Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Inspection Information

  • Location / Area:

  • Area Supervisor:

ITEM

  • Have all options SFAIRP been explored to eliminate the need for project personnel to work in the vicinity of overhead powerlines

  • Job Hazard Analysis (SWMS) has been completed detailing all electrical hazards and nonelectrical hazards, both actual and potential with suitable control measures

  • All overhead services have been identified on specific services drawings and be documented in a register

  • Suitable warning signage and height signage has been installed and clearly indicates the presence and dangers of powerlines

  • Hard barriers have been installed which physically prevent mobile plant entering within safe approach distances (SAD) of the overhead cables

  • All mobile plant capable of encroaching Safe Approach Distance (SAD) is fitted with height AND /or slew restrictors (SIL level?)

  • Accredited Safety Observer / Spotter has been assigned to observe and warn against unsafe approach to overhead power lines

  • Workers carrying out prescribed tasks hold the relevant certificates of competency (e.g. crane operator, dogman, scaffolder, rigger, EWP operator)

  • Where overhead cables are low voltage or street lighting, tiger tails have been fitted

  • Work area is clear of obstructions and there are safe entry and exit points

  • Plant inspected and third party checked (where required) before operating

  • Emergency response plan in place and understood

Corrective Actions

  • Action

  • Action

  • Action

  • Action

  • Action

Inspection Team

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

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