Anglia - NWR PSS Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

Possession Support Staff Details (PSS)

• PS Name

• PS Employer

  Network Rail Operations

  TES2000 Ltd

  NWR Maintenance

  Anglia Works Delivery

  Other

• Employer

• Was the PS on site for their booked time (min 1hr before possession is due)

  Yes

  No

• Reason for late arrival

Possession Details

• WON Area & WON Week Number

• Possession Reference Number

• Item Number

• Possession Limits (from / to)

• Picop Name

Location Details

• Geographical Location Name

• Line of Route & ELR reference

• Access Point Name (including local name if relevant)

• Has the PS attended the location in the last 6 months? (placing/lifting the same protection)

  Yes

  No

• Did the PS receive a site visit?

  Yes

  No

• Did the PS request a site visit?

  Yes

  No

• With who & when was the request made?

• date of site visit

• Has the PS shown to be competent to where the protection is to be placed/lifted?

  Yes

  No

  N/A

• Has the PS using an authorized access point?

  Yes

  No

• Reason for PS not using authorized access point?

Competence

• Is the PS in possession of their SENTINEL card?

  Yes

  No

• Copy of SENTINEL Card

  Media

• Reason for not having their SENTINEL card?

• Is the SENTINEL card valid? (sentinel card check)

  Yes

  No

  N/A

• Sentinel card check - ATTACH SCREEN SHOT

  Media

Safe Systems of Work (SSOWP)

• Does the PS have a pre-planned SSOWP?

  Yes

  No

• Reason PS has no SSOWP?

• Was the SSOW pack received at least one shift in advanced & accepted by the PS?

  Yes

  No

• Reason

• Is the SSOWP suitable for the planned arrangements?

  Yes

  No

  N/A

• Issue with SSOWP?

• Does the PS have suitable information for their planned work? (Diagram, WON extract & work instruction)

  Yes

  No

  N/A

• Missing information?

• Have there been any changes to the planned SSOW?

  No

  Yes

  N/A

• Whats Changed & Why? (authority number given)

Personal Protective Equipment

• Is the PS wearing full PPE? (High visibility upper & lower body / Safety helmet / Safety boots)

  Yes

  No

• Is the PPE in good clean condition clearly marked with the individuals correct sponsor?

  Yes

  No

• Is the PSS in possession of the correct equipment? (Head torch / Access keys / SPRS / Detonator Tube & Metal ammunition box)

  Yes

  No

Protection Arrangements

• Protection Limits - Approach

• Protection Limits - Beyond

• Has the PSS placed protection as planned and instructed by the PICOP?

  Yes

  No

  N/A

• Is the protection suitable? (In the correct location, in good working order, detonators in date, correct amount)

  Yes

  No

  N/A

• Add media

  Media

Detail any observations of good or bad practices - Such as communications/time on duty/dealing with trains