Title Page

  • Site conducted

  • Conducted On

  • Period

  • Day

  • Responsible Person

  • Role

Areas of Focus

  • Must be completed in full (by the CAM or competent deputy) as a periodic QHSE inspection for the location. This document is to save updated records accordingly of the delivery of the required activity and all issues and actions that have been identified should be tracked through to completion by the responsible management team. QHSE support is available and it is advisable to involve the local H&S representatives in at least one -two of these inspections each year.

  • Process to report and ensure operational readiness, effective handover and a focus on safety responsibilities. All issues must have an accompanying action and responses as shared form a declaration of compliance.

Review previous PGIs

  • 1.0 Review Previous PGI Review & Update - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Step 1 is to clear outstanding issues and actions from the previous 4 week period as captured. If items remain open then they must be updated with suitable commentary. Any items that remain open or outstanding for more than 3 periods should be escalated to the appropriate accountable person.

  • Was the previous PGI been undertaken in line with the site schedule?

  • Were actions developed and taken forward by site from the previous PGI?

  • Specify Reason:

People & Activity - PPE, Uniform & ID Compliance

  • 2.0 PPE, Uniform & ID Compliance - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • All employees on shift are wearing full and proper uniform (including PPE and high visibility wear as issued in line with activity requirements), sensible safety footwear and a company ID badge on a corporate lanyard that should be worn at all times. During the COVID-19 pandemic and restrictions, all employees should be issued with and wearing an appropriate face covering (mask or visor) when in public areas, on train or within shared accommodation and also be aware of and adhering to social distancing requirements (2m) and requirements for regular handwashing.

  • 2.0 PPE, Uniform & ID Compliance - Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 1.0 PPE, Uniform & ID Compliance Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

People & Activity - Competence & Communications

  • 3.0 Competence & Communications - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • The workforce should be properly inducted and trained and competent in all activities undertaken. Training in use of all work equipment should be a priority. Records should be available. Ensure all employees have been read, understand and have signed for (signed on behalf of, if required) any Briefs, Bulletins & Toolbox Talks (TBT's) that are currently issued for 'Read & Sign'. All published material should be available and shared with all applicable employees within 4 weeks of the material being issued. Records should be kept up to date to demonstrate competence and compliance.

  • Use the green plus symbol to add as many issues found as required. Once added, move onto the next question on the next page.

  • 3.0 Competence & Communications - Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 2.0 Competence & Communications Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Health & Safety - Noticeboard / Site File

  • 4.0 Health & Safety Noticeboard Layout - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • H&S Notice Boards & Site Safety Files should be to the published plan (contents) and up to date, tidy and clear of any non stated information. Require evidence (pictures) of the Site Safety File and Health & Safety Notice Board.

  • Health, Safety and Environmental policy - Is the current year document available on the Noticeboard?

  • Quality Policy - Is the current year document available on the Noticeboard?

  • Drug & Alcohol Policy - Is the current year document available on the Noticeboard?

  • Security Poster - Is the document available on the Noticeboard?

  • A&I Reporting Guidance - Is the document available on the Noticeboard?

  • Work Safe Policy - Is the document available on the Noticeboard?

  • Fatigue & Working Hours Policy - Is the document available on the Noticeboard?

  • Certificate of Employers Liability Insurance - Is the current year document available on the Noticeboard?

  • Site Specific File & Teams SMS Reference - Is the document available on the Noticeboard?

  • Site Specific Brief - Is the document available on the Noticeboard?

  • Mobile Phone Policy - Is the document available on the Noticeboard?

  • Sharps & Biohazards Guidance - Is the document available on the Noticeboard?

  • HSE Health & Safety Law Poster - Is the poster available on Noticeboard?

  • Fire Notice Poster (Blue Poster) - Is the document available on the Noticeboard?

  • First Aid Poster (Green Poster) - Is the document available on the Noticeboard?

  • Back of House Security Posters (Red Posters) - Are the documents available on the Noticeboard?

  • Site File - Is the file available and contains up to date documents?

  • COSHH File - Is the file available and contains up to date documents?

