Template

Water and Sewer Take 5 Safety Checklist

by Clarence Valley Council, from the Community

20+

Streamline field safety for water and wastewater operations with this Water and Sewer Take 5 checklist. Capture job location and description, plan traffic control, locate underground and overhead services using Dial Before You Dig, assess weather and site conditions, specify required PPE, and record controls. Nominate a first aid officer and collect staff signatures to confirm understanding before work begins. Ideal for council utilities and contractor crews performing maintenance, repairs, and inspections.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Take 5 Safety Checklist Q Group
Streamline pre start risk checks with this Take 5 safety checklist. Confirm induction and knowledge of site rules, reporting procedures, and emergency plans. Verify access to first aid, PPE, and safe equipment. Assess separation of vehicles and pedestrians, handling of hazardous substances, and manual handling risks. Note site specific hazards and controls, and sign off with supervisor acknowledgment. Designed for construction crews and contractors to minimize risks before work begins.
by K Hall, from the Community
Downloads: 0
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Template
LLS HSEQ Field Audit Checklist (Full)
A comprehensive HSEQ field audit checklist for utilities crews working on water and sewer assets. Covers crew verification and competencies, PPE, pre-starts and SWMS/JSEA, chemical and compressed gas safety, electrical safety and tagging, environmental controls and spill response, detailed traffic management requirements, quality and work practice checks for water mains, fittings, services and meters, sewer activity hygiene and public health safeguards, excavation planning and controls, vehicle and mobile plant compliance, confined space entry permits and rescue planning, and asbestos cement pipework controls. Includes completion sign-off for audit leaders and team members.
by Keith Baker, from the Community
Downloads: 20+
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Template
Parks Take 5 Safety Checklist
This Parks Take 5 checklist helps parks and grounds crews quickly assess site conditions, verify PPE, and identify hazards such as traffic and pedestrian risks, overhead power lines, water bodies, and environmental factors before work begins. Reference safe work procedures and work method statements for tasks including mowing, chainsaw and polesaw use, pesticide application, trailer loading, truck driving, and playground inspection. Record site information, set exclusion and no-go zones, and document controls to improve safety and compliance during parks operations.
by Troy Burns, from the Community
Downloads: 10+
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Template
Job Execution Report Template
Use this job execution report template to document sewer and water works from start to close. Capture job details, toolbox talks, and risk assessments; record sewer events such as dry or wet weather overflows, odour complaints, jet cleaning, CCTV inspections, manhole and sewer repairs, and causes with follow-up actions. Track water operations including no water, pressure or quality issues, valve and hydrant maintenance, chlorine tests or failures, and water main breaks with pipe size, defect type, repair method, shutoff and restore times, and estimated properties affected. Conclude with completion time and date, staffing, customer and contact centre notifications, billing flags, notes, and recommended actions to support compliant municipal utility operations.
by Lismore City Council, from the Community
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Water and Sewer Take 5 Safety Checklist

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Take 5 Safety Checklist Q Group

LLS HSEQ Field Audit Checklist (Full)

Parks Take 5 Safety Checklist

Job Execution Report Template

You might also like

Take 5 Safety Checklist Q Group

LLS HSEQ Field Audit Checklist (Full)

Parks Take 5 Safety Checklist

Job Execution Report Template