Information

  • no label
  • Safety Observation level 1/A

  • Location
  • Conducted on

  • Staff involved on this audit

  • Names

  • Maintains vigilance

  • Operating rules and general instructions.

  • Operates motor points

  • Gas mask and monitors.

  • Is the track authority completed correctly.

  • Add media

  • Correct communication with others

  • Correct communication with train control.

  • Correct procedures used Mis 350

  • Who did the member talk to

  • Short description of the conversation.

Personal

  • Correct PPE / PPC

  • Correct PPE / PPC

  • Current daily information bulletin.

  • Current daily information bulletin.

  • Enter letter of the day.

  • Current Semi-permanent and special bulletins.

  • Current Semi-permanent and special bulletins.

  • Apply bulletin instructions.

  • Rules and code books.

  • Rules and code books.

  • Job start completed

  • Job start completed

  • Current S&I diagrams

  • Current S&I diagrams

  • Rule 902 Job Aid

  • Rule 902 Job Aid

Vehicle

  • Current 155

  • Base radio in a good working condition.

  • Vehicle inspection sheet completed.

  • Meets emergency protection requirements.

  • Condition of vehicle and housekeeping.

  • Condition of vehicle and housekeeping.

  • Detonators

  • Detonators

  • Expiry date

  • Red and green flags

  • Red and green flags

  • First aid kits

  • First aid kits

  • Fire extinguisher

  • Fire extinguisher

HRV Operation

  • Vehicle registration number

  • Vehicle registration number

  • Vehicle registration number

  • Display correct lights when operating HRV.

  • Correct whistle use when operating HRV

  • Travel at the correct speed.

  • Correct distance between vehicles.

  • Mandatory calls.

  • Correct manning levels

Mainline Protection

  • Operates wagons correctly

  • Can distinguish between different operating lines.

  • Correct protection used for task.

  • Can identify station limits

  • Knows safe riding positions.

  • Can distinguish between single and multiple worksites.

  • Rule 902

  • Rule 902

  • Non Interlocked areas

  • Holds a valid site safety permit.

  • Site safety permit.

  • Non interlocked protection arrangement

  • Lock, sock or Block.

End notes

  • End Notes:

  • OSA

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.