QTS Road Rail Operation Site Audit

Information

• Auditor

• Sentinel Card No

• Location
  Address

• Site

• JT No

• Date

  Date

• Operation

Machine Controller/Crane Controller

• Name

• Sentinel Card No

• Expiry Date

  Date

• Photo of card

  Media

• MC/CC Categories (required for the works)

MC Information

• RRV Planning Sheet?

  Yes

  No

  N/A

• Lift Plan?

  Yes

  No

  N/A

• Did the MC clearly understand the information?

  Yes

  No

  N/A

• Did the MC complete the MC/CC sheets correctly?

  Yes

  No

  N/A

• Was the MC briefed by the POS Rep?

  Yes

  No

  N/A

RRV Operator

• Name

• Sentinel No

• Expiry Date

  Date

• Photo of card

  Media

• Categories (required for the works)

• Did the operator clearly understand the briefing?

  Yes

  No

  N/A

• Did the operator complete the pre-start log?

  Yes

  No

  N/A

POS Representative

• Name

• Sentinel No

• Expiry Date

  Date

• Photo of card

  Media

• Does the POS Rep have an authority to work?

  Yes

  No

  N/A

• Is the POS Rep undertaking any other duty?

  Yes

  No

  N/A

Road Rail Plant

• Type of RRV

• Photo of RRV

  Media

• 12 Digit Number

• Asset Number

• Engineering Acceptance

  Yes

  No

  N/A

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

• Pre-start Log Book

  Yes

  No

  N/A

• Duty Charts

  Yes

  No

  N/A

• Thorough Examination

  Yes

  No

  N/A

• RCI Test Certificate

  Yes

  No

  N/A

Attachment

• Type

• Asset No

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

Attachment

• Type

• Asset No

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

Attachment

• Type

• Asset No

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

Attachment

• Type

• Asset No

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

Trailer

• Type

• 12 Digit Number

• Asset No

• Engineering Acceptance

  Yes

  No

  N/A

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

• Brake Test Record/Sticker

  Yes

  No

  N/A

Trailer

• Type

• Photo of Trailer

  Media

• 12 Digit Number

• Asset No

• Engineering Acceptance

  Yes

  No

  N/A

• Operators Manual

  Yes

  No

  N/A

• Service Record/Sticker

  Yes

  No

  N/A

• Brake Test Record/Sticker

  Yes

  No

  N/A

Lifting Accessories

• Ref No

• Type

• SWL

• Date of Thorough Examination

  Date

Lifting Accessories

• Ref No

• Type

• SWL

• Date of Thorough Examination

  Date

Lifting Accessories

• Ref No

• Type

• SWL

• Date of Thorough Examination

  Date

Lifting Accessories

• Ref No

• Type

• SWL

• Date of Thorough Examination

  Date

Safety Equipment

• First Aid Kit

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Spill Kit

  Yes

  No

  N/A

Observations

• On Tracking

  Yes

  No

  N/A

• Communications between MC & Operator (DECT Comm in use)

  Yes

  No

  N/A

• Lifting (working to lift plan, amendments, use of RCI)

  Yes

  No

  N/A

• Lights(machine & trailer lights, working lights)

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

• Stickers(EA Expiry, Data Panel, 12 Digit No, OLE Warning Line, Movement Warning Notice)

  Yes

  No

  N/A

• Brake Tests

  Yes

  No

  N/A

• General Operation

  Yes

  No

  N/A

• Off Tracking

  Yes

  No

  N/A

Speed Checks

• Time

• Speed

Auditor

• Auditor's Signature

  Sign

I confirm the above actions have been completed

• Name

• Signature

• Date