Title Page

  • Name of S/Picop being audited

  • Employer

  • Role Being Audited

  • Week

  • Location/Site of Audit
  • Conducted on

  • Prepared by

S/PICOP COMPETENCY CHECK

  • Is the (S)PICOP in possession of their SENTINEL Card

  • Copy of SENTINEL Card

  • Is the SENTINEL Card valid?

  • Sentinel card check - ATTACH SCREEN SHOT

  • Does the S/PICOP Hold The Correct Competency For The Duty Being Undertaken

POSSESSION DETAILS

  • WON Item

  • PPS Number

  • Possession Limits (From - To)

  • Has possession been published in WON or late notice

  • Has there been any changes on the night (change of ES, Limits etc)

  • What were the changes made?

  • Was a wire issued?

  • How many worksites

  • Are there any trains In the possession

  • How many trains?

MANDATORY PPE & PAPERWORK

  • Is the (S)PICOP in receipt of the possession pack

  • Did the (S)PICOP attend the PICOP brief

  • How many days ago did the (S)PICOP receive the possession pack

  • Are the details in the possession pack correct

  • Was the mistake highlighted to the planning team

  • Is the record of arrangement form (RT3198) completed by the (S)PICOP

  • Is the (S)PICOP wearing or has available clean and maintained Hi-Vis clothing

  • Is the (S)PICOP wearing or has available the correct armband

OBSERVATIONS

  • Has the (S)PICOP any other responsibilities; If yes what?

  • What duties?

  • Where these duties pre planned?

  • Can the (S)PICOP demonstrate knowledge of lines/locations of possession

  • For hand over of Possession between (S)PICOP, has a thorough handover been completed

  • Is the protection set up correctly

  • What is the issue

  • Have all Train/OTM/OTP movements been pre-planned correctly

  • Has the (S)PICOP given the ES authority to start work

  • Does the (S)PICOP record train movements in and out of the possession

COMMUNICATIONS

  • Does the (S)PICOP have suitable means to communicate with the ES, signalman, ECO, PSS etc?

  • Are conversations held by the (S)PICOP, clear, concise and using the phonetic alphabet?

  • Are messages being repeated back?

  • Is the (S)PICOP aware of the affected signal boxes and in receipt of the correct telephone numbers

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.