Information

  • vicroads logo.gif

Diary Record Details

  • Document No.

  • Site Name

  • Contract No.

  • Contract Type

  • Contractor Name

  • Conducted on

  • Prepared by

  • Location
  • Time arrived on site (Optional)

  • Time departing site (Optional)

  • Vicroads Homepage
    http://www.vicroads.vic.gov.au

Photos & Documents

  • Add media

Site Conditions

Site Conditions

  • Get current weather, temperature and forecast here.
    http://www.weatherzone.com.au/vic/east-gippsland

  • What are the current site conditions?

  • What are the forecast site conditions?

Temperature

  • What is the temperature from the car read out / thermometer / website?

  • What is the forecast temperature?

Rainfall

  • What is the rainfall since 9:00am in mm?

  • Is it dry enough to work on site?

  • Amount of lost time? 1 day, half a day

Photos & Documents

  • Add media

Staff and Subcontractors

  • Are there staff / subcontractors on site and are you checking them?

Staff on Site

  • What staff are on site?

  • ** ROLE ON SITE
  • Staff Role

  • How many staff in this role?

  • Are they signed onto the SWMS?

  • Have they been inducted to site?

  • Do they have an OH&S induction card?

  • You can work for 28 consecutive days without training if:
    - you are new to the industry or have not done any construction work in the past two years; and
    - your employer has arranged and paid for you to do construction induction training.
    This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

  • Have they worked in the construction industry in the last 2 years?

  • If the induction card is older than 2 years and the staff member has been out of the industry for 2 years it is no longer valid and must be re-completed.
    You can work for 28 consecutive days without training if:
    - you are new to the industry or have not done any construction work in the past two years; and
    - your employer has arranged and paid for you to do construction induction training.
    This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

Sub-contractors on Site

  • Are there sub-contractors on site?

  • What sub-contractors are on site?

  • ** ROLE ON SITE

Company Details

  • What is the company name?

  • Are they using their own SWMS?

  • Staff working for this sub-contractor

  • ** ROLE ON SITE
  • Staff Role

  • How many staff in this role?

  • Are they signed onto the SWMS?

  • Have they been inducted to site?

  • Do they have an OH&S induction card?

  • You can work for 28 consecutive days without training if:
    - you are new to the industry or have not done any construction work in the past two years; and
    - your employer has arranged and paid for you to do construction induction training.
    This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

  • Have they worked in the construction industry in the last 2 years?

  • If the induction card is older than 2 years and the staff member has been out of the industry for 2 years it is no longer valid and must be re-completed.
    You can work for 28 consecutive days without training if:
    - you are new to the industry or have not done any construction work in the past two years; and
    - your employer has arranged and paid for you to do construction induction training.
    This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

Photos & Documents

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Staff OH&S & Environmental

  • Are there staff / subcontractors on site and are you checking PPE, OH&S?

Personal Protective Clothing & Safety

  • Is Hi-Visibility clothing being worn on site? Complies with Australian Standard 1742.3

  • Are red vests done up?

  • Are steel cap boots being worn on site?

  • Are long pants / sleeves being worn?

  • Are broad rimmed hats being worn when required?

  • Are hard hats being worn where required?

  • Are the hard hats within date? (3 years from issue)

  • Are the hard hats in good condition?

  • Are safety glasses being worn where required?

  • Are ear muffs / ear plugs being worn where needed?

  • Is sun screen available where required?

Other Staff OH&S

  • Is drinking water available?

  • Is there a communication system for reversing plant?

  • What is the system? UHF Ch39

  • Are no go zones around plant being enforced?

  • Are training records available on site?

  • Have dial before you dig / cable location been done prior to excavation?

  • Comments

  • Are toolbox meetings being held and documented?

Photos & Documents

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  • Are you checking environmental controls / Monitoring?

Environmental

  • Are environmental no go zones being adhered to?

  • Is there dust monitoring in place if required?

  • Is there noise monitoring in place?

  • Is there erosion control in place?

  • Comments / results:

Photos & Documents

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Safe Work Method Statement

  • Are you checking SWMS?

Safe Work Method Statement

  • Safe Work Method Statement In Use:

  • SWMS
  • What is the SWMS number? abc123

  • What is the SWMS description? earthworks

  • What is the revision number? Rev 1.0

  • What is the revision date?

  • Has the SWMS been signed off by Management / OH&S?

