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ITS Technologies & Logistics Track Protection JSA Compliant Audit

Track Protection JSA Audit Form

  • Division

  • Location / Site

  • GPS - Location
  • Conducted on

  • Train I.D. Classification

  • Location Track I.D. Number

  • Name of Supervisor being Observed - Full Name

  • Employee Number

  • Prepared by - Full Name

  • Employee Number person preparing audit

Checklist

ITS Technologies & Logistics Track Protection JSA Compliant Audit

  • 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

  • 1.1 Where employees informed and notified -about current track status and protection?

  • 1.2 Is Track Protection Effective and all devices working?

2. Removal of Track Protection Procedures

  • 2.1 Did supervisor notify employees and visually verify all employees involved are clear of the Track being Released?

  • 2.2 Was an employee roster or document used to call and confirm to all employees working track?

  • 2.3 Was conformation given and Track visually verified before attempting to remove track protection?

  • 2.4 Did supervisor ensure all equipment is clear of track before removal of track Protection?

  • 2.5 Did Supervisor submit track release form with the final track sheets?

3. Track Protection Removed and Railcar Movement

  • 3.1 Did supervisor verify and visually check for any PUC line violations before removal of track protection?

  • 3.2 Did Supervisor announce the removal of track protection and status change of the track?<br><br>

Corrective Actions - Note Actions needed for Failed processes

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