Information

  • Client / Station:

  • Pump Number:

  • Sump Number / Location:

  • Conducted on:

  • Prepared by:

  • Location in Station:
  • Engineers:

THE RISK ASSESSMENT IS AS PER THE GENERIC PPM METHOD STATEMENT. SITE SPECIFIC RISK ASSESSMENT TO BE COMPLETED IF REQUIRED.

REFER TO THE SITE SPECIFIC RISK ASSESSMENT BEFORE STARTING WORK AND ENSURE ALL REQUIRED SAFETY EQUIPMENT IS PRESENT.

THE UNIT MUST BE ISOLATED FROM THE ELECTRICAL SUPPLY BEFORE ANY INTRUSIVE WORK IS CARRIED OUT.

ON ENTERING THE SITE:

  • Is the Risk Assessment and Method Statement relevant to the task being carried out below?

  • Is the site clear from any visible signs of asbestos that could be disturbed by the task below?

  • Is the site safely accessible with no sub standard conditions on the access route?

  • IF 'NO' REPORT TO YOUR LINE MANAGER IMMEDIATELY FOR REVIEW AND CEASE ALL WORKS.

GENERAL:

  • Note any abnormal water seepage into the area; where contaminated waste water has been deposited on the floor, disinfect the area.

  • Check that danger and warning notices are present, intact, legible and appropriate to the site.

  • Check that any previously reported defects have been rectified.

  • At sewage stations, check availability of washing facilities and test operation of water heater.

  • Test operation of auto-telephone and if the remote alarming is fitted. notify the relevant person(s).

CIVIL:

  • Visually examine all equipment, including all accessible pipework for signs of corrosion, damage and leaks.

  • Check all machinery guards, anchor bolts and fixings are in place and secure.

  • Assess the condition, suitability and security of sump covers, handrails, access ladders and safety barriers in pump room and sump.

  • Assess the condition, accessibility and cleanliness of sumps and tanks and clean.

  • Does the pump require lifting, due to debris caught in straining grill?

SUMP DIMENSIONS:

  • What are the dimensions of the sump?<br><br>e.g. Length (mm) / Width (mm) / Height (mm) - (unit of measure = millimetres)

IMPROVEMENTS:

  • Could you suggest any improvements required for this location?

SUMP CONDITION BEFORE / AFTER AND REMARKS:

  • Condition of the Sump, prior to cleaning (A= excellent / B= clean / C= moderate / D= filthy)

  • Condition of the Sump, post cleaning (A= excellent / B= clean / C= moderate / D= requires additional cleaning)

ACCESS REQUIRED / RESTRICTIONS:

  • (A= Track / B= Station / C= LMC / D= Confined Space / E= TVF Isolation / F= Lift Isolation)

  • (A= Platform Grounds / B= + 200m / C= + 500m / D= Station to Station)

SUPERVISORS SIGNATURE:

  • Add signature

SPC SIGNATURE:

  • Add signature

PERIOD:

  • (Blue / Orange / Black / Red / Yellow / Green)

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.