FO 0095 Rail Safe Worker Audit Checklist V2.0

• Document No.

• Audit Title

• Client / Site

• Client Name & Contact

• Conducted on

  Date

• Prepared by

• Location
  Address

• Protection Officer

1.0 Rail Safe Worker Competency

• Protection officer has current COC? (Gold card, Pegasus)

  Yes

  No

  N/A

2.0 Emergency Procedures

• Evacuation plans prepared

  Yes

  No

  N/A

• Evacuation points at this location?

  Yes

  No

  N/A

• Pre work briefing conducted for all persons at this site and can be viewed?

  Yes

  No

  N/A

• Worksite protection plans in place and can be viewed.

  Yes

  No

  N/A

• All person on site have signed on briefing

  Yes

  No

  N/A

3.0 Worksite Protection Details

• What method of protection is in place at this site?

  Select LPA TOA TWA CSB LOW WONADZ

  • LPA
  • TOA
  • TWA
  • CSB
  • LOW
  • WONADZ

• Has the network controller been contacted for the area?

  Yes

  No

  N/A

• Protection officer has a current set of network rules & procedures.

  Yes

  No

  N/A

• Do you require a Corridor Safety Number (CSN)?

  Yes

  No

  N/A

• Can the Protection Officer produce a MWT Sighting Distance Calculator?

  Yes

  No

  N/A

• Is the Protection Officer competent in the use of the calculator; refer protection plant.

  Yes

  No

  N/A

4.0 Health & Fitness for Work

• Does protection officer undertake alcohol testing at this site?

  Yes

  No

  N/A

• Any prescription medication that may impair ability to work?

  Yes

  No

  N/A

• Type of fostered shift?

  Day

  Afternoon

  Night

• Span of hours worked at this site.

  Yes

  No

  N/A

• How many hours between shifts?

  Yes

  No

  N/A

5.0 Track Protection Equipment

• Are auditory track signalling devices (dets) within date and SDS available.

  Yes

  No

  N/A

• Are auditory track signalling devices (dets) secured correctly.

  Yes

  No

  N/A

• Safe working flags in suitable condition

  Yes

  No

  N/A

• Are auditory warning devices I.e horns, whistles fit for purpose.

  Yes

  No

  N/A

• Red warning lights are fully operational.

  Yes

  No

  N/A

6.0 Copies of Documents Collected

• Rail Safe working cards

  Yes

  No

  N/A

• Completed pre-work briefing

  Yes

  No

  N/A

• Completed protection plans

  Yes

  No

  N/A

• Completed protection logs entries

  Yes

  No

  N/A

• Completed safe working diary entries

  Yes

  No

  N/A

• Updates network rules & procedures

  Yes

  No

  N/A

7.0 OHS Requirements

• Attended client induction before starting on site

  Yes

  No

  N/A

• Construction Induction card

  Yes

  No

  N/A

• Rail Safe work COC

  Yes

  No

  N/A

• Correct Rail Safe PPE for the task

  Yes

  No

  N/A

• Understands reporting procedure for site & INFRAWORKS.

  Yes

  No

  N/A

• Aware of manual handling technique when clipping and locking points if required.

  Yes

  No

  N/A

• Comments:

Sign Off

• Auditor sign off

  Sign

• Protection Officer Sign off

  Sign