the site traffic set up?

  Yes

  No

  N/A

• Can team members with traffic control / vehicle management duties, provide copies of current and valid competency?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Working at heights

• Are temporary work platforms in use on the worksite?

  Yes

  No

  N/A

• If a temporary work platform is in use on the worksite, is it fitted with adequate means of access, egress and fixed handrails?

  Yes

  No

  N/A

• Are Elevated Work Platforms in use on the worksite?

  Yes

  No

  N/A

• Observing any mobile EWPs in use, is the ground it is being used on flat, stable & fitted with an approved fall arrest or guard rail system?

  Yes

  No

  N/A

• Observing any mobile plant in use, can the operator provide a current and valid licence / nationally recognised competency?

  Yes

  No

  N/A

• Are ladders being used on the worksite?

  Yes

  No

  N/A

• Are members of the work crew able to explain /<br>detail when ladders may be used?

  Yes

  No

  N/A

• Is a fall prevention device, work positioning system or a fall arrest system in use on the worksite?

  Yes

  No

  N/A

• Is there a process detailing the requirements for maintaining and inspecting that equipment?

  Yes

  No

  N/A

• Are members of the work crew using harnesses able to provide a current and valid nationally recognised competency?

  Yes

  No

  N/A

• Where work is being done at height, are risks of falling objects controlled using barriers, screening nets, catch platforms or tool lanyards?

  Yes

  No

  N/A

• In the absence of other controls minimising the risk of falling objects, has an exclusion zone been established?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Working with Asbestos and ACM

• Is asbestos present at this workplace?

  Yes

  No

  N/A

• Has an Asbestos Management Plan (AMP) been developed detailing what, when and how ACM work is to be done?

  Yes

  No

  N/A

• Is licenced asbestos removal work being carried out on site?

  Yes

  No

  N/A

• Has an ARCP been developed detailing how ACM will be handled, transported & disposed of?

  Yes

  No

  N/A

• Is there a process detailing the requirements for when health monitoring is required?

  Yes

  No

  N/A

• Does removal work involve Class A ACM?

  Yes

  No

  N/A

• If class A ACM removal work is being performed, do those team members performing the removal works hold a minimum Class A Licence?

  Yes

  No

  N/A

• If class A ACM removal work is being performed, confirm that an Air Monitoring and Clearance Inspection program has been established?

  Yes

  No

  N/A

• If an Air Monitoring and Clearance Inspection program has been established, has it been conducted by a licenced asbestos assessor?

  Yes

  No

  N/A

• Does removal work involve Class B ACM?

  Yes

  No

  N/A

• If class B ACM removal work is being performed, do those team members performing the removal works hold a minimum Class B Licence?

  Yes

  No

  N/A

• If class B ACM removal work is being performed, has a Risk Assessment been completed to determine if Air Monitoring is required?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Confined space

• Where work is underway in a confined space, are all workers involved in the activity signed on to the permit?

  Yes

  No

  N/A

• Where work is planned or underway in a<br>confined space, does the Confined Space Entry permit<br>show evidence of pre-entry atmospheric testing?

  Yes

  No

  N/A

• Does the CSE permit show evidence of atmospheric testing equipment calibration (i.e. Item P/N, S/N & calibration date / due date)?

  Yes

  No

  N/A

• Where work is underway in a confined space, have warning signs been erected to indicate “no entry”?

  Yes

  No

  N/A

• If work is underway in a confined space, is a dedicated “Stand-By” person positioned outside the confined space?

  Yes

  No

  N/A

• Is there a process detailing methods of communication between the dedicated “Stand-By” person with those workers inside the confined space?

  Yes

  No

  N/A

• Is there a process detailing the method of activating an emergency response?

  Yes

  No

  N/A

• Is all nominated rescue equipment available within the immediate vicinity of the Confined Space?

  Yes

  No

  N/A

• Can each person detail their competency requirements permitting them to work in or perform specific Confined Space related roles?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Electrical safety

• Are portable electrical tools / equipment in use in the work area?

  Yes

  No

  N/A

• Is there a process for removing unsafe portable electrical equipment from service?

  Yes

  No

  N/A

• Check a sample of portable electrical equipment - are those items fitted with current electrical test and tags?

