Binnaway Worksite Inspection Checklist

1.0 Site Information

• Date and Time

  Date
• Worksite Location including start and finish KM:
  Address

• Location of work in rail corridor?

  Select In Cess (or off track) On Track (in danger zone)

  • In Cess (or off track)
  • On Track (in danger zone)

• Description of work being carried out?

• Discipline

  Select Civil Electrical Signal Other

  • Civil
  • Electrical
  • Signal
  • Other

2.0 Induction

• Safety induction given to auditor(s)?

  Yes

  No

  NA

• Rate the quality of the induction (where 1 is inadequate and 5 is excellent)

• PWB form used is current?

  Yes

  No

  NA

• PWB form properly compiled with all fields completed?

  Yes

  No

  NA

• All signatures shown on PWB form?

  Yes

  No

  NA

• WPP form current?

  Yes

  No

  NA

• WPP form properly compiled with track diagram showing work areas, protection arrangements and safe areas?

  Yes

  No

  NA

• All persons have appropriate PPE?

  Yes

  No

  NA

• Emergency evacuation procedures explained?

  Yes

  No

  NA

• Detonator register observed?

  Yes

  No

  NA

• Remarks/comments:

3.0 Worksite Protection Details

• Protection Officer's (PO) name:

• What worksite protection is in use?

  Select LPA TOA TWA CSB Lookout Working Outside danger zone

  • LPA
  • TOA
  • TWA
  • CSB
  • Lookout Working
  • Outside danger zone

• What adjacent line protection is in use?

  Select LPA TOA TWA CSB Lookout Working Outside danger zone

  • LPA
  • TOA
  • TWA
  • CSB
  • Lookout Working
  • Outside danger zone

4.0 Protection details LPA

• Safe Notice circular notice?

• Detonators, red flags/lights at both ends of possession or 2500m from worksite as required by network rules?

  Yes

  No

  NA

• Protecting signals placed at stop with blocking facilities applied?

  Yes

  No

  NA

• Remarks / Comments:

5.0 Safeworking Documentation

• Are the current Work Method Statements / Safe Work Breakdowns on site?

  Yes

  No

  NA

• If no, give details:

• Have the workers been briefed on, and are they up to date with any changes to the relevant WMS/SWB?

  Yes

  No

  NA

• If no, give details:

• Remarks / Comments:

6.0 Protection Officer's Diary and Log

• Has the Protection Officer compiled the Protection Officer's Diary (POD) and the Protection Officer's Log (POL), where required?

  Yes

  No

  NA

• Remarks / Comments:

7.0 General Summary

• Has a Worksite Protection Plan or similar document been compiled and signed by all relevant persons?

  Yes

  No

  NA

• Was the Worksite Protection Plan reviewed as part of the pre work brief?

  Yes

  No

  NA

• Can workers demonstrate knowledge of Work Method Statement / Safe Work Breakdown?

  Yes

  No

  NA

• Can workers demonstrate knowledge of the Worksite Protection Plan?

  Yes

  No

  NA

• Has the site induction register been completed correctly?

  Yes

  No

  NA

• Do controls listed in the Pre Work Brief appear on the Worksite Protection Plan (eg safe places)?

  Yes

  No

  NA

• Was a Pre Work Briefing form completed and signed by site workers?

  Yes

  No

  NA

• Has the latest version of Pre Work Brief form used? (As per ARTC website)

  Yes

  No

  NA

• Were you as an observer inducted into the site?

  Yes

  No

  NA

• Did you sign the Pre Work Brief form?

  Yes

  No

  NA

• Can the workers identify the Safe Place?

  Yes

  No

  NA

• Do the workers know who is the First Aid Officer?

  Yes

  No

  NA

• Is the first aid kit(s) on hand and appropriately stocked?

  Yes

  No

  NA

• Is the planning of the work adequate?

  Yes

  No

  NA

• Is lighting adequate for activity?

  Yes

  No

  NA

• Are holes/excavations barricaded?

  Yes

  No

  NA

• Is perimeter of worksite guarded / fenced / gates secured?

  Yes

  No

  NA

• Are amenities adequate?

  Yes

  No

  NA

• Are detonators in storage or use within recommended shelf-life?

  Yes

  No

  NA

• Remarks / Comments:

• Auditor name:

  Sign

• Other persons involved (if required):