Information

  • Conducted on

  • Prepared by

Audit Information

  • The Planned general inspection (PGI) will include all areas of the station which are the responsibility of
    LOROL Customer Services Department.
    The Head of Conductors is responsible for undertaking PGIs of the Conductor Management office and
    train crew accommodation on the High Level platforms.
    The Head of Revenue Protection is responsible for undertaking PGIs of the RPI accommodation and the
    RPI cashing-up-room,Harrow Road entrance.
    The SDM (Willesden Junction) is the Fire Precautions Manager for the whole station.
    Every month a PGI must be carried out for all the areas shaded yellow on this PGI form.
    Areas shaded in green represent safety, Quality & Environment standards, which should also be checked
    on a monthly basic.
    Areas in purple indicate that PGI officers only need at this point to complete retail compliance checks,
    alongside the main PGI. PGI officers should print off a copy of Appendix 4 for each booking office , before
    embarking on PGI. ( Required every 8 Weeks) insert the date of last retail compliance check....
    (The next should be within 8 weeks of this date)

  • What was the date of the last PGI completed by an SDM?

  • What was the date of the last PGI completed with an FPM?

  • What was the date of the last PGI completed with a local health and safety representative?

  • Are all these dates less than three months ago?

  • Assign this action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Station Entrance / Ticket Hall

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the help point working (test emergency), and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the electric cupboard locked, clean and litter free?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Meter readings: Gas is unknown and water premises no is 722636260 but no reading available.

  • Electric meter reading 1

  • Electric meter reading 2

Lobby

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are exit doors:<br>Free from obstruction?<br>Clearly signed as a non public area or fire door as appropriate?<br><br>And, do the closures on all fire doors work correctly, shutting under their own weight?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fire extinguishers:<br>In full working order,<br>Free from obstruction,<br>In date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all heating and ventilation working and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all electrical equipment in good order and inspections in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What was the date of last PAT.

  • Is the health and safety notice board:<br>- in place?<br>- does it contain the information as per LOROL SQE intranet page? <br>- Free of non health and safety notices?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the latest local emergency plan on display, updated with all the latest phone numbers?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Store Room

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Are exit doors:<br>Free from obstruction?<br>Clearly signed as a non public area or fire door as appropriate?<br><br>And, do the closures on all fire doors work correctly, shutting under their own weight?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fire extinguishers:<br>In full working order,<br>Free from obstruction,<br>In date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all heating and ventilation working and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all electrical equipment in good order and inspections in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What was the date of last PAT.

Back Office

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are exit doors:<br>Free from obstruction?<br>Clearly signed as a non public area or fire door as appropriate?<br><br>And, do the closures on all fire doors work correctly, shutting under their own weight?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fire extinguishers:<br>In full working order,<br>Free from obstruction,<br>In date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all heating and ventilation working and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all electrical equipment in good order and inspections in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What was the date of last PAT.

Kitchen

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are exit doors:<br>Free from obstruction?<br>Clearly signed as a non public area or fire door as appropriate?<br><br>And, do the closures on all fire doors work correctly, shutting under their own weight?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fire extinguishers:<br>In full working order,<br>Free from obstruction,<br>In date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all heating and ventilation working and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all electrical equipment in good order and inspections in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What was the date of last PAT.

  • Is the fire blanket available and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is drinking water marked clearly with a conspicuous sign?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

COSHH

  • Has a substance inventory been compiled for all substances in use?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Where a substance may be hazardous to health is a safety data sheet available?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Where a substance may be hazardous to health is a local COSHH assessment available?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Where a substance may be hazardous to health is a safety data sheet available?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • All all substances stored on site included on the substance inventory?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is PPE provided for use of chemicals as identified on COSHH assessment?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are the chemicals stored tidy and compliant with COSHH?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Toilet Area

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are exit doors:<br>Free from obstruction?<br>Clearly signed as a non public area or fire door as appropriate?<br><br>And, do the closures on all fire doors work correctly, shutting under their own weight?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fire extinguishers:<br>In full working order,<br>Free from obstruction,<br>In date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all heating and ventilation working and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all electrical equipment in good order and inspections in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What was the date of last PAT.

