Ventia Utility Services QLD Workplace Inspection

• What type of task is being performed (brief description)?

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel on site

General

• Has the Start Card/ Risk Assessment been completed?

  Yes

  No

• Please advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Is PPE appropriate for task and being worn appropriately?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Is PPE stored correctly?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is Self Contained Breathing Apparatus stored correctly?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Are hygiene practices occurring in accordance with procedures and standards?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is appropriate safety barricading used as required?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media
Please take a photo. More than one photo may be taken

• Add media

  Media

• If any form of excavation is occurring (vacuum excavation, hand digging, or with plant), is a spotter being used and communication is clear?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Are fumes, dust or visible pollution being controlled as far as is reasonably practicable?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• If the work is High Risk, or outside of standard work, has a SWMS been completed?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Has the worksite been inspected for hazards, such as snakes etc.?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is there adequate lighting to perform the work?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is the work free of excessive noise or vibration?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Are all chemicals labeled and are stored correctly?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

Workers

• Are there workers, visitors, or subcontractors working on this site you are inspecting?

  Yes

  No

• Are all personnel Thiess Services inducted, including subcontractors?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• If subcontractors are working on site, list the subcontractor company, and type of work they are performing. E.g. Traffex and traffic management

• Are workers appropriately licensed, or had competency checked, for tasks being performed on site. Has the person in charge of the worksite verified this?

  Yes

  No

• Advise worker/s to STOP WORK, discuss required actions. Advise Supervisor.

• Are all workers on site (including visitors and subcontractors) appropriately immunized?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Do all workers on site appear fit for work?

  Yes

  No

• Advise worker/s to STOP WORK, discuss required actions. Advise Supervisor.

Emergency Preparedness

• Are SDS' for hazardous chemicals available?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Are the Spill kits available and stocked?

  Yes

  No

  N/A
Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is an appropriate First Aid Kit available?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is the Emergency Plan applicable. Are responsibilities understood and are contacts and telephone numbers readily available/ accessible and suitable for the work? Have all workers signed to verify their understanding of the Emergency Plan?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Permits and Plans

• Are appropriate Permits in place?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is a General Works Permit in place?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is the General Works Permit being followed correctly, and have all workers signed to verify their understanding?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is an Isolation Permit in place?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise worker/s to stop work and discuss requirements prior to recommencing work. Advise Supervisor.

• Is the Isolation Permit being followed correctly, and have all workers signed to verify their understanding?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Is a Fire Ant Management Plan in place?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is the Fire Ant Management Plan being followed correctly, and have all workers signed to verify their understanding (via the Start Card)?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is there a Permit for an open excavation greater than 1.5m?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Are appropriate controls in place? i.e. benching, shoring, battering?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Please take a photo. More than one photo may be taken

• Add media

  Media

• Is a Confined Space Permit in place?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is the Confined Space Permit being followed correctly, and have all workers signed to verify their understanding?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Is a Working at Heights Permit in place?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is the Working at Heights Permit being followed correctly, and have all workers signed to verify their understanding?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are Dial Before you Dig's available?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Were Dial Before you Digs reviewed prior to any soil disturbance?

  Yes

  No

• Advise worker/s to STOP WORK, and discuss risks, the importance of consulting Dial Before you Digs prior to commencing work. Advise Supervisor.

• Is Traffic Management, or are traffic devices (flashing lights, witches hats, signs) being used at this site?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Have the workers checked the traffic management plan and recorded the Traffic Management Plan number onto the Start Card? Is the Traffic Management Plan being adhered to? This includes having correct pedestrian management, the Plan has been communicated, and all signage and barricading is erected

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Please take a photo. More than one photo may be taken

• Is there a Hot Works Permit in place?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is the Hot Works Permit being followed correctly, and have all workers signed to verify their understanding?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are there any other types of permits in place on this site?

  Yes

  No

  Not Applicable

• Please detail the other type of permit that is in place?

• Is the Permit being followed correctly, and have all workers signed to verify their understanding?

  Yes

  No

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Working with the Community

• Have all community complaints been reported to the supervisor?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Have pets been contained in private property during works?

  Yes

  No

  N/A

• Verify that workers have discussed associated risks prior to commencing work and have contacted their workplace Supervisor.

Environment Management

• Is there appropriate sediment control in place on site?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Are access tracks available, and being used if they are available?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• All soil and water that has become contaminated (this includes contaminated by sewage or chemical) and all regulated waste is being collected by a licensed transporter and disposed of at Willowbank Ti-tree landfill?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise workplace Supervisor.

• Are pink and green copies of waste tracking certificates being kept and returned to the Office for regulated waste disposal?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Has all waste been disposed of correctly and removed from site where applicable (e.g. Batteries, oily rags, asbestos pipe)?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is the site free of stockpiling in water pathways?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Is sediment cleaned from roadways once works are complete?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• All restricted* items within the Fire Ant restricted zone are being inspected by Biosecurity QLD trained TS personnel before disturbance and details of the inspection are recorded on the Start Card? <br>*Restricted items are soil, mulch, bark, manure, hay, pot plants, potting media, sleepers/logs, gravels, poultry litter. Are restricted items of waste being disposed at a fire ant approved landfill where applicable?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are Fire Ant infestations being reported to Biosecurity QLD on ph 13 25 23 (before any disturbances)?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Weed hygiene certificates are being obtained from suppliers where applicable?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• If works are occurring in weed infested areas, hygiene and control measures are being implemented?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is fauna being impacted by the works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Unless approved, has vegetation been impacted by the works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are controlled water discharges / releases in line with procedures and approvals?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Plant and Equipment

