Leader Observation

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre Work Brief (PWB)

• Has the PWB been filled in adequately according to RLS-PR-005?

  Positive

  Gaps Observed

• Have the hazards been identified and have controls been put in place?

  Positive

  Gaps Observed

Worksite Protection Plan (WPP)

• Has the WPP been completed correctly in accordance to RLS-PR-006? Mandatory items to be included in the diagram.<br>1. Reference to capital city in the top left hand corner of the grid;<br>2. An easily reached safe place;<br>3. The name of the track / tracks;<br>4. The worksite location defined whether or not in the danger zone by km, crossover numbers, point’s number and signal number and<br>5. The name of locations or stations each side of worksite.

  Positive

  Gaps Observed

• Has the Diary Log been filled in with appropriate information that includes all dialogue including overlapping limits?

  Positive

  Gaps Observed

Communication

• Are communication protocols established within the work group?

  Positive

  Gaps Observed

Fatal and Severe Risks

• Is one or more of ARTC's Fatal and Severe Risks occurring on site?

  Select Vehicle Accidents (Incl RRV) Manual Handling Struck by Rail Traffic Rail Traffic Collision Struck by Mobile Plant Contact with Electricity Hazardous Chemicals, Hot Materials and Confined Space Crushed by Crane or Lifted Load Fall From Height Contractor Management Not Applicable

  • Vehicle Accidents (Incl RRV)
  • Manual Handling
  • Struck by Rail Traffic
  • Rail Traffic Collision
  • Struck by Mobile Plant
  • Contact with Electricity
  • Hazardous Chemicals, Hot Materials and Confined Space
  • Crushed by Crane or Lifted Load
  • Fall From Height
  • Contractor Management
  • Not Applicable

• 

• Are ARTC's Life Saving Behaviors displayed?

  Positive

  Gaps Observed