Information
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Project No.
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Project
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Location
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Contractor
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Project Staff
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WC Reps
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OSH Consultant
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Date
Inspection Report
HSE Documentation
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Overall Rating
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A HSE Management Plan has been developed and implemented.
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Workers have the appropriate competencies and/or licenses.
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A construction risk assessment workshop has been held to formally identify, assess and control risk associated with the work activities.
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Safe work method statements (i.e. JSA's) are developed and implemented for high risk construction tasks.
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Safe work method statements are regularly reviewed and updated (not exceeding 7 days)
Prevention of Falls
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Overall Rating
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Work at height is eliminated wherever possible.
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Personnel working at height possess the appropriate competencies and/or licenses and do not work alone.
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A documented rescue plan has been developed, rehearsed and implemented.
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All holes and openings (e.g. open edges, excavations, pits and access chambers) are suitably protected.
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A fall injury prevention equipment register is maintained.
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Fall prevention equipment is inspected in accordance with Australian Standards and prior to every use.
Overhead / Buried Services
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Overall Rating
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Dial Before You Dig plans are sourced for underground services prior to commencement of work. These are updated monthly.
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Utility operators are formally notified of the intended works.
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Services are isolated or insulated prior to commencement of work wherever practicable.
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Appropriate mitigations are identified and implemented to prevent contact with overhead or underground services.
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Underground services are positively identified and marked before disturbing the ground. The four P's (Plan, Pothole, Protect, Proceed) are followed.
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Voltages of overhead power lines are known and safe clearances are maintained in accordance with OSH Reg 3.64.
Excavations
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Overall Rating
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A competent person has been nominated to oversee and verify the safety of excavations.
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Excavation stability is assessed daily by a competent person.
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Suitable ground support systems are used and have appropriate certification.
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Benching or battering is in accordance with the Code of Practice for Excavations.
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A safe means of access/egress is used.
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A documented rescue plan has been developed, rehearsed and implemented.
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The risk of falls to workers and the public into excavations is controlled.
Lifting Operations
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Overall Rating
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Exclusion zones have been established, where practicable.
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A lift plan or lift study has been developed by a competent person.
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Load charts are readily available. Rated capacity is not exceeded.
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Lifting equipment (e.g. chains, slings, shackles etc) is inspected quarterly and prior to each use.
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A lifting register is maintained.
Confined / Hazardous Spaces
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Overall Rating
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Working in confined spaces is eliminated where possible.
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Anyone entering a confined space is trained and competent.
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The Water Corporation's confined space entry procedure is applied for live assets.
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A documented rescue plan has been developed, rehearsed and implemented.
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The correct number of standby persons are in place.
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A CSE permit has been raised and approved.
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The atmosphere is tested and proven safe prior to entry.
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Suitable controls are in place to prevent unauthorised entry.
Tagging & Isolation
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Overall Rating
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Isolations are tested and proven prior to commencement of work.
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The Water Corporation's tagging and isolation procedure is applied for live assets.
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Potential sources of electrical or mechanical energy are identified prior to commencement of work.
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Personal danger tags are used where a risk exists to the person or persons working on isolated plant or equipment.
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All isolations are performed by a competent and authorised person.
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Defective tools and equipment are tagged out of service.
Plant & Equipment
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Overall Rating
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Communication protocols (e.g. UHF radio, hand/visual) are in place to ensure contact with operators before approaching mobile plant.
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Mobile plant operators are trained and competent. Processes exist to verify competency.
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Daily inspections are completed and collated.
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Operator protective devices (e.g. seat belts, harnesses, ROPS, FOPS) are in place and are used.
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Mobile plant has the appropriate warning devices (e.g. flashing lights, reversing beepers)
Traffic Management
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Overall Rating
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A traffic management plan has been developed and implemented for works on public roads. This addresses vehicle and pedestrian traffic.
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Traffic control diagrams are specific.
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Site traffic movement has been planned, documented and communicated to site personnel.
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Traffic routes are one way where practicable.
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Suitable parking areas have been established for light and heavy vehicles.
Permits to Work
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Overall Rating
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Appropriate and valid permits (e.g. CTW, CSE, Excavations, Working at Heights etc.) have been raised.
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Permits are authorised by a competent person.
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Permits identify the appropriate risk factors and controls.
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Permits are signed off upon completion of the works.
Electrical Safety
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Overall Rating
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Electrical work is performed by a licensed electrical worker.
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Electrical isolations are tested and proven prior to commencement of work and at regular intervals.
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Procedures exist for tagging and isolation.
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The Water Corporation's tagging and isolation procedure is applied for live assets.
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At least two people are present when work is performed in the vicinity of live conductors.
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Electrical equipment is inspected in accordance with AS/NZS 3760 & AS/NZS 3012.
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An electrical inspection register is maintained.
Worksite Changes
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Overall Rating
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All relevant documentation is reviewed and updated to address changes in work methods or conditions.
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Changes are subject to formal assessment.
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Changes are formally communicated to workers.
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Responsibilities are allocated to manage change and realistic timeframes are determined.
Incident Reporting/Investigation
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Overall Rating
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HSE incidents are reported within the required timeframes.
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HSE incidents are investigated to identify the immediate and underlying root causes.
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HSE hazards are identified and recorded.
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Controls measures are determined in accordance with the hierarchy of control.
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Control measures are evaluated to ensure their effectiveness.
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Process exist to analyse trends. Where a trend is identified a strategy is developed to address it.
Water Management
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Overall Rating
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A dewatering management plan has been developed and implemented where necessary.
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Contaminated water is treated prior to disposal.
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Treated water is returned to the environment where possible.
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pH testing occurs where necessary.
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Construction water is acquired from a reliable source.
General Environmental
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Overall Rating
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Suitable and hygienic site amenities are provided.
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Housekeeping is maintained to an acceptable standard.
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Aspects and impacts have been identified, assessed and controlled.
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Noise and vibration is monitored.
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Dust generated through work activities is managed to prevent contamination.
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Waste is suitably managed. Where possible waste is separated (e.g. general refuse, recyclable, oil rags).
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Potential impacts to flora and fauna are managed.
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Suitable bunding is used for chemical storage.
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A designated area is provided for refuelling where possible.
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Has the presence of asbestos been considered as risk?
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Has a safe system of work been developed to manage asbestos i.e. Is there an asbestos management plan? Do personnel removing asbestos possess the appropriate license?
Other Findings & Actions
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All findings communicated and acknowledged
