Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel involved

Fatal & Severe Risk 1 Vehicles Accidents Life Saving Behaviours - I will always be fit for the journey and drive to the current conditions

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 2 Manual Handling Life Saving Behaviours - I will always lift and work within my own capability and immediately report any sprains or strains to my leader so it can be managed effectively

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 3 Struck by Rail Traffic Life Saving Behaviours - I will always use or authorise the safest work on track authority to suit the task being performed to protect the work group using clear and concise communication

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 4 Rail Traffic Collision Life Saving Behaviours - I will always ensure the correct route is planned and prioritised clear of confliction using clean and concise communications

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 5 Struck by Mobile Plant Life Saving Behaviours - I will always stay clear of mobile plant exclusion zones unless I have been authorised to enter

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 6 Contact with Electricity Life Saving Behaviours - I will only work on or near electrical equipment that has been isolated and tested for dead unless authorised

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 7 Hazardous Chemicals, Hot Materials and Confined Spaces Life Saving Behaviours - I will always use the correct PPE for the task and comply with confined space entry permits

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 8 Crushed by a Crane or Lifted Load Life Saving Behaviours - I will always stay clear of potential 'crush zones' or 'suspended loads'

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 9 Fall From Heights Life Saving Behaviours - I will always use adequate protection where I can fall more than 2m or within 2m of an edge

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Fatal & Severe Risk 10 Contractor Management Life Saving Behaviours - I will actively manage contractors I am responsible for to safely deliver work and comply with ARTC Life Saving Behaviours

  • Was the Life Saving Behaviours displayed? <br>If negative response given, note if ARTC or Contractor.

Task Based Environmental Impact Assessment (TBEIA)

  • Is a TBEIA available on site, understood and the management measures implemented?

  • Works NOT requiring a TBEIA -
    - Non-intrusive Investigations, Inspections and monitoring i.e. track inspections, call-outs and
    engineering studies.
    - Component replacement on rail, sleepers, turnouts and crossings i.e. rail lubricators, jewellery and
    wire feeds.
    - Non-intrusive electrical, signals, testing and minor repairs i.e. battery replacement and power
    supply, points and signal boxes.
    - Facilities maintenance including clean-ups, building maintenance and minor repairs.
    - Maintenance, replacement or removal of signage on existing structures.
    - Same day works conducted within standard working hours that are entirely within the track
    structure and foundation and do not break natural ground, such as, spot welds and grinding,
    insulated rail joint works or spot resurfacing.
    - Emergency works
    - Works assessed under another type of Environmental Impact Assessment (e.g. REF or EIS)
    - Works not being undertaken by or on the behalf of ARTC (i.e. third party works)

Comments

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.