  • Have changes to SWMS been documented, dated and signed off?

  • Have all applicable employees / sub contractors signed on to SWMS?

  • Does the SWMS cover mobile plant?

  • Does the SWMS cover working around drop off's / plant roll over?

  • Does the SWMS cover underground / overhead services?

Photos & Documents

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Amenities, First Aid & Dangerous Goods

  • Are you checking any of the following? (Please select)

Site Hut

  • Is there a site hut available on site?

  • Is the area around and inside the hut tidy?

  • Is there water available in the hut?

  • Are the emergency contact details on display in the hut? First aid, Emergency Officers, OH&S Rep...

  • Is there power available in the hut?

  • Has the generator been tested and tagged?

  • Is there a earth leakage system on the power supply?

  • Are all power leads up off the ground?

  • Are all electrical items tested and tagged?

  • Can the exhaust fumes from the generator enter the site hut? through air conditioner, window

Fire Extinguishers

  • Is there a fire extinguisher?

  • Fire extinguishers being used on site:

  • ** FIRE EXTINGUISHER
  • What type of extinguisher is it?

  • What size extinguisher is it?

  • Does it have a test tag?

  • Is it in date?

  • Is the gauge showing a full charge?

  • Is the extinguisher securely mounted on a bracket?

  • Is there an extinguisher sign above the extinguisher?

  • Is the area around the extinguisher clear of obstruction?

Other Amenities & OH&S

  • Is there a site sign in sheet for staff, visitors & contractors?

  • Is there a toilet on site?

  • Is there an emergency evacuation point identified?

  • Does it have a sign and is it easily identified?

First Aid

  • Is there a designated first aid officer for the site?

  • Have they got a current first aid certificate? If so enter the details.

  • Is there a first aid kit suitable for the number of staff on site?

  • Is it tidy and updated?

  • Is the first aid kit affixed to the wall if inside a building / hut?

  • Is there a record of supplies dispensed inside the kit?

  • Does the kit cater for snake bite or is there a separate snake bite kit?

  • Is there a first aid sticker on the vehicle / office?

Dangerous Goods

  • Is there a dangerous goods register?

  • Are there current MSDS for each chemical? Under 5 years old.

  • Are storage areas identified with a plackard / sign?

  • Are all the chemicals clearly labelled and in the original containers?

  • Are storage areas secure?

  • Comments

Photos & Documents

  • Add media

Traffic Management

  • Are you checking Traffic Management?

Traffic Management Details

  • Is there traffic management in place?

  • What is the normal speed through the worksite?

  • What is the speed with traffic management in place?

  • What is the clearance to workers? 1.2m

  • Do the traffic management staff hold traffic management competencies?

  • Has a traffic management plan been selected and is it on site?

  • Are site setup details documented and changes noted? signs up, signs down & plan numbers

  • What is the plan number, revision number and date? TMP111 Rev1 21/06/2016

  • Is it the correct plan for the type of works being undertaken?

  • Is there a valid MOA?

  • What is the number, date of issue and expiry date?

  • Are the signs installed as per the plan?

  • Have existing signs been covered up?

  • Are the signs suitably placed, level and weighted? 2 legs, sandbags, 500mm from edge line.

  • Are all areas of the multi message frames filled up?

  • Are sign frames duplicated on each side of the road? (not repeaters)

  • Are the speed signs closest to the road?

  • Has each change of speed sign got 2 orange flags?

  • Are the signs clean and legible? (Correct class for low light conditions)

  • Are the contractor names and phone numbers clearly displayed?

  • Are flashing arrow boards being used where required?

  • Are VMS boards being used correctly where required?

  • Are temporary safety barriers installed correctly if required?

  • Are traffic queue lengths being monitored and allowed for?

  • How often and who by?

  • Are clear pathways being maintained for cyclists & pedestrians?

  • Are side road access and property access being maintained / monitored?

  • Are no go fences installed and in good condition where required?

Photos & Documents

  • Add media

Materials

  • Are you checking materials used?

Materials

  • Materials being used on site:

  • ** MATERIAL TYPE
  • What materials are being used?

  • What class of rock is it?

  • Has the material been tested to Vicroads standard? (Copy of test result received)

  • What class of material is it?

