Safety Engagement - Transport Sydney Trains

Safety engagement details

• Use this form to record safety engagements as per SMS-10-GD-3146 Safety Engagements.
  
  Custodian: Safety Specialist
  Issue Date: 25/11/14
  Approved by: Group Manager Safety
  Doc No. SMS-10-FM-4356
  http://sms.sydneytrains.nsw.gov.au/trim/sms-sydney-trains?RecordNumber=D2013%2F76383

• Directorate

  Maintenance

  Operations

  Customer Service

  Corporate

• Division or region

• Location detail (e.g. track name, platform number)

• Add media

  Media

• Conducted on

  Date

• Description of work or task

• Is the task Safety Critical?

• Persons conducting engagement

• Has Target Zero training been completed?

  Yes

  No

• Record of safety discussion (Record any observations made or discussions held)

• Please add a photo

  Media

• Type of Hazard (if present):

  Select Electrical Noise Manual Handling Strike Hazard Slip, trip and fall Pinch Point Anti-Social Behaviour Working at height Vehicle of plant Moving rail vehicle Exposure to bio hazards Unauthorised entry to coridor Fire life safety Exposure to hot materials Extreme Weather Other

  • Electrical
  • Noise
  • Manual Handling
  • Strike Hazard
  • Slip, trip and fall
  • Pinch Point
  • Anti-Social Behaviour
  • Working at height
  • Vehicle of plant
  • Moving rail vehicle
  • Exposure to bio hazards
  • Unauthorised entry to coridor
  • Fire life safety
  • Exposure to hot materials
  • Extreme Weather
  • Other

• Please add a photo

  Media

• Safe Practice/ Unsafe Act or Practice

Safe Practice / Unsafe Act or Condition

• Is there a Safe Practice or Unsafe Act or Condition?

  Safe Practice

  Unsafe Act or Condition

• People

  Select Actions Body Position & Use Fitness for duty

  • Actions
  • Body Position & Use
  • Fitness for duty

• Plant & Equipment

  Select Tools & Equipment Work area

  • Tools & Equipment
  • Work area

• Practices

  Select Communications PPE Procedures

  • Communications
  • PPE
  • Procedures

Details of any immediate or agreed actions

• Are there any immediate or agreed actions?

Action

• Actions - Corrective (short term fix – e.g. remove hazard) or Preventive (long term fix e.g. redesign procedure)

• Owner

• Due Date

  Date

Completion/ Summary

• Please save completed forms herein ‘Safety Leaderships’ folder on G: Drive

• Have actions entered into SJAMS Action Management tool (if applicable)?

  Yes

  No

  N/A

• Has a Hazard report been completed and issued to line manager (if applicable)?

  Yes

  No

  N/A