  • Cleaning Specifications - Are the cleaning specifications available, understood and embedded for?

  • Current copy of the Station Emergency Evacuation Procedure

  • Current copy of the Tenants Safety Handbook (LNER - SMS 13.4)

Work Equipment - Powered Work Equipment - Faults & Availability

  • 5.0 Powered Work Equipment - Faults & Availability - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Equipment should be available at the location that it is listed at (asset list & label) including the management of charging and issue both in & out of mobile phones / smart devices and digital radio. Are there any outstanding equipment maintenance (faults), planned servicing issues or any out of date / missing portable appliance testing visual indicators (valid stickers / label tags) that require follow up or escalation. Any dates planned for visits as required are communicated within the team and updates sent to the helpdesk. All Storm units & transit duty bags should have the orange luggage tags attached.

  • 5.0 Powered Work Equipment - Faults & Availability Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 5.0 Powered Work Equipment - Faults & Availability Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Work Equipment - Smart Devices & Radios

  • 6.0 Smart Devices & Radios - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Local comms devices (digital radios, phones and tablets) are all available to a local plan (availability), in good working order and are in use in line with operational requirements. Check on signing in and out of equipment to ensure they are being looked after and are set up and charged effectively. Charging facilities accessible and processes being followed as designed. All users are trained in the effective use of the devices and any apps / systems required, with awareness of local call signs, radio etiquette and the need for use of the phonetic alphabet. Faults of devices reported and managed, with tracking electronically of any devices that are misplaced. Require evidence (pictures) of the Smart Devices & Radio Sign In Sheet.

  • Use the green plus symbol to add as many issues found as required. Once added, move onto the next question on the next page.

  • 6.0 Smart Devices & Radios - Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 6.0 Smart Devices & Radios Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Work Equipment - Tersano SAO Unit Checks & Flushing

  • 7.0 SAO Unit Checks & Flushing - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • All location SAO refill points, as installed, should be clearly mapped and labelled to ensure availability and awareness. Daily check of each unit required to ensure it is working effectively with no hazard lights on display and that labels and instructions are in place. Each unit should be flushed a minimum of weekly (7 days) as part of these checks for a period of 10 seconds as this removes stagnant water from within the unit and pipes and manages the risks of contamination. Refill cannisters should be available locally at the hub stations and should be ordered through the Paragon order portal as required. Require evidence (pictures) of the Tersano SAO Dispenser - Weekly Flushing Sheet

  • 7.0 SAO Unit Checks & Flushing - Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 7.0 Have you flushed each SAO unit on site on a weekly basis?

  • SAO Unit Checks & Flushing Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Work Equipment - Road Vehicles

  • 8.0 Road Vehicles - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Checks of the required documentation & vehicle logbook for the deep cleaning vans (hard copy / Trackforce). Visual inspection to ensure there are no issues, that the vehicle is roadworthy and not damaged. Cleanliness and storage of items within the van should also be checked, with the water tank emptied if not a wet work week in the schedule. Any planned servicing is arranged and communicated to the vehicle plan and daily pre use / journey checks all undertaken,

  • 8.0 Road Vehicles Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 8.0 Road Vehicles Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Work Equipment - Tanking & Chlorination

  • 9.0 Tanking & Chlorination - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Suitable checks and processes in place (and to plan) to manage the location tanking equipment at the station (including fault management, chlorination tests, daily and weekly records, sharing of reports and management of the Socotec / LNER visits and required actions). Tanking, chlorination, flushing and nose end clean are conducted on Trackforce and PPM conducted on Safety Culture.

  • Please explain the issue in your own words.

  • Monitoring Activity - In this section management are expected to monitor and observe an employee undertaking either Tanking Duties, Nose End Cleaning or Chlorination Activities. This is to be an engaging activity where management provide coaching where things aren't right and provide positive feedback where tasks are being conducting safely and in line with specification. Where there are issues or concerns these should be dealt with immediately in line with our Worksafe policy.

  • Operative Name

  • Task Being Monitored

  • Are you aware of the associated TB-RAMS for this task

  • Before continuing this process ensure you familiarise yourself with the relevant TB-RAMS which can be located in the local Site Safety File on site.

