ASM-Safety Snapshot-NI Railway

• Project / Site

  Select

• Conducted on

  Date

• Prepared by

• Works Location
  Address

• Weather conditions

Brief summary of the work areas witnessed

• Compound(s)

• On - Off Tracking Area(s)

• Work Site 1

• Worksite 2

• Worksite 3

• Worksite 4

Brief outline of any observations noted

• General H&S Documentation (Site Manager Brief, Task Briefings, Temporary Works, RRV Lift Plans)

• Plant (Operator inspections, LOLER certs, Competency cards)

• Rule Book - (PICOP, ES, TSC, Dispatch and Catch, PEM forms and competency cards)

• Any other point 1

• Any other point 2

Brief outline of any intervention made (complete a Translink Good Catch form for each one)

• Outline of event(s)

Outline any remaining improvement opportunities not closed out

• Detail(s) of what needs to be done, by whom, and when

Site Management sign off

• Has there been any accidents or incidents within the works period

• I confirm I have had the contents of this report explained to me and that I am satisfied as the senior person on site any remedial actions , with agreed time frames and the line is safe and clear for the passage of trains.

• Name/Role/Employer

  Sign