Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Rail Safety

  • Type of Safe Working Rule:

  • Person in Charge of Safe Working:

Safety Meter Inspection Criteria

Access, Egress and House Keeping

  • - access and egress to work area is clear of obstruction and defined.
    - work areas are orderly and free from trip hazards (e.g. tools and rubbish)
    - materials are stored in a neat and orderly state.
    - bins are available for use and not overflowing.
    - JHG entry signs are located at appropriate locations to site.

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Safe Working

  • - PO requests to see Induction / TSA.
    - PO provides information regarding protection provision that are in place and appropriate safe working documents completed.
    - PO indicates what the emergency procedures are including the nominated 1st Aider and location of Emergency Assembly Area.
    - Person in charge of protection is suitably qualified
    - Track protection is correct
    - Track protection devices are available and properly used / stored (e.g. Dets, flags, horn, track circuit clips)

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Behaviour & Work Habits

  • - Worker is wearing mandatory PPE
    - Worker is using task specific PPE
    - Worker is not taking any obvious risks
    - Workers who are smoking are not affecting others

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

SQE Risk Management Process

  • - START Cards have been appropriately completed
    - START Cards have been reviewed by crew leader (initially)
    - TRA is present at each work location
    - Workers have signed onto the TRA
    - TRA has been reviewed (if > than one week duration)
    - AMS is available for the work team to review
    - SEP is available as required

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Mobile Powered Plant Management

  • - Daily Inspection completed and any faults recorded
    - Plant Hazard Assessment completed and available
    - Reverse beeper, flashing lights working
    - Plant operations are appropriately isolated or separated from adjacent work activities
    - Spotter is in place for plant operations where plant operation can not be controlled by other means
    - Plant operators are not operating when using a mobile phone
    - Operator holds applicable license / competency and the competency has been verified
    - Plant has fire extinguisher and a fully stocked first aid kit

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Hot Works / Welding

  • - Hot Works Permit is current and available
    - Suitable fuel reduction and fire fighting provisions in place
    - Welding signs are set out in appropriate locations
    - Weld returns completed

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Tools and Equipment

  • - Tools and Equipment are appropriate for the task being undertaken and free from obvious damage
    - Oxy / acetylene sets have flash back arresters fitted
    - Fixed / retractable blade knives are not being used (Stanley Knives)
    - Fire Extinguishers are tested every 6 months

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Lifting Equipment

  • - Lifting Equipment is appropriate to the task and ready to use
    - Lifting device is tagged / identified with SWL / WLL
    - Dogman / Rigger holds the relevant competency and has been verified

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Electricity and Lighting

  • - Equipment is tagged and in test date
    - RCD is fitted to mains supply or portable generators
    - Leads are run out correctly off the ground and supported on insulated stands or hooks
    - No lead extends > 35 meters and are fitted with clear shrouded plugs with LED indicator
    - Access and / or task lighting is adequate and work lights have protective cage or diffuser

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Protection of Services

  • - Overhead Power Lines have a "Danger OHW" sign posted to alert people of their presence
    - A current Excavation and Trenching Permit is available for any ground breaking / penetrating work activities
    - Each Plant Operator carrying out ground penetrating works has read, understood and signed the Excavation and Trenching Permit

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Traffic Control

  • - Traffic Controller is wearing appropriate attire (e.g. Orange hi-vis)
    - Traffic Controllers are not using mobile phones while performing traffic control duties
    - Traffic control signs / devises are in place
    - Current traffic control plan is located at the work site

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Edge and Fall Protection

  • - Edges are appropriately delineated and barricaded
    - Edge protection in place is appropriate for the protection required
    - Penetrations are signposted and covered

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Work at Heights

  • - Personnel working at height are using the correct fall prevention equipment
    - Fall restraint / arrest equipment is certified and in date
    - Method of working at height follows the Hierarchy of Controls for working at height
    - Work at Height Permit has been issued and is in date
    - Work at Height Rescue Plan has been developed for the works
    - Personnel conducting work at height have been trained (within 1 year)

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Chemical Management

  • - Hazardous Substances are stored correctly
    - Flammable substances stored in bundled area
    - Refuelling is conducted in appropriate area with TRA in place
    - SDS's are available to the work crew
    - Spill Kit is available at the work location
    - No evidence of previous spills

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Water Pollution Risk

  • - Controls in place where there is a risk of pollution of waterways
    - Erosion and sedimentation controls in good working order
    - No evidence of polluted water leaving the work area

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Flora and Fauna

  • - No unnecessary damage to surrounding plants
    - Endangered species / heritage areas identified and protected as required
    - Trees protected if required
    - Restoration and rehabilitation being done progressively
    - No weed establishment in disturbed areas

  • Correct

  • Not Correct

  • Comments

  • Not Correct Items

Changing Safety Culture - One Conversation at a Time

  • Topic discussed / Issue raised

  • General Comments (including result of conversation, what went well, what could improve)

Positive Observation Record

  • List a minimum of two positive comments from the inspection

Conclusion

  • Inspection Overview

  • Inspection sign off:

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.