  • Is task being undertaken at the correct time and for the correct amount of time?

  • Correct equipment being used?

  • Correct products being used?

  • Correct PPE worn?

  • Work area managed to manage risks or inconvenience to others?

  • Following instructions and training (correct order of workflow)?

  • Undertaken with due care and attention?

  • Behaviour, communication and movements during task

  • Work area left clear of hazards when complete?

  • Delivered required output?

  • Operative Acknowledgement of Assessment

  • Management Acknowledgement of Assessment

Work Equipment - COSHH, Labelling & Colour Coding

  • 10.0 COSHH, Labelling & Colour Coding - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Only COSHH approved products are stored, available and in use at the location (in line with local safety file index list). Process with laundering all cloths working robustly and use of the correct coloured cloths and gloves for station & train cleaning is both understood and is evident. All bottles of product in use should be appropriately labelled.

  • 10.0 COSHH, Labelling & Colour Coding Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 10.0 COSHH, Labelling & Colour Coding Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

  • Were stock take checks conducted on a weekly basis?

Workplace - Emergency Arrangements, Fire Precautions Management & First Aid

  • 11.0 Emergency Arrangements, Fire Precautions Management & First Aid - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • In line with the location (LNER or Network Rail) fire precautions management folder (fire log book and risk assessment), all equipment, alarms and measures of control should be documented, shared and serviced for common areas. Appropriate extinguishers should be wall hung within our accommodation at exits and be tested and in date. Understanding what is stipulated and then manage to this to the plan (ensuring in place and in date). First Aid boxes, eye wash stations within storerooms and at product dilution / mixing stations) and green first aid notices should all be in place and sealed / checked as appropriate. Awareness of all in evacuation and how to raise alarm or call emergency services.

  • 11.0 Emergency Arrangements, Fire Precautions Management & First Aid Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 11.0 Emergency Arrangements, Fire Precautions Management & First Aid Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Workplace - Security

  • 12.0 Security - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Inspection of all accommodation to ensure that railway security standards are being maintained with protection and effective management of non public areas (with closed and locked doors, gates and euro bins that are not in use). Briefs should be available promoting the HOT & WHAT principles and all employees should be informed, aware of potential railway security risks.

  • 12.0 Security - Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 12.0 Security - Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

  • Knowledge Check - Operative
  • Operative Name

  • 18.1 Company ID & Lanyard

  • Please raise an action to address and/or improve the identified issue.

  • 18.2 Does employee understand HOT & WHAT Protocols

  • Does employee understand HOT & WHAT Protocols - Reason for Non-Compliant/Part Compliance

  • Specify

  • Please raise an action to address and/or improve the identified issue.

  • Operative Acknowledgement of Assessment

  • Management Acknowledgement of Assessment

Workplace - Housekeeping

  • 13.0 Housekeeping - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • A walkround and inspection of the standards of housekeeping & cleanliness of the ASLNER accommodation and facilities. Do these standards reflect our role as the presentation service provider, our professionalism and our management of our responsibilities. Are areas within scope (Messrooms, stores, AS offices) of local schedules, cleaned and maintained appropriately and in keeping with suitable welfare area provision. Ensure there are no hazards with waste, cables, stacking of boxes etc.

  • 13.0 Housekeeping Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 13.0 Housekeeping Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

  • 13.1 Sharps and Biohazards - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Inspection of all accommodation to ensure risks of injury or infection are being maintained with protection and effective management of non public areas (PPE, Sharps & Biohazards kits and training). Find an operative and undertake knowledge check.

  • Were any sharps or needlesticks found on the station?

  • Planned vs Actual: Did Initial attended the site as planned?

  • Are the sanitary bin liners removed and relined with new ones?

  • Are the nappy bin liners removed and relined with new ones?

  • Are the air fresheners refilled?

  • Are the biohazards bins replaced?

  • Are the sharp bins replaced?

  • Planned vs Actual: Did SWC (Specialist Window Cleaning) attended site as planned?

  • Are the windows cleaned as per requirements (cleaning spec)?

