QR General Works Audit Spray Crew

• Conducted on

  Date

• Auditor

• Auditees

• Vehicle Unit Number

• Rail line

• Location
  Address

Licenses

• Rail Industry Worker Card

  Yes

  No

  N/A

• White Card<br>

  Yes

  No

  N/A

• SARC Card

  Yes

  No

  N/A

• Drivers Licence

  Yes

  No

  N/A

• ACDC Licence

  Yes

  No

  N/A

PPE

• Correct PPE used at time of Inspection?

  Yes

  No

  N/A

• PPE in good condition?

  Yes

  No

  N/A

Daily Paperwork/Safety Information

• SW61 completed correctly

  Yes

  No

  N/A

• DAS completed correctly?

  Yes

  No

  N/A

• Risk Assessment complete and all crew members signed on?

  Yes

  No

  N/A

• Daily Checklist complete and up to date?

  Yes

  No

  N/A

• Spray records correct and true

  Yes

  No

  N/A

• Crews demonstrate location of company and client documentation

  Yes

  No

  N/A

• MSDS available and up to date

  Yes

  No

  N/A

• Work specifications Handbook

  Yes

  No

  N/A

• Is the transport vehicle present at time of audit

  Yes

  No

Safety Equipment

• First Aid kit (record due date)

  Date

• Spill Kit (record due date)

  Date

• Fire extinguisher (record due date)

  Date

• Appropriate Hand tools and spare parts

  Yes

  No

  N/A

• Equipment Hazard/lockout Tags

  Yes

  No

  N/A

• Suitable Bunding

  Yes

  No

  N/A

• Fuel and chemical containers tagged

  Yes

  No

  N/A

• Crew mobile phone on Crew leader

  Yes

  No

  N/A

Spray Equipment and Herbicides

• Backpack available and operational

  Yes

  No

  N/A

• Shovel

  Yes

  No

  N/A

• Chemicals stored securely in Bunding

  Yes

  No

  N/A

• Mixing Container

  Yes

  No

  N/A

• Understanding of chemical mix ratios

  Yes

  No

  N/A

• Weed spraying signs

  Yes

  No

  N/A

Vehicle

• Check all lights and warning devices

  Safe

  At Risk

  N/A

• Any visible fluid leaks

  Safe

  At Risk

  N/A

• Tyre condition

  Safe

  At Risk

  N/A

• Vehicle in roadworthy condition

  Yes

  No

  N/A

• Vehicle Damage (take photo)

  Yes

  No

  N/A

• Vehicle presentable & appropriate for scope of works (exterior/interior clean)

  Yes

  No

  N/A

• Equipment stored safely and securely

  Yes

  No

  N/A

• Stickers/Magnets on vehicle (Centrogen & QR)

  Yes

  No

  N/A

• Vehicle safety stickers (First aid, Spill Kit, Fire Extinguisher, 3 point contact)

  Yes

  No

  N/A

Safety Equipment

• First Aid kit (record due date)

  Date

• Spill Kit (record due date)

  Date

• Fire extinguisher (record due date)

  Date

• Appropriate Hand tools and spare parts

  Yes

  No

  N/A

• Crew mobile phone on Crew leader

  Yes

  No

  N/A

Spray Equipment and Herbicides

• Shovel

  Yes

  No

  N/A

• Spray Unit is functional and in good condition

  Yes

  No

  N/A

• Understanding of chemical mix ratios

  Yes

  No

  N/A

• Weed spraying signs

  Yes

  No

  N/A

Vehicle

• Check all lights and warning devices

  Safe

  At Risk

  N/A

• Any visible fluid leaks

  Safe

  At Risk

  N/A

• Tyre condition

  Safe

  At Risk

  N/A

• Vehicle in roadworthy condition

  Yes

  No

  N/A

• Vehicle Damage (take photo)

  Yes

  No

  N/A

• Vehicle presentable & appropriate for scope of works (exterior/interior clean)

  Yes

  No

  N/A

• Equipment stored safely and securely

  Yes

  No

  N/A

• Stickers/Magnets on vehicle (Centrogen & QR)

  Yes

  No

  N/A

Worksite

• QR clearances maintained (3m from outside track)

  Yes

  No

  N/A

• Post works photo

  Media

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