Annexure 4 Site Inspection Forms and Checklists
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1 Annexure 4 Site Inspection Forms and Checklists Annexure 4.1 Site and Surrounds Inspection Checklist Standard Inspection Checklist (Site and Surrounds) The Site Inspection Checklist is to be completed by Site Management during a site walk-around each month. Other checklists may be utilised depending on their relevance to the particular location. At the conclusion of a Site Inspection where there is immediate attention required to action a hazard, a copy of the Site Inspection Checklist should be forwarded to the Site Manager. SECTION 1: To be completed for every Monthly Site Inspection Conducted Audit Location: Date: / / Audit Start Time: Audit Finish Time: Name of Auditor: Position/Title: Signature: SECTIO N 2: Mark No for items that require attention and/ or remedial action (list comments in the box below) Mark Yes for items that are correct, present, satisfactory, etc. Item # Checklist Item Status 1 Are all relevant train inspections being completed as applicable and are records available on file? 2 Have all contractors and visitors signed the visitors book and been formally inducted? Are contractors working in agreed areas and providing site protection? 3 Are all personnel, contractors and visitors adhering to site speed limits, no smoking policy, requirements to wear high visibility safety vests? 4 Are safety glasses and hearing protection being worn by personnel, contractors and visitors where appropriate? 5 Are all fire extinguisher maintenance stamps current and has a fire evacuation / drill been conducted within the last 12 months? 6 Are all defendable spaces and access road corridors being maintained to reduce the impact from bushfire? 7 Is Emergency Response Equipment easily identifiable, accessible and adequately stocked i.e.: are items listed on the master contents list available? 8 Have all spills (major and minor) been adequately cleaned up? If absorbent particulate has been used to absorb a spill has it been appropriately disposed of? 9 Is site housekeeping adequate? Are oil / grease stocks stored appropriately? Are drains clear of rubbish? Is the site free of tripping hazards brake blocks, etc.? 10 Is site maintenance adequate? Check roadways, lighting, perimeter fences, etc. 11 Are the maintenance workshops clean of oil/grease build up? Is the site free of rubbish and tripping hazards? Is the oil/water separator Page 104 of 149
2 appropriately maintained? 12 Is appropriate radio protocol being used? Are operators complying with relevant radio protocol procedures? 13 Are personnel complying with the correct procedures for piloting shunting movements? 14 Are there a sufficient number of qualified First Aid people on site? 15 Check contents of the first aid cabinet / box. Is it adequately stocked and accessible? 16 Is there a qualified Health and Safety Representative on the Site SHE Committee representing each workgroup on site? 17 Are Site SHE Committee meetings conducted on a monthly basis? 18 Are SHE Committee meeting records maintained and accessible? 19 Are SHE Committee minutes of meetings distributed? 20 Are Site Inspections conducted on a quarterly basis and are identified hazards transferred appropriately to the Safety, Health and Environment Management Event (SHEM Event) management system? 21 Are hazards identified on Hazard Report Form(s) transferred appropriately to SHEM Event? 22 Are action items on in-gauge being completed in a timely manner? 23 Are employees trained in the use of SHEM Event for reporting hazards, incidents and events? 24 Observe work practices on site. Is there anyone not working according to procedure or working in an unsafe manner? 25 Observe work place conditions. Can you identify any other hazards not previously listed? 26 Has all stormwater monitoring been conducted and reviewed against compliance conditions? 27 Has the site undertaken daily visual dust observations during periods of high risk (hot, dry and windy)? 28 Has the site undertaken the necessary noise and vibration compliance monitoring? 29 Are all complaints recorded, investigated where required and closed out? 30 Is the site operating in accordance within the approved operation times? 31 Is there evidence of plant and equipment being maintained and operated in an efficient manner? 32 Are train operators trained in the entry and exit of trains into the Hexham TSF in order to minimise noise impacts? 33 Is all fencing (EEC, Offset area, boundary) in satisfactory condition? Commen ts: Item # (Detail any items that require attention and/or remedial action) Actions listed below are to be written up on in-gauge. Comment Page 105 of 149
3 Annexure 4.2 Provisioning Facility Inspection Checklist Provisioning Facility Inspection Checklist Actions arising from the inspection are to be listed on SHEM Event and progressed by the Site Manager. SECTION 1: To be completed for every [insert period/frequency] Site Inspection Conducted Audit Location: Date: / / Audit Start Time: Audit Finish Time: Name of Auditor: Position/Title: Signature: SECTION 2: Mark No for items that require attention and/ or remedial action (list comments in the box below) Mark Yes for items that are correct, present, satisfactory, etc. Item # Checklist Item Status 1 Bulk Fuel Bund & Pumps Is the floor of the bunding clean with no evidence of leaks? Is pump area clean with no evidence of leaks? Are all bund valves locked? 2 Fuel Discharge Area Is the area clean with no evidence of spills? Are the pumps, pipes etc. functioning with no evidence of leaks. Are all valves locked (when facility is closed)? 3 Provisioning Shed Is the area kept clean with no evidence of spills? Are drains and/or pits free from sand/ silt? Are all substances and dangerous goods appropriately stored? 4 Oily Wash Down Areas Are spill kits in place and fully stocked for any spills or emergency incidents? 5 External Are stormwater discharge areas clean with no evidence of hydrocarbons or excess silt? Is external concrete area clean with no excess rubbish on site? 6 Waste Disposal Is all waste generated on site appropriately classified and handled? Are waste reuse/recycling practices maximised on site where practicable? Are records of waste tracking available/ kept for all waste materials removed from site? 7 Environmental Management Are all substances/ dangerous good used/ stored on site approved? Are SDS available for all substances/ dangerous goods? Have all modifications been recorded and appropriate plans/procedures updated? 8 Emergency Procedures Are Incident Report forms available? Have all incidents been recorded Page 106 of 149
