Information
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ITS Technologies & Logistics Track Protection JSA Compliant Audit
Track Protection JSA Audit Form
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Division
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Location / Site
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GPS - Location
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Conducted on
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Train I.D. Classification
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Location Track I.D. Number
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Name of Supervisor being Observed - Full Name
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Employee Number
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Prepared by - Full Name
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Employee Number person preparing audit
Checklist
ITS Technologies & Logistics Track Protection JSA Compliant Audit
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INSTRUCTIONS: Please check all appropriate finding - Mark items with a Pass or Fail (This audit form must be performed to ensure all polices and procedures are being followed)
1. Pre-Shift Briefing and Track Status
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1.1 Where employees informed and notified -about current track status and protection?
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1.2 Is Track Protection Effective and all devices working?
2. Removal of Track Protection Procedures
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2.1 Did supervisor notify employees and visually verify all employees involved are clear of the Track being Released?
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2.2 Was an employee roster or document used to call and confirm to all employees working track?
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2.3 Was conformation given and Track visually verified before attempting to remove track protection?
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2.4 Did supervisor ensure all equipment is clear of track before removal of track Protection?
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2.5 Did Supervisor submit track release form with the final track sheets?
3. Track Protection Removed and Railcar Movement
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3.1 Did supervisor verify and visually check for any PUC line violations before removal of track protection?
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3.2 Did Supervisor announce the removal of track protection and status change of the track?<br><br>
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