Information

  • POS Manager Name:

  • Client:

  • Location
  • MAP & PICTURES (of Site Visit/Client)

  • Job Details:

General

  • Are all permits present e.g. ALO permit to work. permit to dig/isolations and cover the work location?

  • Comment / Action Taken:

  • If ALO works, is there an ALO Planner/ALO Responsible Manager on call identified?

  • Comment / Action Taken:

  • Is there a Lift/Plant Planner on site or on-call identified?

  • Comment / Action Taken:

  • Have all personnel been briefed on following:

  • Comment / Action Taken:

  • Induction

  • Work Package Pack (WPP)

  • Task Brief

  • SCAN/picture (date&signatures)

  • Have you briefed all MOs, MC/CCs and slingers on the content of the OTP and Lift Plan[s]?

  • Comment / Action Taken:

  • Is enough DECT Duplex communications available and working correctly? (Radio or hand-signal alternatives can only be used post start of work) and/or contingencies documented?)

  • Permanent, Semi-permanent or Temporary RRAP(s) in a good condition, secured and of an approved type?

RRV #1

  • RRV (number)

  • Are all OTP documents in place i.e. Plant pack with OTP Plan, Lift plan[s], MC/CC Checklist (F015)?

  • MC/CC Checklist (F015):

  • F015 must be completed by MC/CC and SCANNED(pictured) by POSM before starting any operation:

  • Plant pack with OTP Plan

  • TXM Plant WEBLINK:

  • Lift plan[s]

  • SCANNED/pictured if not TXM Plant produced

  • TXM Plant WEBLINK:

  • ISO permit

  • Relevant permit must be SCANNED/pictured if applicable

  • Are this RRV OTP MC/CCs and MOs Competence requirements checked and correct as planned?

  • MC/CC Phone number

  • MC/CC sign:

  • MC/CC NCCA (Sentinel2) card picture

  • OP Phone number:

  • OP sign:

  • Operator's NCCA (Sentinel2) card picture:

  • Slingers/Others involved names if applicable

  • Slingers/Others involved NCCA (Sentinel2) card picture if applicable

  • POSM sign if applicable:

  • Have personnel for this RRV been briefed on following:

  • SSoW pack

  • SCAN/picture (date&signatures)

  • Task Brief

  • SCAN/picture (date&signatures)

  • Have this RRV Movement Limiting Devices been checked and operate as expected? Are keys available to lock once set?

  • Has a functionality test been completed and if any defects, the engineer or on call engineer contacted to repair?

OTP & Attachments

  • Are all OTP, attachments, trailers and any other Plant as identified in the plan? Are all Plant, attachments or lifting accessories fit-for-purpose and all documents such as EACs present? Do the log-books indicate all are free from safety critical defects?

  • If lifting accessories are being used, do they have a unique number, tare weight and WLL/SWL displayed, and is the Thorough Examination Cert in date and where required, safety catches fitted (FIBC)?

  • OTP

  • RRV (number) delivere/parked on site

  • EAC link

  • RRV (number) delivere/parked on site

  • EAC link

  • RRV (number) delivere/parked on site

  • EAC link

  • RRV (number) delivere/parked on site

  • EAC link

  • RRV (number) delivere/parked on site

  • EAC link

  • RRV (number) delivere/parked on site

  • EAC link

  • Attachments

  • Attachment

  • Attachment

  • Attachment

  • Attachment

  • Attachment

  • Attachment

Core Activity Timings

  • Off track work/preparation started

  • Took Possession

  • Work Site granted to ES

  • First ISO permit issued (if applicable)

  • OTP on-tracked & brake tested

  • First (only) RRV started activity

  • All work complete

  • Last (only) RRV off tracked

  • All on-track and Construction Plant secured and protected from vandals?

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.