Title Page

  • Prepared by

  • Job Title

  • Conducted on

  • Won Area & Week Number

  • Location
  • ES/SWL Name

  • Employer

Possession / Worksite Details

Possession Details

  • S/Picop Name

  • Employer

  • Item

  • PPS Reference

  • Location (From/To)

Worksite Details

  • Worksite ID

  • Worksite Ref

  • Worksite Owner

  • Core Work Content

  • Engineering Trains/OTM

  • RRV's in use

  • Worksite Marker Boards

Audit Part 1 of 3

PPE - Inspection

  • Is the ES/SWL in possession of a valid Sentinel card? (attach pic)

  • Was a Sentinel check carried out?

  • Is the ES/SWL in possession of a valid SSOWP?

  • Is the ES/SWL wearing the correct armband?

  • Is the ES/SWL wearing clean & maintained Hi-Vis clothing?

Audit Part 2 of 3

Worksite - Inspection

  • Has the ES/SWL have any other responsibilities? If yes what?

  • Is this in accordance with NR/L3/MTC/PL175/14?

  • Can ES/SWL demonstrate knowledge of the line and the limits of the worksite?

  • Is the PICOP pack created by the appropriate possession manager and constructed in accordance with NR/L3/NDS/303?

  • Is a copy of the pack available from the ES?

  • Does the ES/SWL use phonetic alphabet in communications?

  • Are conversations held by the ES/SWL clear & concise?

  • Are messages repeated back?

  • Has the ES/SWL have means of communication with PICOP/Control?

  • Is the Engineering Supervisors Certificate (RT3199) completed?

  • Are the Marker Boards in the correct position and working?

  • Where necessary, has the ES/SWL protected any adjacent line(s)?

  • Is the Access Point within the worksite?

  • Has the ES/SWL given each IWA/COSS a worksite briefing?

  • Has the ES/SWL informed the IWA/COSS of all train movements?

  • Have the IWA/COSS signed the ES certificate (RT3199)?

  • Does the IWA/COSS have adequate means of communication?

  • Has a COSS been appointed for each workgroup?

  • 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

  • Are the isolation electrical sections within the protection limits?

  • Are hook switches being used? If so H/S number and position (Open or Closed). As per B2.

  • Has the ES/SWL got a permit to work?

Applicable for AC lines

  • Are the isolation electrical sections within the protection limits? If no, is there a valid SSOWP in place for accessing?

  • Has the ES / COSS got a permit to work?

Additional Information

  • Detail any observations of good or bad practice - such has as communications/dealing with COSS/IWA etc.

  • Photographs of any non conformance where applicable, i.e. defective MB

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