  • Are adequate hand washing / drying facilities available?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are sanitary bins provided and not full or overflowing?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Ticket Office

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are exit doors:<br>Free from obstruction?<br>Clearly signed as a non public area or fire door as appropriate?<br><br>And, do the closures on all fire doors work correctly, shutting under their own weight?<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fire extinguishers:<br>In full working order,<br>Free from obstruction,<br>In date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all heating and ventilation working and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is all electrical equipment in good order and inspections in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • What was the date of last PAT.

  • Is the fire log book in place?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all work practices and the equipment (including DSE) used by staff, the same as when the previous PGI.

  • Has this been risk assessed?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the DNA spit kit available and in date?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What is the expiry date of the spit kit?

  • Is the first aid kit available and fully stocked with:<br>First-AID GUIDANCE LEAFLET 20x INDIVIDUALLY WRAPPED STERILE PLASTERS ( assorted sizes ) 2x STERILE EYE PADS 4x INDIVIDUALLY WRAPPED TRIANGULAR BANDAGES 10x SAFETY PINS 2x LARGE, INDIVIDUALLY WRAPPED, STERILE, UNMEDICATED WOUND DRESSINGS 6x MEDIUM -- SIZED, INDIVIDUALLY WRAPPED, STERILE, UNMEDICATED WOUND DRESSINGS 2 PAIRS OF DISPOSABLE GLOVES 10x INDIVIDUALLY WRAPPED ALCHOL WIPES 2x HEAT REFLECTING EMERGENCY BLANKETS<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Has the station log book been inspected and signed off?

  • Confirm that there are no actions instigated upon inspection of he station log book?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all CCTV monitors working, does recorded playback work? (Try 4 or 5 random cameras)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is there a T-key available in the ticket office for the wheelchair ramp?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Has all confidential waste older than 3 months been destroyed?<br>(E.g. Balance support, transfer of cash, shift sheets etc.)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What is the seal number of the first aid box?

Accidents & Assaults

  • What was the date of the last recorded accident at this station?

  • What was the last recorded accident number?

  • What was the name or surname of the affected person?

  • Provide a brief description in a few words what the accident was?

  • Have all accidents at the station been investigated and closed off?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • What was the date of the last recorded assault at this station?

  • What was the last recorded assault number?

  • What was the name or surname of the affected person?

  • Provide a brief description in a few words what the assault was?

  • Have all assaults at the station been investigated and closed off?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Provide details of the last 3 accident / assault recomendations at this station, even if closed off.

  • Add an accident recommendation

  • Accident recommendation
  • Date of accident?

  • Provide a brief description of the accident?

  • What recommendation was made?

  • Provide an update on this accident recommendation and assign an action to relevant position or department to move towards completion.

  • Assign an action to relevant position or department:

  • Action
  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Enter date and time of recording this?

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Contractors & Safe Working

  • Are there any contractors working at the station?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Have they signed in and received the local safety brief?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are contractors adopting safe methods of work and practice?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are staff satisfied with safety matters at the station?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Note any other observations during your visit?

Risk Assessments & Station Risk Profile?

  • Has a task assessment for staff working at the station been carried out?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 3 years ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Has a workplace assessment been carried out at the station?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 3 years ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Has a display screen equipment task assessment been carried out at the station?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 3 years ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Has a fire risk assessment been carried out?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Are all faults and shortcomings raised in the last fire safety risk assessment being tracked for repair and or action?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Have any actions or shortcomings been cleared off?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Has a station risk profile been completed for the station?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Have all outstanding actions from the last risk profile review been closed off?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Has an evacuation exercise been carried out?

  • When was this last carried out?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

PIDD check

  • Check the following inventory for PIDD items.

  • Loud hailer with working batteries?

  • Hi - Vi vests?

  • Alternative route guides?

  • Local maps?

  • Whistle?

  • TVM sales warning signs for disruption and engineering works?

  • Hazard tape?

  • Alternative route and disruption to train services posters?

  • Is A-frame available and in good condition?

