Title Page

  • Conducted on

  • Prepared by

  • Location
  • Name of PWT

  • Did the PWT arrive on site with sufficient time to receive a briefing?

  • Is the PWT fully compliant with the PPE rules?

  • Is the PWT's competencies up to date (record the date of expiry)

  • Is there an up to date MS and RA available (if yes record the revision date)

  • Did the PWT receive a brief from the client?

  • Did the PWT ensure all the gang were on the station to witness the last train pass?

  • Did the PWT check the competencies of all the gang?

  • Did the PWT check that all the staff were wearing the correct PPE?

  • Did the PWT give a good briefing? and did he ask if there were any questions from the gang?D

  • Did the PWT check with the EIC or the Possession Master that the current was off?

  • Did the PWT check the work site and ensure the MS and RA is fit for purpose?

  • Did the PWT ensure an exclusion zone was established and it was policed throughout the task?

  • Did the PWT check that the plant had been stowed correctly ready to travel back to the platform and that the check sheets have been signed?

  • Did the PWT check and ensure that the plant was unpacked, ready to travel to the work site and that the check sheets have been signed?

  • Did the PWT check and ensure that the plant has been stowed correctly ready to travel back to the depot and that all check sheets have been signed?

  • Did the PWT ensure the gang followed the MS and RA?

  • Are you satisfied that the PWT has safely discharged the duties of a PWT?

  • Signed

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.