Tasman Power Rail Impact on Person CCFV

• Site conducted

• Date and Time

  Date

• Task

• Location

• Conducted on

• Prepared by

Access Control

• 1. Is the access control point operational?

  Yes

  No

  N/A

• 2. Are all personnel present authorised to be in the location?

  Yes

  No

  N/A

• 3. Is the number of personnel present in compliance with access restrictions?

  Yes

  No

  N/A

• 4. Have unauthorised 'on rail' vehicles and rolling stock been reported to controllers?<br>

  Yes

  No

  N/A

Equipment Design, Inspection and Testing

• 5. Are critical components on the rolling stock used up to date for maintenance?<br>

  Yes

  No

  N/A

• 6. Does the rolling stock present as operationally ready (free of defects)?

  Yes

  No

  N/A

• 7. Are maintenance personnel qualified to progress the assigned maintenance task?

  Yes

  No

  N/A

• 8. Have all action items recorded in the equipment log been actioned to closure?

  Yes

  No

  N/A

• 9. Has a pre operation check list, that is specific for the equipment, been completed prior?

  Yes

  No

  N/A

• 10. Is a current maintenance acceptance form available with the equipment log/papers?

  Yes

  No

  N/A

Positive Communication System

• 11. Has the positive communication system been checked prior to commencement of work/journey?

  Yes

  No

  N/A

• 12. Have the switches been checked to validate correct position and function?

  Yes

  No

  N/A

• 13. Has the incorrect switch position alarm been verified as operational prior to commencement of work/movement?

  Yes

  No

  N/A

• 14. Is there a current record of inspection/maintenance for the positive communications approach being used?

  Yes

  No

  N/A

• 15. Will the equipment being used fail to safe if there is a communication black out?

  Yes

  No

  N/A

• 16. Are the personnel present competent in applying redundancy arrangements for positive communications?

  Yes

  No

  N/A

• 17. Do all the personnel present have access to positive communication devices?

  Yes

  No

  N/A

• 18. Are the personnel competent in the use of the available positive communications devices?

  Yes

  No

  N/A

Securing Rolling Stock

• 19. Is rolling stock in the vicinity safely secured (stabled)?

  Yes

  No

  N/A

• 20. Have the brakes on the rolling stock been effectively applied?

  Yes

  No

  N/A

• 21. Does all of the equipment available at location present as serviceable<br>for securing rolling stock?<br>

  Yes

  No

  N/A

Segregation of Locomotive/Rolling Stock and People

• 22. Are the personnel working on or alongside the rail network assets applying the separation rules?

  Yes

  No

  N/A

• 23. Is activation of switching, brakes and couplings being progressed without exposing personnel to potentially moving rail equipment?

  Yes

  No

  N/A

• 24. Are personnel following the procedures that preclude riding on rail cars/rolling stock during switching, pushing/shunting operations?

  Yes

  No

  N/A

• 25. Are delineation zones (e.g. access ways) clearly marked in the yards, sidings, maintenance facilities, and corridors?

  Yes

  No

  N/A

• 26. Are personnel remaining within marked areas?

  Yes

  No

  N/A

• 27. Are danger zones clearly identifiable on this network section?

  Yes

  No

  N/A

• 28. Are safe zones clearly identifiable on this network section?

  Yes

  No

  N/A

• 29. Are personnel following the procedures that preclude uncontrolled movements of Rolling stock (e.g. loose shunting)?

  Yes

  No

  N/A

Signalling and Signage

• 30. Is the signalling and signage in the area consistent with current standards?

  Yes

  No

  N/A

• 31. Are critical signals in the area readily identifiable (visible/audible)?

  Yes

  No

  N/A

• 32. Is the signalling and signage operational?

  Yes

  No

  N/A

• 33. Is the on rail equipment detection system working?

  Yes

  No

  N/A