Title Page
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Conducted on
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Prepared by
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Location
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Are Rail Reserve/ Corridor Boundary Fences Adequate?
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Are Rail Reserves / Corridor Boundary Access Gates being kept closed and locked and/or manned?
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Has a Task Risk Assessment / Pre-work Brief and a Worksite Protection Plan been completed and signed on by all the Rail Safety Workers?
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Does the Worksite Protection Plan clearly specify the Worksite Location, Worksite Protection Limits, Lookout Positions and Positions of Safety for All Rail Safety Workers?
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Have all personnel on site completed the John Holland Rail and applicable site inductions?
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Have onsite communications i.e.: UHF/VHF radio's, mobile phones been provided?
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Are there adequate Rail Site warning signs on gates?
Personnel
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Do the workers have an understanding of the John Holland Rail Mandatory Requirements (RMRs)?
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Is the Rail Site Mandatory PPE being worn?
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Did all the workers attend the Pre-work briefing at the start of the shift
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Do all the workers have Rail Industry Worker Cards?
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Is the Protection Officer Qualified and Current
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Do the Workers understand the Worksite Protection Parameters and other Safeworking arrangements
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Is the Workgroup aware of the Rail Notifiable Occurrences Process ? Ask at least two workgroup members
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Do the members of the workgroup understand what a non-disturbance term is and what to do in the case if it occurs?
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Are the workgroup members aware of the site emergency procedures and do they know who the emergency response personnel are?
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Do the members of the workgroup understand what the security risks are and how to manage them on site?
Fatigue
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How many hours is your current shift?
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How many consecutive days have you worked?
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What was the duration of your break before this shift?
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Are there any personal factors that may cause you to be fatigued and have you discussed these with your supervisor?
Alcohol and Drugs
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Are you taking any medication (prescription or over the counter medication) that may affect your ability to perform your duties as a rail safety worker?
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Have you reported this to your supervisor?
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Do you understand the John Holland Drug and Alcohol Policy?
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What would you do if you had a big night out the night before your shift?
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When was the last time you were Drug tested?
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When was the last time you were Alcohol tested?
