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
