Quarterly Southern & ASLEF H&S Tour Caterham/Tattenham/Purley

• Appendix D Traincrew Depots Planned General Inspection

• Inspection carried out on

  Date

• Prepared by

• Location
  Address

• Additional information

A. Structure and Hazards

• A1. Are buildings safe, with no obvious defects?

  Yes

  No

  N/A

• A2. Are steps, stairs and ramps in good condition?

  Yes

  No

  N/A

• A3. Are bridges and subways in good condition?

  Yes

  No

  N/A

• A4. Are surfaces free from slips, trips and falls hazards?

  Yes

  No

  N/A

• A5. Are there risks from falling objects?

  Yes

  No

  N/A

• A6. Are there areas of overgrown vegetation requiring attention

  Yes

  No

  N/A

B. Security

• B1. Are fences, railings and gates secure?

  Yes

  No

  N/A

• B2. Are door entry systems working effective?

  Yes

  No

  N/A

C. Cleaning and Waste Removals

• C1. Are all areas clean and tidy?

  Yes

  No

  N/A

• C2. Are all areas free from graffiti

  Yes

  No

  N/A

• C3. Are cleaning frequencies satisfactory?

  Yes

  No

  N/A

• C4. Are there sufficient bins/skips?

  Yes

  No

  N/A

E. Electrical Fittings and Equipment

• E1. Do all sockets, plugs, switches and wiring appear to be good condition?

  Yes

  No

  N/A

• E2. Are there sufficient sockets for your needs?

  Yes

  No

  N/A

• E3. Are portable appliances tested annually?

  Yes

  No

  N/A

F. Fire Precautions

• F1. Is fire fighting equipment available?

  Yes

  No

  N/A

• F4. Are fire escape routes including external routes clear and unobstructed?

  Yes

  No

  N/A

• F5. Are Fire Action notices displayed and accurate?

  Yes

  No

  N/A

• F7. Are fire exit doors signed and easily opened?

  Yes

  No

  N/A

G. Information

• G1. Are the depot clocks working and accurate?

  Yes

  No

  N/A

• G2. Is the a Health, Safety & Enviroment notice board displayed with the correct information (See S&PM 17.1)

  Yes

  No

  N/A

• G3. Is the current Security Poster displayed on the staff notice board?

  Yes

  No

  N/A

• G4. Are the relevant Notice Cases in good order and displaying the correct items? (See S&PM 17.2) and is safety documentation current?

  Yes

  No

  N/A

H. Staff Facilities

• H1. Are staff toilets working, clean and with sufficient supplies?

  Yes

  No

  N/A

• H2. Are kitchen and rest areas clean and in good condition?

  Yes

  No

  N/A

• H3. Is all heating and ventilation adequate and working

  Yes

  No

  N/A

• H4. Are cooking etc appliances in good order and maintained?

  Yes

  No

  N/A

L. Lighting

• L1. Is all lighting in working order?

  Yes

  No

  N/A

• L2. Has the emergency/escape lighting (if installed) been tested, and in working order?

  Yes

  No

  N/A

• L3. Are walking routes adequately lit?

  Yes

  No

  N/A

M. First Aid

• M1. Are first aid box(es) readily available?

  Yes

  No

  N/A

• M2. Are first aid box(es) suitably stocked (see S&PM 7.5)?

  Yes

  No

  N/A

P. Staff

• P1. Are staff wearing appropriate uniform, badges and photo ID?

  Yes

  No

  N/A

• P3. Where Personal Protective Equipment has been issued is it in date and in good condition?

  Yes

  No

  N/A

Q. Quarterly Fire Precautions checks

• Q3. Is the company smoking policy adhered to?

  Yes

  No

  N/A

• Q6. Are fire signs clear and unobstructed?

  Yes

  No

  N/A

• Q7. Are door closures fitted and working?

  Yes

  No

  N/A

• Q8. Are exit doors easily opened without a key?

  Yes

  No

  N/A

• Q15. Are fire extinguishers correctly located and accessible?

  Yes

  No

  N/A

• Q16. Is the location of extinguishers shown by signage?

  Yes

  No

  N/A

• Q17. Are safety pins and pull-tight seals fitted?

  Yes

  No

  N/A

• Q18. Have extinguishers been tested in last twelve months?

  Yes

  No

  N/A

R. Reporting

• R1. Does the location have access to QPulse for accidents/incidents reporting and if not are paper forms available?

  Yes

  No

  N/A

S. Operating Equipment

• S2. Is computer based information available and working?

  Yes

  No

  N/A

• S3. Are telephones, mobile devices and fax machines avalible and working?

  Yes

  No

  N/A

U. Utilities

• U1. Are lighting and heating controls set for efficient use?

  Yes

  No

  N/A

• U2. Are lights turned off when not required?

  Yes

  No

  N/A

• U3. Is all other equipment turned off when possible?

  Yes

  No

  N/A

V. Documentation Checks

• V1. Are procedures being followed in respect of Drivers back notices?

  Yes

  No

  N/A

• V2. Are booking-on sheets correctly completed with signatures (or reasons if unsigned) where appropriate?

  Yes

  No

  N/A

• V3. Is the date/time stamp accurate?

  Yes

  No

  N/A

X. General

• X1. Are adequate precautions in place for adverse weather conditions?

  Yes

  No

  N/A

• X3. Are outstanding faults still logged with facilities?

  Yes

  No

  N/A

• X4. Is there any evidence of unsafe working practices?

  Yes

  No

  N/A

• X5. Are required warning signs and notices in good condition?

  Yes

  No

  N/A

• X7. Do staff receives regular briefs?

  Yes

  No

  N/A

• X8. Is heating and ventilation equipment cleaned and serviced?

  Yes

  No

  N/A

• X9. Are glass doors, partitions etc marked to make them apparent?

  Yes

  No

  N/A

Detail of faults that need reporting to facilities

• Fault 1

  Safe

  At Risk

  N/A

• Fault 2

  Safe

  At Risk

  N/A

• Fault 3

  Safe

  At Risk

  N/A

• Fault 4

  Safe

  At Risk

  N/A

• Fault 5

  Safe

  At Risk

  N/A

• Fault 6

  Safe

  At Risk

  N/A

• Fault 7

  Safe

  At Risk

  N/A

• Fault 8

  Safe

  At Risk

  N/A

• Fault 9

  Safe

  At Risk

  N/A

• Fault 10

  Safe

  At Risk

  N/A

• Fault 11

  Safe

  At Risk

  N/A

• Fault 12

  Safe

  At Risk

  N/A

• Fault 13

  Safe

  At Risk

  N/A

• Fault 14

  Safe

  At Risk

  N/A

• Fault 15

  Safe

  At Risk

  N/A

Details of local issues that need addressing

• Local Issue 1

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 2

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 3

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 4

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 5

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 6

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 7

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 8

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 9

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 10

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 11

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 12

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 13

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 14

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

• Local Issue 15

  Station Manager

  Customer Experience Mgr

  Team Organiser

  Maintenance Team

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