• Is equipment and machinery serviceable and in a well maintained condition?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Has Lock Out Tag Out process been implemented and supported, including by correctly filled in tags?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Is all electrical equipment tested and in date?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are all certifiable items in good condition and in date? Such as slings, chains, shackles, tripods, winches, davit arms, fall arrest systems, etc.?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is an Energex Authorised Spotter being used during machine operation, if the boom of the equipment is within three meters of HV power lines?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Is all equipment and materials (including dangerous and hazardous substances) stored correctly and secured for transport?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Has a Vehicle and Trailer Inspection been completed at the commencement of this shift?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Are all moving parts on Plant and Equipment appropriately guarded?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Are all plant and equipment prestarts completed?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are emergency stops in good condition, and have they been tested?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Are warnings and instructions displayed on plant and / or equipment?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Is Plant and Equipment clean and free of built up dirt or vegetative material before being transported to new areas?

  Yes

  No

  N/A
Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are noise attenuation devices fitted where applicable?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• The following devices are only being used 7.00am-7.00pm Monday-Saturday and 8.00am-7.00pm Sundays and Public holidays;<br>-compressor, ducted vacuum system, generator, mulcher, impacting tool, leaf blower, oxy burner, electrical or mechanical pneumatic tool. <br>Exemptions apply.

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are gas cylinders labelled?

  Yes

  No

  N/A

• Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.

• Are cylinders upright, secured, and in good condition?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are gas cylinders stored in a well protected, ventilated area?

  Yes

  No

  N/A
Please take a photo of the issue or the rectification. More than one photo may be taken

• Take a photo of the issue and / or the rectification

  Media

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Contract Specific

• Which contract is this work for?

  Maintenance

  Seqwater Static

  New Connections

  Office / Eagle Farm Depot

  Seqwater Field

• Are there sediment control issues? For example, soil erosion?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are pit lids seated properly? I.e. not protruding?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are emergency exit doors easily opened from the inside, and free from obstructions?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are there slip / trip hazards within the grounds that pose a safety risk?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are electrical switchboards secured (non distribution)?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are emergency exit lights in place and working?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are stairs, handrails, ladders, kickboards, barriers, etc. installed and in good condition?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are fire extinguishers / hoses / equipment located in prominent locations? Are they also signed, tested in date, and in good condition?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is any equipment / machinery generating excessive noise?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are there broken plugs, sockets, or switches?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is equipment and / or material stored correctly?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is the overhead crane in good condition, safe working load displayed with test date, and the test date is in date?

  Yes

  No

• Add media

  Media

• Please detail the action necessary that you are taking to rectify this

• Is the generator secured and in good condition?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are the emergency shower / eyewash stations functional and tested before use?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are the chemical storage and spill tanks in good condition and appropriately labeled?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is the chemical pipework and pumps in good condition, not leaking, and appropriately labeled?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are bund drain valves / drain valves closed and locked if applicable?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are the chemical bunds in good condition and not overflowing?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are drains in the Chemical Unloading Bay free from rubbish and other matter?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are wind direction socks in place and in good condition?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are Hazmat Box located at the main entrance / exit / emergency entrance containing up to date information?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is there evidence of pest activity in structures on site? For example, droppings, smear marks, pest damage?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are the buildings and huts kept clean to prevent the attraction of pests? For example, food scraps and rubbish are not left on site.

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are there holes or gaps in the building that allow for entry and harborage of pests?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is the site entry log available and being completed?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is the emergency lighting test book available and being completed as required?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is there evidence of RCD testing on site?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Has online water quality test equipment been calibrated, and are calibrations recorded on signed record sheets?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Have bench top and portable water quality test instruments been checked and calibrated, with records being kept on signed record sheets?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Have use-by dates been recorded on opened reagents, buffers, and standards, are they in date, and stored appropriately?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are water quality test results recorded on signed test result sheets?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are buildings / equipment on site adequately protected to prevent access, theft, or damage?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are leak detection systems in place and are they operational (ammonia, chlorine, gas)?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are there holes in fences or other defects that would compromise site security?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are floor surfaces free from slips and trips hazards?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are the site roads in good condition?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are storm water drains clear of vegetation and / or other matter?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is the grounds maintenance adequate? For example, the grass is mown, grounds are level, the area is free from weeds?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are gates in good condition and secured using locks of the correct security level?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is there appropriate signage in place and in good condition? For example, Seqwater, security signage, etc.

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Have you identified any graffiti on site? <br>This could be an indication in a gap to site security.

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Is there rubbish or other matter that needs to be removed from site?

  Yes

  No

  Not Applicable

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are walkways clear of rubbish / obstructions?

  Yes

  No

• Please detail the action necessary that you are taking to rectify this

• Add media

  Media

• Are all works backfilled, compacted and landscaped on the day of works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Letter box drop to notify residents of works to be completed before the date of works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are all works backfilled, compacted and landscaped on the day of works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Has turf been retained and reinstated where possible?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Letter box drop to notify residents of works to be completed before the date of works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are all works backfilled, compacted and landscaped on the day of works?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Has turf been retained and reinstated where possible?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

• Are waste meters and hydrants being returned to QUU within 5 days?

  Yes

  No

  N/A

• Advise worker/s to STOP WORK, discuss actions required prior to recommencing work. Advise Supervisor.

Conclusion

• Please describe an opportunity for improvement from your workplace inspection

• Please describe some positive observations made during your workplace inspection

• Please detail any other safety or environmental hazards that have not been identified elsewhere in this inspection form

• The person performing this workplace inspection needs to sign below, confirming all responses in this workplace inspection are accurate and complete to the best of their ability.

• Add signature

  Sign