Title Page
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Conducted on
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Prepared by
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Location
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Name of PWT
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Did the PWT arrive on site with sufficient time to receive a briefing?
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Is the PWT fully compliant with the PPE rules?
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Is the PWT's competencies up to date (record the date of expiry)
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Is there an up to date MS and RA available (if yes record the revision date)
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Did the PWT receive a brief from the client?
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Did the PWT ensure all the gang were on the station to witness the last train pass?
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Did the PWT check the competencies of all the gang?
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Did the PWT check that all the staff were wearing the correct PPE?
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Did the PWT give a good briefing? and did he ask if there were any questions from the gang?D
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Did the PWT check with the EIC or the Possession Master that the current was off?
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Did the PWT check the work site and ensure the MS and RA is fit for purpose?
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Did the PWT ensure an exclusion zone was established and it was policed throughout the task?
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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?
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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?
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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?
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Did the PWT ensure the gang followed the MS and RA?
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Are you satisfied that the PWT has safely discharged the duties of a PWT?
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Signed