Information

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Information

  • Asset Identity

  • undefined

  • Enter Asset Location
  • Enter Date and Time of Audit

Road / Pedestrian / Driver Light Units (External)

  • 1. Is area around light unit post adequately free from debris / obstructions, fire risks, scrap material, vegetation etc?

  • 2. Are light unit posts, brackets(s) and other fittings undamaged and free from serious corrosion or cracks?

  • 3. Are light unit posts upright and not been affected by subsidence or vehicular damage?

  • 4. Are light unit backboards / hoods undamaged?

  • 5. Are light units correctly sighted and not obscured by vegetation?

  • 6. Are all light unit exterior lenses clean, not damaged or discoloured, and correctly orientated?

  • 7 . Are any chequered borders clean and undamaged?

Road / Pedestrian / Drivers Light Units (Internal)

  • 8. Is interior of light unit free from moisture and debris?

  • 9. Are cable glands / seals intact and effective?

  • 10. Are internal wires undamaged, free from degradation, and securely terminated?

  • 11. Are lamp holders in good condition?

  • 12. Are all interior lenses, glasses and reflectors clean, not damaged or discoloured, and correctly aligned?

  • 13. Is the level of cleanliness adequate?

Signs

  • 14. Is area around sign posts adequately free from debris / obstructions; fire risks, scrap material, vegetation etc?

  • 15. Are the sign posts, bracket(s), and other fitting undamaged and free from serious corrosion or cracks?

  • 16. Are the sign posts upright and not been affected by subsidence or vehicular damage?

  • 17. Are the signs correctly sighted and not obscured by vegetation?

  • 18. Are the signs clean and is all wording legible?

Road Markings / Road Surfaces / Fencing

  • 19. Are all the road markings complete and visible?

  • 20. Is the condition of the road surface over the crossing adequate?

  • 21. Is the condition of any pedestrian guard rails adequate?

  • 22. Are the anti-trespass guards adequate and securely fastened down?

  • 23. Are wicket gates adequate and free from serious corrosion / rot?

Audible Warnings

  • 24. Are the audible warning fixings / brackets and other fittings undamaged and free from serious corrosion?

  • 25. Is the audible warning free from water ingress?

  • 26. Are the exposed cables free from damage and securely fastened?<br>

Crossing Control Units (Internal)

  • 27. Are the control unit fixings and other fittings undamaged and free from serious corrosion?

  • 28. Are the exposed cables free from damage and securely fastened?

  • 29. Is the door lock in good working order?

Crossing Control units (External)

  • 30. Check any door interlock feature (switch to be in Auto position) and captive key feature

  • 31. Is the faceplate engraving / labelling correct and is all wording legible?

  • 32. Are the terminations free from damage and securely terminated?

  • 33. Is the interior free from moisture and debris?

  • 34. Is the level of cleanliness adequate?

Booms / Gates

  • 35. Is the area around boom / gates free from debris / obstructions; fire risks, scrap material, vegetation etc?

  • 36. Are the booms / gate bracket(s) and other fittings undamaged and free from serious rot / corrosion / cracks?

  • 37. Are the booms / gate correctly aligned?

  • 38. Are the reflective strips / targets clean and free from damage?

  • 39. Are the boom / gate lamps securely fitted, clean and correctly aligned?

  • 40. Are the boom / gate lamps exposed cables free from damage and securely fastened?

  • 42. Observe operation booms/ gates throughout a full cycle of operation checking for correct operation of boom road stops / gate stops and that any damping is effective?

  • 41. Is the condition of the barrier skirts adequate and free from damage?

Operating Mechanism (External)

  • 44. Are the pedestal / post bracket(s) and other fittings undamaged and free from serious rot, corrosion, or developing fractures?

  • 45. Are the pedestals / posts bracket(s) upright and not been affected by subsidence or vehicular damage?

  • 43. Is the area around pedestal / post free from debris / obstructions, fire risks, scrap material, vegetation etc?

  • 47. Are the exposed cables free from damage and securely fastened?

  • 46. Check for signs of any hydraulic oil leaks around vicinity of pedestal / post

Operating Mechanisms (Internal)

  • 48. Check the security of pedestal / post fixing bolts

  • 49. Are the correct locks / padlocks fitted to the door?

  • 50. Are the doors easily opened and not restricted by rubbish, vegetation etc?

  • 51. Is the interior free from moisture and debris?

  • 52. Are all the cable glands intact and effective?

  • 53. Are the internal wires and cables undamaged, free from degradation / chaffing and securely terminated?

  • 54. Where required, are mechanical parts adequately lubricated?

  • 55. Are the circuit controllers secured and are correct locks fitted?

  • 56. Are the circuit contact bands clean and free from excessive wear?

  • 57. Check for signs of copper dust / silvers of metal from contact bands

  • 58. Are the hydraulic hoses free from leaks, secure and free degradation and chaffing?

  • 59. Is the Auto / Manual valve in correct position for type of installation?

  • 60. Check the security of door lock microswitches

  • 61. Is the earth bonding secure and undamaged?

  • 62. Is the level of cleanliness adequate?

Crossing - Dynamic Inspection

  • 63. Observe for correct operation of booms / gates whilst crossing is being operated i.e. booms do not oscillate, damping is effective, gates do not over travel, gate stops are effective, crossing operating timings are correct (lowering and raising) etc

  • 64. Observe the operation of road traffic lights during typical cycle checking that the sequence is correct and sighting is correct

  • 65. Check that the audible warning sound output is as specified within the diagrams (day / night settings)<br>

  • 66. Check the audible alarm warning time clock is set to the correct time

  • 67. Check the operation of any neon type 'Another Train Coming' signs, check wording is legible and sighting is correct

  • 68. measure the power supplies for presence of earths during typical cycle and check compliance to specifications

Additional Maintenance Issues

  • 69. Check rectification work arising from failure, defect reports or SIN actions have been completed

  • 70. Check that defects identified in this inspection are recorded with correct prioritisation rating within the defect management system. Take appropriate action as required

  • 71. Is the current maintenance periodicity appropriate for the condition of the equipment and the environment it operates within?

  • 72. Does the current renewal / refurbishment proposals align with maintenance arrangements to provide an acceptable level of risk to operational safety?

Additional Installation Issues

  • 73. Is the level crossing and fittings installed in accordance with the relevant BR-SM series of drawings / Signal Installation Handbook requirements

  • 74. Where cables / internal wiring is used, is it:

  • 74. A) To specification?

  • 74. B) Suitably protected?

  • 74. C) Correctly labelled?

  • 74 D) Crimp / connections correct and tight?

  • 75. Is the relevant documentation for the work available e.g. insulation test sheets, test logs, etc?

  • Please confirm by signature...

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.