Title Page
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Site conducted
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SPC Name
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Gang Number / Name
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Work being carried out
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Date and Time of Inspection
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Prepared by
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Site reference / SABRE number
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Gang Number / n
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Site Location
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INSTRUCTIONS
1. Please answer "Yes", "No" or "N/A" on the questions below.
2. Add Photos and Notes (Details and Appendix) by clicking on the Paperclip icon
3. To add a Corrective Action click on the Paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
4. Complete audit by providing digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.
Vehicle
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Vehicle Check Sheet Completed
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FORS Certificate in Vehicle
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Vehicle Free from Defects
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Is Side Protection in Place on Vehicle
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Vehicle Fall Arrest Bars in place
PWT/PWT-EH
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Did the PWT Check Ops Sentinel Cards
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Did the PWT Check Trackion Current.
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Did the PWT Give a Platform Briefing
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Did the PWT Brief about HAV
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Did the PWT sufficiently brief TBT’s / Safety alerts
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Did the PWT have all Documention
PPE and Certification
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Is PPE in good condition
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Do staff have all mandatory PPE on their person
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Do operatives have Training certification
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Are operatives wearing all mandatory PPE when working
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Are operatives wearing face masks where required
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Do all operatives have in house manual handling training certification
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Does the allocated First Aider(s) hold an in date certificate on their person
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Is there a certificated Track Trolley operative(s) within the group
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Is there spare PPE available
Equipment
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Equipment Tagged and in date
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Tools and equipment In good condition
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Correct plant & equipment being used for the task(s)
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Are operatives being rotated when using vibrating tools
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Do all operatives have head torch?
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People working to close to plant
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Are HAVs being monitored and recorded
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Is Noise being controlled on site
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Spill kits / Drip Trays available
Documentation, Permits and Licences
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Is the P.I.C.E.R completed and certification checked by the SPC
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Site File / SPC Folder on site & sufficient
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In Date Storage licences in place
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If doing hot works is there an in date Hot Works Permit
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Is there a Site specific; in date MOMs licence in place
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Is there fire isolation in place, if hot works is being carried out
Work Procedures
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Are there robust Safe Systems of Work
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Is adequate Site / Task lighting in place
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Is Asset Protection being used
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Escalators supervised at all times while asset is being used for M.O.M
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Has Tool Check List Completed
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Has Track Trolley or Iron Man Check List Completed
On-site Behavior and Discipline
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SPC keeping discipline
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Proper Manual Handling techniques used
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Operatives taking instruction from the SPC
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No Unsafe Acts
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No hazards on site – e.g. slips / trips
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SPC briefings being delivered at the beginning of the shift, with detailed information
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Is the protection briefing understood and is the information correct
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Check operative understanding of recently issued TBT’s / Alerts
Work Areas
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Is the storage area being well managed
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Is there a Fire Point & First Aid kit on site.
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Is good Housekeeping maintained throughout the shift
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Envionmental
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If materials are being taken out of the station, is this operation being supervised by an SPC
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Is there means of Safe Track Access
Appendix
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Please click on "Add Appendix" button
Appendix
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Specify the appendix
Completion
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Notes
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Inspected by: (Name and Signature)
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Email a copy to the PWT