Title Page

  • Site conducted

  • Conducted on

  • Candidates name

  • Location

  • Sponsor details

  • What Supplier

  • PDM Name

Assessment

  • Does Competent person hold a current Sentinel card?

  • Explain Why

  • Did the Competent Person arrive on site on time?

  • Explain Why

  • Does Competent Person have the required equipment for the duty & the equipment, Shroud, Dets, PLB, access keys, SPR keys. is it all in good working order

  • Explain Why

  • Did the CP have a Challenging Conversation with the RM

  • Why not

  • Does the CP have a SWP and is it being used

  • Why Not

  • Does Competent Person have access to the required rule books

  • Explain Why

  • Does Competent Person use correct phone procedure?

  • Explain Why

  • Does Competent Person know whose instructions to follow?

  • Explain Why

  • Does Competent Person have the ability to communicate in English (both written and oral)

  • feedback to the rail assurance team and stay with them until the works are completed

  • Is the CP suitable to work on Nr's managed infrastructure

  • Was a face to face briefing with the COSS/PC undertaken

  • Explain why

  • Does Competent Person know correct procedure for use of signal post replacement switch keys?

  • Explain Why

  • Does Competent Person have local knowledge of the area ?

  • Explain Why

  • Does Competent Person have specific knowledge of the blocking point/s?

  • Explain Why

  • Is PPE worn correctly, fit for purpose, taking account of the condition in which working?<br>Check expiry dates as applicable.

  • Explain Why

  • Does Competent Person know the access to / from site point?

  • Explain Why

  • Does the Competent Person know where his/her position of safety is located ?

  • Explain Why

  • Has the Competent Person been briefed on all the necessary information?

  • Explain Why

  • Did the Coss provide the Competent Person with a CP check sheet which includes the track diagram?

  • Explain Why

  • Does the competent person have the CP check sheet with them at all times?

  • Explain Why

  • Was the CP issued a unique authority number before accessing the track

  • Explain why

  • Is the protection set out in accordance with current standards?

  • Explain why

  • Placing PLB & Detonators C/O any points are they placed far enough away not to be struck by a train crossing the points to another route?

  • Explain Why

  • Were all communications tested?

  • Explain Why

  • Does the CP hold a first aid competence

Behaviour

  • Did the Competent person appear fresh and well rested?

  • Explain Why

  • Did the Competent person arrive on site with a positive attitude?

  • Explain Why

  • Did the Competent person retain all the information that was briefed by the PIC/COSS?

  • Explain Why

  • Did the Competent person show a full knowledge of emergency reporting procedures and how to block the lines in an emergency

  • Explain Why

  • Has the CP attended a stop think session

  • undefined

  • Has the CP attended the safety critical induction

  • give the induction

  • Has the CP attended the Octavius Communication Training

Reflections and Actions

  • Overall reflection of performance and behaviours

  • Any remedial action identified?

  • Feed back or any IOs from the candidate regarding the observation, health, safety, environmental or from site?

  • Feed back or any IOs from the PDMregarding the observation, health, safety, environmental or from site?

Confirmation

  • Signature of candidate

  • Signature of PDM

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