Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Please complete the following questions before starting work and email to your manager's specified address.
Contact your Supervisor/ Manager if unable to respond 'Yes' to each of the questions. -
Head office e-mailed to confirm arrival time?
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Essential Site Safety Requirements; Site Specific Safety Requirements, PTS and other SWIs & RAs understood and to hand.
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Competency Assessments, Authorisations and PTS Certification are in date.
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Co.; Client; and Site aware of site visit and task details.
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Any required contact with Site PIC/ signal operator, inductions & task reviews completed.
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Correct PPE worn; site & tasks carefully assessed.
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Working lines to be securely protected in accordance with Site Safety Requirements.
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Checks made to confirm correct precautions for:<br>Close adjacent lines; powered transport risks; and prevention of hazardous rail vehicle movement and unauthorised pedestrian access.<br>
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Checks made to confirm: work is effectively isolated from hazardous electrical and other power sources; and will not affect or approach nearby running lines; and power lines.
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Work will stop in event of inability to comply with Safety Instructions, accident or other safety concern.
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Point of Work Risk Assessment to be completed with Supervisor if unable to comply with Point 9 of Essential Site Safety Requirements.
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Confirm the following steps to be taken on leaving:<br>• Personal safeguards removed; ensuring the area remains safe for others<br>• Sign-out (wherever appropriate) <br>• Near-miss form completion for any safety concern<br>• Email office to confirm departure time. <br>
