Title Page
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Site conducted
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Conducted on
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Candidates name
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Location
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Sponsor details
- Deploy
- Coleman
- Osborne
- RSL
- RTIS
- Other
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What Supplier
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PDM Name
Assessment
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Does Competent person hold a current Sentinel card?
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Explain Why
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Did the Competent Person arrive on site on time?
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Explain Why
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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
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Explain Why
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Did the CP have a Challenging Conversation with the RM
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Why not
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Does the CP have a SWP and is it being used
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Why Not
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Does Competent Person have access to the required rule books
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Explain Why
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Does Competent Person use correct phone procedure?
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Explain Why
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Does Competent Person know whose instructions to follow?
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Explain Why
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Does Competent Person have the ability to communicate in English (both written and oral)
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feedback to the rail assurance team and stay with them until the works are completed
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Is the CP suitable to work on Nr's managed infrastructure
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Was a face to face briefing with the COSS/PC undertaken
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Explain why
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Does Competent Person know correct procedure for use of signal post replacement switch keys?
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Explain Why
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Does Competent Person have local knowledge of the area ?
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Explain Why
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Does Competent Person have specific knowledge of the blocking point/s?
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Explain Why
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Is PPE worn correctly, fit for purpose, taking account of the condition in which working?<br>Check expiry dates as applicable.
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Explain Why
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Does Competent Person know the access to / from site point?
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Explain Why
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Does the Competent Person know where his/her position of safety is located ?
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Explain Why
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Has the Competent Person been briefed on all the necessary information?
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Explain Why
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Did the Coss provide the Competent Person with a CP check sheet which includes the track diagram?
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Explain Why
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Does the competent person have the CP check sheet with them at all times?
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Explain Why
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Was the CP issued a unique authority number before accessing the track
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Explain why
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Is the protection set out in accordance with current standards?
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Explain why
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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?
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Explain Why
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Were all communications tested?
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Explain Why
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Does the CP hold a first aid competence
Behaviour
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Did the Competent person appear fresh and well rested?
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Explain Why
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Did the Competent person arrive on site with a positive attitude?
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Explain Why
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Did the Competent person retain all the information that was briefed by the PIC/COSS?
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Explain Why
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Did the Competent person show a full knowledge of emergency reporting procedures and how to block the lines in an emergency
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Explain Why
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Has the CP attended a stop think session
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Has the CP attended the safety critical induction
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give the induction
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Has the CP attended the Octavius Communication Training
Reflections and Actions
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Overall reflection of performance and behaviours
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Any remedial action identified?
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Feed back or any IOs from the candidate regarding the observation, health, safety, environmental or from site?
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Feed back or any IOs from the PDMregarding the observation, health, safety, environmental or from site?
Confirmation
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Signature of candidate
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Signature of PDM