  Yes

  No

  N/A

• Are any temporary electrical leads secured off the ground or otherwise protected from potential damage (i.e. cable ramp covers)?

  Yes

  No

  N/A

• Is work being performed on de-energised systems or equipment?

  Yes

  No

  N/A

• If work is being performed on de-energised systems or equipment, is the work crew able to provide a current valid permit?

  Yes

  No

  N/A

• Observing any system in an “isolated” condition, have “Out Service Tags” & positive locking devices been fitted to dedicated locking points?

  Yes

  No

  N/A

• Is there any live electrical work is being carried out?

  Yes

  No

  N/A

• If live electrical work is being carried out, are a minimum of 2 workers performing the task?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Ground excavation

• Is work being performed in an excavation greater than 1.5 metres on this site?

  Yes

  No

  N/A

• Have controls such as boxing, benching, battering or shoring been installed?

  Yes

  No

  N/A

• If a rescue plan is required, is all nominated rescue equipment available?

  Yes

  No

  N/A

• Is there a safe means of access and egress in place?

  Yes

  No

  N/A

• Has a rescue plan been developed?

  Yes

  No

  N/A

• Are all persons involved in performing rescue trained and competent in rescue?

  Yes

  No

  N/A

• Are all the excavation works secured to prevent unauthorised access (both during and outside of working hours)?

  Yes

  No

  N/A

• Has the work area surrounding the excavation been clearly sign posted?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Isolated work

• there an approved Journey Management Plan applicable for this specific worksite / work crew / worker?

  Yes

  No

  N/A

• Are members of the work crew aware of the approved journey management plan developed for their specific works / location?

  Yes

  No

  N/A

• Can the nominated / authorised driver provide evidence of a completed vehicle inspection prior to the journey commencing?

  Yes

  No

  N/A

• Can the nominated / authorised driver detail the agreed methods of communication (i.e. call in) when travelling / working remotely?

  Yes

  No

  N/A

• Can the nominated / authorised driver detail the agreed frequency of communication (i.e. call in) when travelling / working remotely?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

Lifting operations

• Has an assessment been made to determine if the lifting operation is a “standard” lift or a “high risk” lift?

  Yes

  No

  N/A

• Are members of the work crew able to explain / detail the communication methods used during a lift?

  Yes

  No

  N/A

• Are members of the work crew able to explain / detail the communication methods used during a lift?

  Yes

  No

  N/A

• Is the lift area secured to prevent unauthorised access (both during and outside of working hours)?

  Yes

  No

  N/A

• Randomly select several items of lifting equipment, are SWL markings clearly visible on lifting equipment in use?

  Yes

  No

  N/A

• Randomly select several items of rigging equipment, confirming that selected items have been inspected and fitted with inspection tags.

  Yes

  No

  N/A

• On lifting devices fitted with outriggers, are those outriggers protected from vehicle / mobile plant collision with physical barriers?

  Yes

  No

  N/A

• Can each person detail their competency requirements permitting them to be involved in or perform lifting operations?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

• Are you sure there are no critical risks associated with these works?

  Yes

  No

  N/A

Working around mobile plant

• Observing any mobile plant in use, does the operator have clear / unobstructed visibility of work area / direction of travel?

  Yes

  No

  N/A

• Observing the operation of any mobile plant in use, are most plant movements conducted in a forward-facing direction?

  Yes

  No

  N/A

• Is there a process detailing the communication methods used during any mobile plant movements?

  Yes

  No

  N/A

• Is the work area secured with a means of physical separation (solid barriers) to prevent interaction of plant and people?

  Yes

  No

  N/A

• If solid barriers have not been installed, has an exclusion zone been established?

  Yes

  No

  N/A

• Has the work area surrounding operating mobile plant been set up to provide safe means of pedestrian movement around work area?

  Yes

  No

  N/A

• Observing any mobile plant in use, are those items of plant fitted with working reversing beepers / flashing lights?

  Yes

  No

  N/A

• Observing any mobile plant in use that requires an operator to be licenced, can the operator provide a current and valid licence?

  Yes

  No

  N/A

• Have any follow up actions been identified to address any “At Risk” observations / behaviours?

  Yes

  No

  N/A

• What are the actions?

• Were any of these actions able to be completed on site during your visit?

  Yes

  No

  N/A

• What actions were completed?

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