SafeWorking Checklist

• WPP Reviewer

• Date of Review

  Date

• Protection Officer

• Date of WPP

  Date

mandatory items

• Reference to Capital City in top left

  Yes

  No

• Easily reached safe place

  Yes

  No

• Name of track/tracks

  Yes

  No

• Worksite location defined whether or not in the danger zone by km, crossover numbers, points number and signal numbers

  Yes

  No

• Name of locations or stations each side of worksite

  Yes

  No

• All fields completed at top of worksite protection plan

  Yes

  No

Additional Items – where applicable or pose a risk or impact on protection must be included

• Location of other worksites

  Yes

  No

  N/A

• Safe passage to and from the worksite

  Yes

  No

  N/A

• Location (km) and identification of handsignallers/lookouts

  Yes

  No

  N/A

• Identification number of signals used for protection (blocking facilities applied)

  Yes

  No

  N/A

• Identification of affected signals

  Yes

  No

  N/A

• Treatment of risks associated with adjacent line (adjacent line protection)

  Yes

  No

  N/A

• Treatment of risks associated with multiple signalled and unsignalled routes into the worksite

  Yes

  No

  N/A

• Position of points clipped and locked indicating position (normal or reversed)

  Yes

  No

  N/A

• Location where there is no safe place such as platforms, bridges, tunnels, cuttings, embankments, culverts, stabled or stationary trains etc.

  Yes

  No

  N/A

• Location of level crossings and any possible impact on the operation of the level crossing warning equipment or protection arrangements

  Yes

  No

  N/A

• Demarcation fencing

  Yes

  No

  N/A

• Track configurations or objects that affect sighting distance

  Yes

  No

  N/A