Title Page
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Site
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Site Diary Ref No:
- Test
- R Akram 1
- R Akram 2
- R Akram 3
- P Daly 1
- P Daly 2
- G Juantuah 1
- G Juantuah 2
- J Symons 1
- J Symons 2
- K Urwin 1
- S Docherty 1
- S Docherty 2
- B Reynolds 1
- D Marmo
- D Marmo
- J Lawrence
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ASPRO Representative
- Rizwan Akram
- Paul Daly
- Gerard Juantuah
- John Symons
- Steve Docherty
- Dom Marmo
- Ben Reynolds
- Kieran Urwin
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Network Rail ASPRO construction manager
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NR APSIM
- Cordelia Wong
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Project/ Remit Number:
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Outside Party or Third Party Site Representative
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Date and Time of site Attendance
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Location: Henley Gate Overbridge, Off Henley Road Ipswich, Suffolk, England, IP1 4NT
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What3Words location
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Weather Conditions:
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ELR / Mileage
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Brief Description of Works:
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Plant & Equipment in Use:
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TBS / WPP or Method statement Ref:
Track access arrangements and details
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Track Access details and timings
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WON Item No
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Access Type
- GZAC Line blockage
- Line Blockage
- Line Blockage & Detonator Protection
- Line Blockage and EPR
- Line Blockage and Disconnection
- Line Blockage and Token
- Line blockage and TCOD
- Possession
- Sidings Possession
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Stand Alone or Signing in with others
- Stand Alone Access
- Signing in with Protection Controller (PC)
- Signing others in acting as Protection Controller (PC)
- Acting as Engineering Supervisor (E/S)
- Signing in with Engineering Supervisor
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Time Access planned to be taken
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Time Access Actually Taken
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Time Signed in With E/S or PC
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Reason for any Delay to access being taken
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Time Access Planned to be Cancelled
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Time Signed out with E/S or PC
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Time Access Actually Cancelled
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Reason for any Early Cancellation (for Example Signaller asked for earlier handback PC and or E/S asked for early handback, Client Finished early etc.)
Site Report Details
Hourly Reporting Entry
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Observation 1
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Observation 2
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Observation 3
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Observation 4
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Observation 5
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Observation 6
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Observation 7
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Observation 8
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Observation 9
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Observation 10
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Observation 11
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Observation 12
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Additional Observations 13-30 if required
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Observation 13
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Observation 14
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Observation 15
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Observation 16
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Observation 17
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Observation 18
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Observation 19
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Observation 20
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Observation 21
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Observation 22
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Observation 23
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Observation 24
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Observation 25
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Observation 26
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Observation 27
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Observation 28
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Observation 29
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Observation 30
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Additional Observations List Below
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PGI carried out
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1. General Documentation
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1.2 Accident records available and on site
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1.3 Construction H & S Plan approved & on site
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1.4 Work Package Plan/Task Briefing/Method Statements (Note: for OP ASPRO works in sections 1.4, 2.12, 3.11, 4.1, 5.4, refer also to contractor method statements)
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1.5 Risk Assessments (PPE, COSHH)
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1.6 Access Permits
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1.7 F10 Form, HASAWA Notice, H&S Policy, First Aid
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1.8 Contractors Safety Inspections
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1.9 Statutory Inspections (Lifting equipment, scaffolding etc.)
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1.10 Briefing Records (Site Induction, Tool Box Talks)
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1.11 Insurance Certificate displayed & in date
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1.12 Lifting Equipment
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1.13 Plant Operators competency certs (CSCS)
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2. Construction Safety
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2.1 Scaffold, Access Equip, Ladders
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2.2 Protection from falling materials
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2.3 Working at Height
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2.4 Excavations, Services
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2.5 Cat & Genny
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2.6 Manual Handling
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2.7 Plant & Equipment including cranes
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2.8 Site vehicles
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2.9 Traffic Management
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2.10 Health Hazards
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2.11 Permits to Work
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2.12 Other (from H&S Plan/WPP/Method Statement) (Note: for OP ASPRO works in sections 1.4, 2.12, 3.11, 4.1, 5.4, refer also to contractor method statements)
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3. General - Sites / Offices
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3.1 Welfare-Toilets/washing/drying facilities
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3.2 Emergency arrangements (displayed)
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3.3 Fire (extinguishers, arrangements tested, displayed)
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3.4 Housekeeping/ Tidiness
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3.5 Lighting/Heating/ Working Environment
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3.6 Access & Boundaries
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3.7 Security, Construction Safety Signage
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3.8 First Aiders Identified and First Aid Equipment in Place
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3.9 Storage of fuel/detonators/Flammables
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3.10 General storage
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3.11 Work activities as per WPP/TBS/MS (Note: for OP ASPRO works in sections 1.4, 2.12, 3.11, 4.1, 5.4, refer also to contractor method statements)
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4. Contractors Staff
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4.1 Awareness Safety/WPP/TBS/ Method Statement Brief (Note: for OP ASPRO works in sections 1.4, 2.12, 3.11, 4.1, 5.4, refer also to contractor method statements)
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4.2 Hazard Awareness
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4.3 Compliance with Risk Assessment
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4.4 Correct Manual Handling Activities
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4.5 I.D / Access Permits
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4.6 Wearing of and condition of PPE
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4.7 Management of sub-contractors
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5. Railway & Public Safety
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5.1 No issues to Public Safety
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5.2 Infrastructure fully protected
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5.3 Access gates and arrangements for Walking to Site
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5.4 Other (from H&S Plan/WPP/Method Statement) (Note: for OP ASPRO works in sections 1.4, 2.12, 3.11, 4.1, 5.4, refer also to contractor method statements)
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6. Track Access including Isolations
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6.1 Safe Work Pack issued Correct and fit for purpose and signed by all parties
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6.2 Correct type and no of Safety Critical Staff in place and all Certification correct and in date
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6.4 COSS Briefing undertaken / understood
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6.5 Communication Arrangements suitable and tested
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6.6 WON Details and Track Diagrams supplied and correct
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6.7 Possession Pack issued and correct if required
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6.8 AC or DC Arrangements in place limits briefed and RoLE in place as required
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6.9 Test before touch Carried out
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6.10 Fenced Protection (Fencing adequate and suitable for location and Line Speed
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6.11 Separated Protection distance from Nearest Running Line suitable and Site Wardens appointed as Required
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7. Environment
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7.1 Environmental Plan & Policy displayed
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7.2 Waste management arrangements incLicensing
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7.3 Noise and vibration (assessments, Section 61 notices)
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7.4 Fumes, Dust
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7.5 Water Pollution
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7.6 Pests (Wasps, Rats, etc.)
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7.7 Graffiti/Vandalism
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7.8 Litter /fly tipping
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7.9 Spillages/Spill Kits on site
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7.10 Vegetation Issues
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7.11 Awareness of Protected Species and SSSIs
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End of Shift Text Message sent
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Time and date end of shift / clear of site
Additional Site Photos
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Site Photos