  • Planned vs Actual: Did the Deep Clean Team attended site as planned?

  • Are the areas cleaned as per requirements (cleaning spec)?

Workplace - Hazards & Property Issues (AS, LNER and/or NR)

  • 14.0 Hazards & Property Issues (AS, LNER and/or NR) - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Check that all Atalian Servest accommodation (offices, messroom, kitchens, stores and welfare facilities) are all in a good state of repair and demonstrate a professional standard of cleanliness and hygiene. Are property faults or new work requests identified at our locations of work (stations) being reported in writing to the client (LNER) or Network Rail as appropriate to the location, with any outstanding works being investigated and escalated as required. Hazards (such as those that cause slip, trip or fall, leaks, broken fixtures or damp) or simple general wear & tear issues within our accommodation or with furniture should all be reported and made safe. Structural issues, access and locks, waste and pest control and any problems with electrics, heating, water supply or lighting should all be reported via email and in person to the local LNER / NR person(s) in charge as a safety priority.

  • 14.0 Hazards & Property Issues (AS) - Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 14.0 Hazards & Property Issues (AS) Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

Workplace - Environmental Focus

  • 15.0 Environmental Focus - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Is there local awareness of our responsibilities with regards to sustainability and our environmental impact. Key focus should be on waste and energy. Waste segregation through suitable bins being in place, use of green recycling sacks and management of initiatives such as LNER coffee cup stands. Reducing energy consumption through turning off lights, sockets, heating & equipment when not in use or unoccupied. Water waste with leaking (fault report) or excessive running of taps or hoses. Suitable posters and stickers present (raise profile).

  • 15.0 Environmental Focus Issues
  • Please select the issue by type and then provide an explanation. Every issue identified must have a corresponding action to address and/or improve.

  • 15.0 Environmental Focus Issues

  • Please explain the issue in your own words.

  • Have you raised an an action?

  • Please raise an action to address and/or improve the identified issue.

15.1 Device Charging Points

  • Ensure Device Charging Points posters are available for all locations

Waste Compactor - Monitoring Activity

  • 16.0 Waste Compactor - Has this area of management responsibility and the associated records and processes been checked to ensure it is being managed effectively?

  • Suitable checks and processes in place (and to plan) to manage the waste compactor equipment at the NCL and YRK stations only (including fault management, pre and post equipment records, waste compactor area ).

  • Please explain the issue in your own words.

  • Monitoring Activity - In this section management are expected to monitor and observe an employee undertaking waste compactor operation. This is to be an engaging activity where management provide coaching where things aren't right and provide positive feedback where tasks are being conducting safely and in line with specification and TB-RAMS. Where there are issues or concerns these should be dealt with immediately in line with our Worksafe policy.

  • Operative Name

  • Are you aware of the associated TB-RAMS for this task

  • Before continuing this process ensure you familiarise yourself with the relevant TB-RAMS which can be located in the local Site Safety File on site.

  • Is task being undertaken at the correct time and for the correct amount of time?

  • Correct equipment being used?

  • Correct PPE worn?

  • Work area managed to manage risks or inconvenience to others?

  • Following instructions and training (correct order of workflow)?

  • Undertaken with due care and attention?

  • Behaviour, communication and movements during task

  • Work area left clear of hazards when complete?

  • Delivered required output?

  • Operative Acknowledgement of Assessment

  • Management Acknowledgement of Assessment

Anything further (QHSE wise) identified

  • 17.0 Safety Concern, Question or Suggestion - Please add all details that you feel should also be captured and shared with regards to QHSE

Additional Observations & Sign Off

    ADDITIONAL OBSERVATIONS
  • Any further safety issues & actions identified:

  • Please raise the respective corrective action and assign to the relevant person

  • If you have any questions with regards to this form or the requirements then please speak with the accountable manager or the QHSE management team.

  • I, the undersigned, declare that this is a true and accurate reflection of the AS site Planned General Inspection (PGI) and failure to comply with the HASAW act 1974 may result in disciplinary action being taken against me.

  • CAM Signature

  • Additional Signatures
  • Name / Role

  • Signature

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