Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Inspection Information
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Location / Area:
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Area Supervisor:
ITEM
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Have all options SFAIRP been explored to eliminate the need for project personnel to work in the vicinity of overhead powerlines
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Job Hazard Analysis (SWMS) has been completed detailing all electrical hazards and nonelectrical hazards, both actual and potential with suitable control measures
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All overhead services have been identified on specific services drawings and be documented in a register
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Suitable warning signage and height signage has been installed and clearly indicates the presence and dangers of powerlines
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Hard barriers have been installed which physically prevent mobile plant entering within safe approach distances (SAD) of the overhead cables
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All mobile plant capable of encroaching Safe Approach Distance (SAD) is fitted with height AND /or slew restrictors (SIL level?)
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Accredited Safety Observer / Spotter has been assigned to observe and warn against unsafe approach to overhead power lines
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Workers carrying out prescribed tasks hold the relevant certificates of competency (e.g. crane operator, dogman, scaffolder, rigger, EWP operator)
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Where overhead cables are low voltage or street lighting, tiger tails have been fitted
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Work area is clear of obstructions and there are safe entry and exit points
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Plant inspected and third party checked (where required) before operating
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Emergency response plan in place and understood
Corrective Actions
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Action
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Action
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Action
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Action
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Action
Inspection Team
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Name:
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Name:
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Name:
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Name:
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Name: