Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Asset Information
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Enter Information here...
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Enter location of Asset
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Enter date of Audit
Illuminated Diagram
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1. Check the security of illuminated diagrams / panel structure and fixings
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2. Check that the diagram / panel is adequately clean
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3. Check the legibility of illumined diagram / panel artwork and for signs of excessive wear
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4. Check the indications / lamps, including any with low output
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5. Are the buttons / switches undamaged, free from wear and associated working legible?
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6. Check that the emergency release seals are intact
Illuminated Diagram / Panel (Interior)
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8. Is the interior adequately clean and free from build up of debris and dust?
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7. Are all the doors / covers in place, free from damage and securely fastened?
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9. Check for signs of overheating, and that any ventilation / air conditioning is operating correctky
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10. Are the wires / cables correctly routed, secure, and free from damage and degradation?
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11. Are the terminations free from damage and securely terminated
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12. Check for signs of metallic dust around switches and push buttons
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13. Examine the internal fittings and components for security (e.g. switches, push buttons, panel tiles, TD displays etc)
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14. Check the security of block shelf structure and fixings
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15. Check the legibility of any labels, name plates and artwork for signs of excessive wear
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16. Check the security of equipment mounted on block shelf (e.g. block instruments, indications, block switches, bells, emergency releases etc)
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17. Are block instruments, indicators, releases, bells and switches free from damage and adequatley clean?
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18. Check that the emergency release (paper / glass) are intact and that labels have been completeld correctly
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19. Check that nay seals (lead) are in place and are intact
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20. Are all the block instruments, indicators, releases, bells and switches covers in place and securely fastened?
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21. Check the interior mechanisms of block shelf mounted equipment, for signs of wear and damage to internal componets
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23. Are the wires correctly routed, not trapped, secure and free from damage and degradation?
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22. Are the interiors adequately clean and free from build up of debris and dust?
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24. Are the terminations free from damage and securely terminated?
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25. Are all the block shelf doors / covers in place, free from damage and securely fastened?
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26. Is the interior of block shelf adequately clean and free from build up of debris and dust?
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27. Are the block shelf wires / cables correctly routed, secure, and free from damage and degradation
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28. Are the block shelf terminations free from damage and securely terminated?
VDU / DISPLAYS
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29. Check monitor(s) and any associated keyboard(s) for cleanliness and it is free from damage
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30. Check the display and artwork for legibility and if applicable picture quaility
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31. Where applicable check that image is not excessively burnt out on to the screen
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32. Are the wires / cables correctly routed, not trapped, secure and free from damage and degradation?
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33. Is the general level of cleanliness adequate?
Level Frame and Associated Components
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34. Is the lever frame, levers and associated fittings correctly?
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35. Are the lever names and pull plates intact and is all wording legible?
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36. Are the levers free from signs of fatigue or fracture?
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37. Are the catch handles, catch handle pins and catch rod fittings secure and free from wear?
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38. Check the correct installation and security of all split pins associated with lever frame components / fittings
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39. Are the catch blocks and quadrants free from excessive wear and chamfering?
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40. Are the level contact boxes securely fitted, all lids in place and secure?
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41. Are any wires associated with lever frame components / fittings correctly routed, secure, and free from damage and degradation?
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42. Is the general level of cleanliness adequate?
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43. Check the operation of lever(s) for smooth operation, checking that excessive force is not required to operate equipment associated with lever
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44. Carry out the function test on Welwyn rotary type release
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45. Carry out function test on (Paper and Glass type) emergency release
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46. Test operation of any audible alarms (e.g First Filament, level Crossing, Power Suppliers etc)
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47. Check the correct operation of block bell(s)
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49. Check operation of any needle type (Spagnoletti) indicators. Observe for smooth operation throughout and for signs of needle overdrive
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48. Check the correct operation of block instruments(s)
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50. Check the operation of level crossing control indications
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51. Check H.A.B.D indications
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52. Check operation of remote control override systems
Additional Maintenance Issues
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53. Check rectification work arising from failures, defect reports or SIN actions have been completed
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54. Check that defects identified in this inspection are recorded with correct prioritisation rating within the defect management system. Take appropriate action as required
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55. Is the current maintenance periodicity appropriate for the condition of the equipment and the environment it operates within?
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56. Does the current renewal /refurbishment proposals align with maintenance arrangements to provide an acceptable level of risk to operational safety?
Additional Installation Issues
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57. Is the equipment and fittings installed in accordance with the relevant BR-SM series of drawings / Signal Installation Handbook requirements?
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58. Where cables / internal wiring is used, is it:
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58. A) To specification (PVC / PCP conflict)?
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58. B) Suitably protected?
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58. C) Correctly labelled?
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58. D) Crimp /connections correct and tight?
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59 .Is relevant documentation for the work available e.g. insulation test sheets, test logs, etc?
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