PTS Supervised Shift Report

Use this PTS Supervised shift questionnaire to evaluate if candidates have met the initial expectations for the role of PTS. Assess general factors like productivity, work quality, attitude, Safety awarness and use of equipment. End the assessment by providing recommendations and overall competency assessment rating. The questions on the following page will be used as part of the supervised shift/s and completed as necessary required. During a supervised shift, the person acting as the supervisor must be onsite for the duration of the shift and be available to provide assistance and guidance to the learner as required.

Title Page

Personal Track Safety
Learner Name:
Conducted on (Date and Time)

Pre-Work Checklist

Wearing Full PPE? (Photograph of individual in PPE)
Specialist PPE required?
PTS Card present and in date? (Photograph of card)
Have they been briefed and signed the RAMS (Photograph of documents)
Have they been briefed by the TSC?
Are they fit and well and capable of carrying out the works?

Observations and Questions

Has the Learner signed in with the TSC (photograph of TSC book)
Did the learner pay attention to the TSC briefing?
What is the line speed?
Can they list the hazards of the worksite? (please list what they have identified)
Do they know the method of warning?
Do they know where the position of safety is?
Has the learner shown awareness of their own safety?
Has the learner shown awareness of RRV's?
Has the learner avoided walking on the sleepers?
Has the learner adhered to exclusion zones of RRV's or on track plant?
Has the learner shown good listening skills?
Has the learner demonstrated overall acceptable behavior whilst working on or near the line?
Has the learner asked any relevant questions to clarify the works being undertaken?
Has the learner used all tools and equipment as per method procedures?

Completion

Reference Guide:
• Look at the total score above and select the relevant overall rating:

Pass: 75%-100%
Further development required: >75%
Recommendations / Overall Competency Assessment Rating
Supervisor (Full Name and Signature)
Learner (Full Name and Signature)