4 and reported? Are all new/ existing operators trained on Environmental Management Plan and Emergency Procedures? Are records of all training available? Is adequate stocks of booms, absorbent materials etc. available and accessible on site? Has a test/ trial of emergency procedures been conducted with all operators in last 6 months? Is all fire protection equipment in date and/or accessible? Are safety showers and eye wash stations fully operational and accessible? 9 Liquid trade-waste Are the trade-waste tanks at or above 50% capacity? 10 Do the trade-waste tanks require emptying? 11 Is there any evidence of deterioration of the trade-waste systems including sumps, pumps, pipework, tanks and bunds? 12 Do the trade-waste sumps require cleaning? Comments: (Detail any items that require attention and/or remedial action) Actions listed below are to be written up on in-gauge. Item # Comment Page 107 of 149
5 Annexure 4.3 Combined Maintenance Facility Inspection Checklist Combined Maintenance Facility Inspection Checklist Actions arising from the inspection are to be listed on SHEM Event and progressed by the Site Manager. SECTION 1: To be completed for every [insert period/frequency] Site Inspection Conducted Audit Location: Date: / / Audit Start Time: Audit Finish Time: Name of Auditor: Position/Title: Signature: SECTION 2: Mark No for items that require attention and/ or remedial action (list comments in the box below) Mark Yes for items that are correct, present, satisfactory, etc. Item # Checklist Item Status 1 Coolant Replacement, Storage and Disposal Is the area clean with no evidence of spills? Are all pumps, pipes etc. functioning with no evidence of leaks? Are all valves locked (when facility is closed)? Is storage container bund fully intact and emptied as required? 2 Oil Replacement, Storage and Disposal Is the area clean with no evidence of spills? Are the pumps, pipes etc. functioning with no evidence of leaks. Are all valves locked (when facility is closed)? Is storage tank bund fully intact and emptied as required? 3 Oily Wash Down Area Is the area kept clean with no evidence of spills? Are spill kits in place and fully stocked for any spills or emergency incidents? Are all substances and dangerous goods appropriately stored? 4 Locomotive Wash Down Areas Are spill kits in place and fully stocked for any spills or emergency incidents? Has the wash down bay been left in a clean state following use? 5 External Are stormwater discharge areas clean with no evidence of hydrocarbons or excess silt? Is external concrete area clean with no excess rubbish on site? 6 Waste Disposal Is all waste generated on site appropriately classified and handled? Are waste reuse/recycling practices maximised on site where practicable? Are records of waste tracking available/ kept for all waste materials removed from site? 7 Environmental Management Are all substances/ dangerous good used/ stored on site approved? Are SDS available for all substances/ dangerous goods? Have all modifications been recorded and appropriate plans/procedures updated? 8 Emergency Procedures Are Incident Report forms available? Have all incidents been recorded and reported? Are all new/ existing operators trained on Environmental Management Plan and Emergency Procedures? Are records of all training available? Is adequate stocks of booms, absorbent materials etc. available and accessible on site? Page 108 of 149
6 Has a test/ trial of emergency procedures been conducted with all operators in last 6 months? Is all fire protection equipment in date and/or accessible? Are safety showers and eye wash stations fully operational and accessible? 9 Amenities Are all wash troughs and toilet amenities clean and fully operational? Are all water drinking fountains clean and fully operational? 10 Trade Waste Water Recycling System (DAF System) Is there sufficient chemicals to operate the treatment plant? Are they appropriately stored? Have all treatment plant alarms been addressed? Have all treatment plant prestart checks been completed? Is the Oil-Water Separator system fully operational? Are records of inspection and maintenance up to date and available (i.e. Clearmake Daily/ Weekly/ Monthly/ Annual/ Bi-annual Maintenance Record Sheet)? 11 Comments: (Detail any items that require attention and/or remedial action) Actions listed below are to be written up on in-gauge. Item # Comment Page 109 of 149
7 Annexure 4.4 Service Vehicle Garage Inspection Checklist Actions arising from the inspection are to be listed on SHEM Event and progressed by the Site Manager. SECTION 1: To be completed for every [insert period/frequency] Site Inspection Conducted Audit Location: Date: / / Audit Start Time: Audit Finish Time: Name of Auditor: Position/Title: Signature: SECTION 2: Mark No for items that require attention and/ or remedial action (list comments in the box below) Mark Yes for items that are correct, present, satisfactory, etc. Item # Checklist Item Status 1 Is appropriate housekeeping being maintained in the service garage areas? 2 Are all substances/ dangerous good used/ stored on site approved? 3 Are SDS available for all substances/ dangerous goods? 4 Is all waste generated on site appropriately classified and handled? 5 Are waste reuse/recycling practices maximised on site where practicable? 6 Are records of waste tracking available/ kept for all waste materials removed from site? 7 Are stormwater discharge areas clean with no evidence of hydrocarbons or excess silt? 8 Is external concrete area clean with no excess rubbish on site? 9 Are vehicle spills (i.e. oil, fuel, coolant) throughout the garage appropriately cleaned up? 10 Are spill kits in place and fully stocked for any spills or emergency incidents? 11 Are all contractors (providing mobile light vehicle services) fully inducted and holding appropriate SDS and emergency spill management controls? 12 Comments: (Detail any items that require attention and/or remedial action) Actions listed below are to be written up on in-gauge. Item # Comment Page 110 of 149
8 Page 111 of 149
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