Title Page
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Prepared by
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Job Title
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Conducted on
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Won Area & Week Number
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Location
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ES/SWL Name
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Employer
Possession / Worksite Details
Possession Details
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S/Picop Name
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Employer
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Item
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PPS Reference
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Location (From/To)
Worksite Details
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Worksite ID
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Worksite Ref
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Worksite Owner
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Core Work Content
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Engineering Trains/OTM
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RRV's in use
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Worksite Marker Boards
Audit Part 1 of 3
PPE - Inspection
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Is the ES/SWL in possession of a valid Sentinel card? (attach pic)
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Was a Sentinel check carried out?
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Is the ES/SWL in possession of a valid SSOWP?
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Is the ES/SWL wearing the correct armband?
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Is the ES/SWL wearing clean & maintained Hi-Vis clothing?
Audit Part 2 of 3
Worksite - Inspection
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Has the ES/SWL have any other responsibilities? If yes what?
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Is this in accordance with NR/L3/MTC/PL175/14?
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Can ES/SWL demonstrate knowledge of the line and the limits of the worksite?
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Is the PICOP pack created by the appropriate possession manager and constructed in accordance with NR/L3/NDS/303?
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Is a copy of the pack available from the ES?
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Does the ES/SWL use phonetic alphabet in communications?
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Are conversations held by the ES/SWL clear & concise?
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Are messages repeated back?
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Has the ES/SWL have means of communication with PICOP/Control?
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Is the Engineering Supervisors Certificate (RT3199) completed?
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Are the Marker Boards in the correct position and working?
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Where necessary, has the ES/SWL protected any adjacent line(s)?
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Is the Access Point within the worksite?
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Has the ES/SWL given each IWA/COSS a worksite briefing?
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Has the ES/SWL informed the IWA/COSS of all train movements?
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Have the IWA/COSS signed the ES certificate (RT3199)?
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Does the IWA/COSS have adequate means of communication?
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Has a COSS been appointed for each workgroup?
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Has the COSS briefed all site staff on the work content, site hazards, protection / emergency arrangements and movement of On Track Plant or trains?
Audit Part 3 of 3
Worksite - Inspection (AC/DC)
Applicable for DC lines
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Are the isolation electrical sections within the protection limits?
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Are hook switches being used? If so H/S number and position (Open or Closed). As per B2.
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Has the ES/SWL got a permit to work?
Applicable for AC lines
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Are the isolation electrical sections within the protection limits? If no, is there a valid SSOWP in place for accessing?
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Has the ES / COSS got a permit to work?
Additional Information
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Detail any observations of good or bad practice - such has as communications/dealing with COSS/IWA etc.
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Photographs of any non conformance where applicable, i.e. defective MB