Siemens Thameslink - Surveillance checklist

• Nature of work or inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Job title/Role

• Location
  Address

• Personnel

Working Safely

• ARE YOU AND IN A POSITION OF SAFETY WHEN COMPLETING THIS QUESTIONARE?

  Yes

  No

  N/A

• Do personnel have valid authority to work? <br>(Cards, permits to work, etc)

  Yes

  No

  N/A

• Have operatives been inducted on to the Thameslink project?

  Yes

  No

  N/A

• Are personnel in possession of appropriate licenses

  Yes

  No

  N/A

• Is mentoring in place

  Yes

  No

  N/A

• Is there a Safe System of Work (SSOW) in place?

  Yes

  No

  N/A

• Is the SSOW safe and effective?

  Yes

  No

  N/A

• Do staff understand the method of protection being used?

  Yes

  No

  N/A

• Do staff understand the SSOW

  Yes

  No

  N/A

• Does the worksite include rail mounted vehicle movements or ALO?

  Yes

  No

  N/A

• Are the staff aware of rail vehicle movements and/or ALO requirements?

  Yes

  No

  N/A

• Are operatives aware of works by third parties which may have an impact on their works or safety?

  Yes

  No

  N/A

• Are staff equipped withe the correct PPE, is it being used and is it in a good condition?

  Yes

  No

  N/A

• Is manual handling being undertaken

  Yes

  No

  N/A

• Are the appropriate manual handling techniques being used?

  Yes

  No

  N/A

• Should an alternative methodology have been applied

  Yes

  No

  N/A

• Does the work involve road vehicle movements?

  Yes

  No

  N/A

• Are the operatives aware of the Thameslink guidelines on the control of vehicles as specified by TfL?

  Yes

  No

  N/A

Quality of delivery

• Are the current/correct input documents being used?

  Yes

  No

  N/A

• Are the correct tools for the job being used (calibration, condition, etc)?

  Yes

  No

  N/A

• Are personnel aware of the required standards, procedures and codes of practice?

  Yes

  No

  N/A

• Is it evident that these standards are being met?

  Yes

  No

  N/A

• Are the documents being used by the team controlled?

  Yes

  No

  N/A

• Do the drawings, etc accurately reflect the works being undertaken?<br>(construction status, location, etc)

  Yes

  No

  N/A

• Is appropriate information being provided to others affected?<br>(Construction copies left on site, site diary, handover log, etc)

  Yes

  No

  N/A

• Are appropriate records of the works being kept?<br>Drawings marked up, installation logs, etc

  Yes

  No

  N/A

• Are deficiencies being recorded correctly?

  Yes

  No

  N/A

• Is the standard of construction of good quality

  Yes

  No

  N/A

• Are those involved working well as a team?

  Yes

  No

  N/A

Environment

• Are operatives aware of the Thameslink project Environmental requirements?

  Yes

  No

  N/A

• Is waste material being disposed off in the correct manner?

  Yes

  No

  N/A

• Are all reasonable measures being taken to limit Noise, dust and other items which will impact on the environment?

  Yes

  No

  N/A

Feedback

• Are there any improvements suggested by the operatives which should be considered?

Actions

• Action

  Yes

  No

  N/A

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