Key summary and findings

Supervision

  • Name of PIC:

  • Rail experience (years):

  • Vegetation experience (years):

  • Vegetation qualifications:

  • Comments:

  • Name of Contractor Supervisor:

  • Rail experience (years):

  • Vegetation experience (years):

  • Vegetation qualifications:

  • Comments:

Site safety

  • COVID-19 controls present?

  • COSS brief:

  • SSOW:

  • Welfare available?

  • Emergency kit present?

  • Climbing rescue kit present?

  • Fuel spill mat present?

  • Boundary fenceline intact?

  • Adequate lighting? (Nights)

Site documents

  • Work package plan?

  • SSOW pack suitable?

  • Task brief suitable?

  • ALO form?

  • Risk assessments?

  • Daily/weekly work plan?

  • Tool & equipment check sheets?

  • Tool & plant service records?

  • HAVS forms?

  • Third party agreements?

  • Bird nesting form?

  • Ecology recommendations?

  • Operative competencies?

  • First aid competency?

  • LOLER certificates?

Work site & activities

  • Access/Egress:

  • Work site description:

  • Number of operatives and roles:

  • PPE:

  • Tools, plant, and equipment:

  • Work activities on site:

  • Work activity compliance:

  • Method used to secure plant:

  • Additional comments:

Work specification

Within 6.5m clearance area:

  • All woody vegetation removed?

  • Stumps lowered to 75mm or below?

  • Stumps over 50mm diameter eco-plugged?

  • Eco-plugs installed correctly?

  • Woody vegetation and stumps under 50mm treated with herbicide?

Outside 6.5m clearance area:

  • Vegetation with potential to fall into striking zone reduced/pollarded/removed?

  • Third-party vegetation pruned away from 6.5m clearance area?

  • Correct pruning cuts used on all remaining vegetation?

  • Stumps of leaf-fall species eco-plugged/treated with herbicide?

Arisings:

  • Wood chip located outside 6.5m clearance zone?

  • Wood chip spread to 100mm or less?

  • Windrows created to the correct specification?

  • Habitat piles created to the correct specification?

  • Monoliths situated outside the 6.5m clearance area and not within striking distance of any railway assets or 3rd party assets?

  • All arisings situated at least 1m away from railway assets?

Signature

Actions to be entered into CMO:

  • Enter an Action, an Action Owner, and an Action Date.
    If N/A, enter “No actions”.

  • 1.

  • 2.

  • 3.

  • 4.

  • 5.

  • 6.

  • 7.

  • 8.

  • All actions have been assigned correctly, and Close Calls recorded where required.

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