Title Page

  • Document No.

  • Subcontractor

  • Site/Station

  • Conducted on

General information

  • On site Work location

  • Contractor and Contractor personnel on site

  • Do contractors have all the necessary permits for the work being undertaken?

  • Check documents and move to next question

  • Stop all work immediately and remove all contractors and materials associated with the work from site. Report the non conformance to GWRC H&S and Kiwirail - End of audit

  • Work Site photo

Audit Items

  • Have staff been trained for the task they are carrying out?

  • Is there adequate/necessary supervision of staff?

  • Is there adequate instruction and information for staff?

  • Is the work being undertaken to a specified safe system?

  • Have risk assessments been written and the control measures made known to the staff?

  • Are risk assessments complied with?

  • Have method statements been written and the contents made known to the staff?

  • Are method statements being complied with?

  • Are plant, equipment and tools suitable for an electrified rail environment and in a safe condition and being used correctly?

  • Photos

  • Has plant and equipment been examined, tested, inspected, maintained and records kept?

  • Photos

  • Is access equipment in a safe condition and being used safely?

  • Photos

  • Is housekeeping to an acceptable standard?

  • Photos

  • Are hazardous substances being safely stored/used and are relevant risk assessments available to the staff?

  • Has the work activity been planned and carried out with regard to any environmental impact?

  • If required has an emergency HSE plan been written and available for the work being carried out?

  • Have appropriate steps been taken to ensure the safety of the public and commuters? Eg- signs posted, area barricaded etc.

  • Are there adequate first aid facilities available?

  • Are there arrangements for the safety coordination and cooperation of subcontractors or visitors?

  • Where required are corridor access requirements being complied with?

  • Additional comments

Audit scores

  • Please select the %age audit score as per the calculation shown above

  • Stop all work immediately make site safe and remove contractor from site

  • Instruct contractor on necessary changes required before any work can continue. Actions to be dated and person responsible noted below.

  • Successful Audit make notes below on any improvements/actions required

  • Congratulations on a fantastic audit score - note any comments or follow up below

  • Follow up action required

  • Auditor to sign

  • Subcontractor to sign

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