  • Has the material been tested to Vicroads standard? (Copy of test result received)

  • What percentage of cement was added? 2%

  • What percentage of lime was used? 3%

  • What type of asphalt is being used? Type N

  • What size stone was used in the asphalt? 14mm

  • What thickness asphalt is being placed? 150mm

  • What is the MPA rating of the concrete? 25mpa

  • Has a slump test been conducted?

  • Has a strength test been conducted (samples taken)?

  • What type of bitumen product is being used? Emulsion, SAM

  • What is the treatment being applied? Prime, Primerseal...

  • Have we got a design document for the treatment?

  • What is the application rate?

  • What size stone is being used? 14mm, 14/7mm

  • Has the stone been pre-coated?

  • Is the stone clean?

  • What size stone is being used? 14mm

  • Are there any comments / concerns about the material?

  • Who is the supplier?

Photos & Documents

  • Photos & Documents

Plant

  • Are you checking plant on site?

Plant Details

  • Are there plant hygiene rules / procedures in place?

  • Plant Items on site:

  • ** PLANT ITEM
  • What type of plant is being used?

  • Does the vehicle have a valid calibration certificate?

  • Calibration Date

  • Does the vehicle have a spill kit?

  • Does the vehicle have a bitumen burns instruction card?

  • What is the size of the plant item?

  • Are the flashing lights working

  • Is the reversing beeper working?

  • Is the reversing camera working (if fitted)?

  • Is the machine fitted with a working UHF radio?

  • Are all the stickers / warning label's attached and legible?

  • Does the vehicle have a first aid kit?

  • Is the pre start checklist being filled out?

  • Are any items to be repaired / rectified being closed out?

  • Are items to be repaired being repaired in a timely manner?

  • Is there a copy of the plant risk assessment in the machine?

  • Has the plant risk assessment been signed by the Manager / Owner?

  • Has the plant risk assessment been signed by the operator?

  • Have any issues marked for rectification been completed, closed out and signed?

  • Is the seat belt being used?

  • Is a spotter required?

  • What are the details of the spotter? Name, Ticket, Qualifications.

  • Is there an operators manual for this machine / attachment with it?

  • Does the operator hold the correct licence / competancy?

  • Is it registered or on a permit?

  • (Visual Check) Is the plant item safe? good tyre's, working mirrors, no broken glass...

Photos & Documents

  • Add media

  • Do you want to record plant on site but not check them?

Other Plant & Accessories

  • Other Plant not being used but on site

  • PLANT ITEM (NOT USED)
  • Other plant on site not being used.

  • Other plant item description? Tree Harvester C32L

  • Model Number? Cat 9H

  • What is the size of the plant item?

  • Other Plant being used but not checked

  • OTHER PLANT (NOT CHECKED)
  • Other plant on site not checked

  • Other plant item description? Tree Harvester C32L

  • Model Number? Cat 9H

  • What is the size of the plant item?

  • Accessories / Equipment being used

Photos & Documents

  • Add media

Activities & Proof Rolling

  • Is there any work being undertaken on site?

Activity Information

  • Activities being undertaken on site:

  • ** ACTIVITY
  • What is the activity being performed?

  • Contract Section? (Optional) Section 160 Construction General

  • Does the activity comply with the Vicroads specification and drawings?

  • Add media

Photos & Documents

  • Add media

  • Was a proof roll conducted?

Proof Rolling

  • Is there a proof rolling SWMS available and in place?

  • What was proof rolled?

  • What was the depth below finished surface level? 400mm or 100mm or subgrade

Chainages

  • Proof Rolling Locations

  • ** LOCATION
  • What was the start chainage? 345.60km

  • What was the end chaninage? 345.65km

  • Result?

Photos & Documents

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  • Was there a hold point / ITP to be signed off?

Hold Point Sign Off

  • Result?

  • What are the hold point details?

Photos & Documents

  • Add media

WI & SA

  • Has a works Instruction been issued?

Works Instructions

  • What is the works instruction number?

  • What are the details of the instruction?

Photos & Documents

  • Add media

  • Has a surveillance advice been issued?

Surveillance Advices

  • What is the surveillance advice number?

  • What are the details of the instruction?

  • Is it an observation or a non-compliance?

  • Was there a stop work order given?

  • What is the response date? normally 2 working days from date of issue.

Photos & Documents

  • Add media

Sign Off

Final Comments & Reccommendations

  • Final comments / findings / notes

  • Sketch's & Drawings:

Photos & Documents

  • Add media

Signed

  • You can sign this document off if you want.

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