  • Are all inventory items present and correct?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Overbridge

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • From here is the trackside, free of litter and graffiti?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Platform 1

  • Are the steps leading to the platform in good condition, with nosings and risers well highlighted?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • From here is the track side and track bed free from litter and graffiti?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the help point working (test emergency), and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all coping stones in good condition? Secure and level?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is it free from slip / trip hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the drainage adequate?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are the yellow and white lines clearly visible, including 'mind the gap' and 'mind the step' markings?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fixtures and fittings secure and in good order?<br>(E.g. Benches, fences, perimeter walls, platform signage)<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the grit / salt bin undamaged, secured and affixed with a 'do not sit' sticker?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is platform end signage in place and clearly visible?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the public address system and CIS screens all in good working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the canopy in good condition and no birds roosting or nesting?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the wheelchair ramp in place, in good condition and rust free?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

SME

  • Is it open to the public?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are the steps leading to the platform in good condition, with nosings and risers well highlighted?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Cycle Shed

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Winterisation Store Room

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order? (Where appropriate, is switched off during the day and or off when not in use)

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Winterisation Inventory

  • Are local winter weather action plans available at the station?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the COSHH risk assessment available which advises staff on PPE?

  • Where is this located?

  • When was this last reviewed?

  • Was this less than 12 months ago?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are winterisation supplies (salt) and equipment being stored safely?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • How many 25kg sacks are there at the station?

  • How many 9kg NAAC tubs are there at the station?

  • How many rock salt bags are there at the station?

  • Is there sufficient stock to last at least 21 days?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are there sufficient supplies of goggles and are they in good condition?

  • Are there sufficient shovels and are they in good condition?

  • Are there sufficient buckets and are they in good condition?

  • Are there sufficient spreaders and are these in good condition and rust free?

  • Are there sufficient supplies of gloves?

  • Are there sufficient snow scoops and are these in good condition?

  • Is there sufficient tools and equipment in the event of any breakages or malfunctioning equipment?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Platform 2

  • Are the steps leading to the platform in good condition, with nosings and risers well highlighted?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is it clean, free from graffiti and litter free with no slipping or tripping hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is lighting adequate and in full working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • From here is the track side and track bed free from litter and graffiti?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the help point working (test emergency), and in good condition?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all coping stones in good condition? Secure and level?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is it free from slip / trip hazards?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the drainage adequate?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are the yellow and white lines clearly visible, including 'mind the gap' and 'mind the step' markings?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Are all fixtures and fittings secure and in good order?<br>(E.g. Benches, fences, perimeter walls, platform signage)<br>

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the grit / salt bin undamaged, secured and affixed with a 'do not sit' sticker?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is platform end signage in place and clearly visible?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the public address system and CIS screens all in good working order?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the canopy in good condition and no birds roosting or nesting?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

  • Is the wheelchair ramp in place, in good condition and rust free?

  • Assign an action to relevant position or department:

  • Action
  • Enter date and time of recording this.

  • Assign an action to:

  • What is the fault reference number

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Were you able to resolve and close off there and then at the time of discovery?

  • As it has not been resolved, who have you contacted about this?

  • If required, provide further information here, note any comments or commitments made by responsible parties.

  • Provide photo evidence if available.

  • Is this a new or existing action?

  • Given that this is still outstanding, provide an update of the actions you have taken today to move towards closure of this item? (Add as many updates as required until closed off)

  • Action update
  • Details of action update.

Sign off

  • Sign here to confirm that the PGI is completed in full and is a true and accurate reflection of the stations current safety state?

Appendix

  • Trackside rubbish and graffiti should be reported to network rail on 08457 11 41 11
    Regular occurrences of track bed rubbish should be reported to LOROL senior project manager, who can then escalate the issue to Network Rail level 2 meetings.

  • !!!DO NOT PRESS FINISH AUDIT!!!!

  • !!!DO NOT PRESS FINISH AUDIT!!!!

  • !!!DO NOT PRESS FINISH AUDIT!!!!

  • Leave this audit 'unfinished'. Ensure all questions have been populated and then press 'export'.
    If you press 'finish audit' you will need to do all this work again on the next PGI. This is a work around until iAuditor incorporate changes to roll over audits one month to the next.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.