VSZ-HS-HSC-003

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Project

  UFB

  Build Services

  Maintenance & Provisioning

• Customer Service Area

  CSA 7

  CSA 8

  CSA 9

  CSA 10

• Viscose/Job #:

• VPL Manager Responsible:

• Activity being undertaken:

General

• Risk assessment completed & offered for review prior to allowing access to site

  Yes

  No

  N/A

• Hazardous Substance Register completed and related MSDS's on site

  Yes

  No

  N/A

• Plant & Equipment Register complete and on site

  Yes

  No

  N/A

• Measuring & Test Equipment Calibration Register complete and on site

  Yes

  No

  N/A

• Incident Report Register on site and up to date

  Yes

  No

  N/A

• VPL/Chorus ID Current and Available

  Yes

  No

  N/A

• PPE selected and used adequate for activity and environmental hazards present.

  Yes

  No

  N/A

• SWMS available, and current, for all high risk construction activities

  Yes

  No

  N/A

Worksite Management

• General work site set up

  Yes

  No

  N/A

• Vehicle parked safely

  Yes

  No

  N/A

• Manhole guards/ safety barriers / signage adequate and in place

  Yes

  No

  N/A

• Work area (incl footpaths & roadway) clear and free from debris, rubbish and obstruction.

  Yes

  No

  N/A

• Slips / trips hazards managed

  Yes

  No

  N/A

• Unattended excavations backfilled, plated or fenced.

  Yes

  No

  N/A

Traffic Management

• Does work site conform to approved TMP? Including unattended sites

  Yes

  No

  N/A

• Evidence of TTM training - TC/STMS on site

  Yes

  No

  N/A

• Pedestrian & vehicular traffic flowing freely & Safely

  Yes

  No

  N/A

Electrical Safety

• Electrical equipment tested & tagged (leads, RCD , power tools)

  Yes

  No

  N/A

• Appropriate use of and site set up (RCD plugged direct into 230v supply, leads protected)

  Yes

  No

  N/A

• EPR mat in use if in EPR Zone

  Yes

  No

  N/A

Environmental Management

• Global Tree Consent available on site

  Yes

  No

  N/A

• Site Specific Tree Plan on site and signed off by Authority

  Yes

  No

  N/A

• Noise / dust management

  Yes

  No

  N/A

• Spill response plan understood

  Yes

  No

  N/A

• Spoil containment & removal (including stock piles) managed

  Yes

  No

  N/A

• Stormwater sediment traps & gutter guards for water run-off in place

  Yes

  No

  N/A

• Concrete waste managed

  Yes

  No

  N/A

• Sediment Laden water management (Pump to grass or sucker truck)

  Yes

  No

  N/A

Fibre Jointing

• Set up - lighting

  Yes

  No

  N/A

• Set up - ergonomics

  Yes

  No

  N/A

• Sharps & off cuts managed

  Yes

  No

  N/A

Customer Premises

• Dog hazard adequately identified & managed

  Yes

  No

  N/A

• Work area neat and tidy

  Yes

  No

  N/A

• Internal power / gas located prior to drilling walls, floors and ceiling

  Yes

  No

  N/A

• Step ladder adequate for work

  Yes

  No

  N/A

• Confined ceiling / under floor hazards identified and managed

  Yes

  No

  N/A

Work At Heights

• Is the ladder appropriate for the job and in good condition?

  Yes

  No

  N/A

• Is the ladder in a safe working position and secured top and bottom (4:1)

  Yes

  No

  N/A

• Is ladder adequately supervised

  Yes

  No

  N/A

• Evidence that the pole been tested

  Yes

  No

  N/A

• Are safe clearances being observed

  Yes

  No

  N/A

Hot Work

• LPG bottle secured, if applicable

  Yes

  No

  N/A

• Use of flame retardant blanket / protection

  Yes

  No

  N/A

• Access to water (for immediate response to burn injury )

  Yes

  No

  N/A

Confined Space Entry

• Evidence of Confined Space Training

  Yes

  No

  N/A

• Evidence of Risk Assessment, Confined Space Entry training, First Aid training & Emergency Plan (Permit)

  Yes

  No

  N/A

• Standby person in use and Confined Spaces trained?

  Yes

  No

  N/A

• Barriers in use and adequate

  Yes

  No

  N/A

• Type 4 Gas Detector being used correctly & calibrated

  Yes

  No

  N/A

• Harness system in good condition, tag current and in use as required by emergency response plan

  Yes

  No

  N/A

Asbestos

• Asbestos Identified and Managed

  Yes

  No

  N/A

• Disposal process understood and adhered to

  Yes

  No

  N/A

Excavation and Drilling

• Excavation and drilling permit completed and available

  Yes

  No

  N/A

• Close approach consent obtained and available (when excavating near electrical poles)

  Yes

  No

  N/A

• All requirements of permit/s compliant

  Yes

  No

  N/A

• For excavation deeper than 1.5 meters, department of Labour notified

  Yes

  No

  N/A

• Adequate ground support system in place

  Yes

  No

  N/A

• Documented daily inspection of all ground support systems, for excavations over 1.5 meters available on site.

  Yes

  No

  N/A

• Spoil located a safe distance from the excavation

  Yes

  No

  N/A

Plant Management

• Operator holds required endorsement

  Yes

  No

  N/A

• Plant Prestart inspection completed and available for reference.

  Yes

  No

  N/A

• Plant has been inspected and approved for use on VPL Sites

  Yes

  No

  N/A

• Close proximity permit available on site when working within 4 meters of overhead lines

  Yes

  No

  N/A

• Suitable no-go zone established and maintained from plant

  Yes

  No

  N/A

• Required Corrective/Preventative Actions:

• Agreed date of completion:

  Date

• Person inspecting:

  Sign

• Person being inspected:

  Sign