Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Train Number
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1. Are all personnel wearing the correct PPE?
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Comments:
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2. Are all the persons aware that whilst shunting, the riding on locomotives, wagon end or side steps , riding on or in wagons (except for covered wagons) and gravitational or loose shunting is PROHIBITED?
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Comments:
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3. Will the planned shunting movements be performed safely, and has the plan been communicated to all employees involved, prior to the movement(s) commencing?
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Comments:
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4. Have all handbrakes been released, and the load checked as being secure?
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Comments:
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5. Before giving the signal for a shunt movement to commence, has the employee in charge correctly set all the non-interlocked points and secured them for the intended movement?
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Comments:
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6. Have all the interlocked points concerned, been sighted and physically checked before any movement is commenced?
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Comments:
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7. Are all person(s) within the shunting area in a safe place?
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Comments:
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8. Is the employee controlling the movement in a safe manner?
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Comments:
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9. Are all speed restrictions within the area being adhered to?
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Comments:
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10. Is the competent employee, who is in communication with the Locomotive Driver, proceeding all propelling movements?
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Comments:
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11. Is the employee controlling the shunt, communicating with the Locomotive Driver at the appropriate intervals, using appropriate radio communications protocols?
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Comments:
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12. Has the employee ensured that no wagons/rolling stock have been left foul of an road, clearance points or siding block joints, or left outside of protection devices such as derailers, catch points or lock out mechanisms?
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Comments:
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13. Prior to going in between rolling stock to couple or uncouple locomotives or wagons, has the employee controlling the shunt ensured that ALL movements have stopped and that the Driver has acknowledged the stop command?
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Comments:
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14. If locomotives or wagons are to be left unattended, have they been secured by applying the required minimum number of handbrakes and wheels chocked?
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Comments:
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Overall Comments:
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Completed by:
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