Trackwork Worksite Inspection Form 2017

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SITE ACCESS AREA

• Is an authorised Access Point being Used and as defined in the WPP ?

  Yes

  No

  N/A

• Is there sufficient site access Parking ?

  Yes

  No

  N/A

• If Required is there adequate Trackwork Site Access signage present identifying a minimum of site information / hazards / dangers, mandatory PPE requirements ?

  Yes

  No

  N/A

• Is site security adequate ( any evidence of vandalism etc )?

  Yes

  No

  N/A

• Are vehicle and pedestrian movements segregated, vehicle routes, speed limits etc ?

  Yes

  No

  N/A

• Have All Staff Been Inducted Via Site Liason?

  Yes

  No

  N/A

• Is the site access point and site lighting and sufficient ?

  Yes

  No

  N/A

STAFF

• Is there a site register for staff/visitors? Are entries correct?

  Yes

  No

  N/A

• If there is a COSS on site has everyone been Briefed ? ( If a non PTS site has everyone had a Task brief )

  Yes

  No

  N/A

• Is there Adequate supervision on site ?

  Yes

  No

  N/A

• Check on Staff / Supervisors Competence. ( add photos )

  Yes

  No

  N/A

• Are All Staff Carrying their correct competence cards?

  Yes

  No

  N/A

• Has the COSS carried out a briefing,Has everyone signed the RT9909?

  Yes

  No

  N/A

• Is the COSS, Lookout,Site Warden,Engineering Supervisor Identifiable via their respective armlets?

  Yes

  No

  N/A

• Has the COSS signed the ES Certificate? the RT3199

  Yes

  No

  N/A

• Are there enough COSS's appointed to cover the different tasks on site?

  Yes

  No

  N/A

• Is POS applicable for this worksite?

  Yes

  No

  N/A

• Add media

  Media

SITE DOCUMENTATION

• Is the Work Package Plan ( WPP ) available on site and is it signed ? <br>If not stop works until resolved !

  Yes

  No

  N/A

• Are the Task Briefs available / adequate / and signed daily ?<br>If not stop works until resolved !

  Yes

  No

  N/A

• Are accident / incident forms available on the site ? ( QF177,287,292)

  Yes

  No

  N/A

• Where required, are the mandatory notices displayed on site ? ( F10 )

  Yes

  No

  N/A

• Is a copy of the Refusal to Work Policy available? ( SP07 )

  Yes

  No

  N/A

• Is a Permit to Dig available and is it valid? Is the mileage on the Permit correct with the Work site?<br>Is the CAT Scanner number identifiable?

  Yes

  No

  N/A

• Are Plant Certificates In date ? in the Machine ? And Daily Plant Checks complete ?

  Yes

  No

  N/A

• Is there a Loler and Puwer Register on Site and Up to date ?

  Yes

  No

  N/A

• Are Lift Plans Required ? and up to date ? ( Evidence )

  Yes

  No

  N/A

• Is a hot works Permit Required ? <br>And in place ? ( photo )

  Yes

  No

  N/A

• Is there an Electrical Isolation Permit (Form C or D) in Place? Is the COSS and or Machine Controller in possession of this?

  Yes

  No

  N/A

• Is there a SSOW pack available?

  Yes

  No

  N/A

• Is there an Inspection Test Plan (ITP) Document for the Works?

  Yes

  No

  N/A

• Is a COSHH register on Site?

  Yes

  No

  N/A

• Is there a Toolbox Talk register on Site?

  Yes

  No

  N/A

• Is a daily site report sheet and has it been filled in?

  Yes

  No

  N/A

WELFARE

• Is there adequate welfare and mess Facilities ?

  Yes

  No

  N/A

• Are toilets available ( reasonable distance, sufficient in numbers, male/female where required ) with adequate supplies ?

  Yes

  No

  N/A

• Is there adequate drinking water available ?

  Yes

  No

  N/A

• Is there means of heating water and food ?

  Yes

  No

  N/A

• Are there washing / drying facilities available ?

  Yes

  No

  N/A

FIRST AID

• Is there a nominated first aider on site ?

  Yes

  No

  N/A

• Is the First Aider in Possession of the necessary Certification

  Yes

  No

  N/A

• Has the first aider been identified to staff

  Yes

  No

  N/A

• Has the nominated first aider access to details of the nearest hospital and relevant telephone numbers ?

  Yes

  No

  N/A

• Is the first aider available at all times ?

  Yes

  No

  N/A

• Is the First Aid Kit Present / Adequate and Correct for the Number of people on site ?

  Yes

  No

  N/A

FIRE PRECAUTIONS

• Are staff aware of fire safety arrangements ?

  Yes

  No

  N/A

• Is a Fire assembly Point Defined ?

  Yes

  No

  N/A

• Are Fire extinguishes appropriate for the type of materials available for use on site

  Yes

  No

  N/A

• Are separate fire extinguishers in date ?

  Yes

  No

  N/A

PLANT AND OPERATORS

• Are all small Plant and Tools within service dates and in good condition ?

  Yes

  No

  N/A

• Are All Large Plant and Lifting Certificates in Date ? and check sheets complete ?

  Yes

  No

  N/A

• Do all Operators hold Valid Certificates for the type of Plant Being used ?

  Yes

  No

  N/A

• Are Machine Controllers Check Sheets being completed ?

  Yes

  No

  N/A

• Are all Staff Wearing the Required PPE

  Yes

  No

  N/A

• Are all Road/Rail Machines equipped with emergency equipment?<br>a) 10 detonators in a container?<br>b) 2 Track circuit operating clips?<br>c) 2 Red Flags<br>d) 1 handlamp capable of displaying a red aspect?

  Yes

  No

  N/A

TOOLS AND EQUIPMENT

• Is all equipment used for testing and measurement Calibrated and within Date ?

  Yes

  No

  N/A

• Are tools and equipment in an acceptable condition ?

  Yes

  No

  N/A

• Are All calibrated Tools and Equipment Stored Safely Overnight ?

  Yes

  No

  N/A

ENVIRONMENTAL

• Are Spill Kits available on site and in Plant ?

  Yes

  No

  N/A

• Have all environmental control measures highlighted in WPP been Implemented on site ?

  Yes

  No

  N/A

• Is there any suitable storage (bunded stores, double skinned bowsers) for oils and other potentially polluting substances?

  Yes

  No

  N/A

• Is waste correctly segregated and being disposed of in accordance with the WPP ?

  Yes

  No

  N/A

• Are materials/scrap stored in an area that does not impede on operations and stacked correctly ?

  Yes

  No

  N/A

• Have Hazardous substances been identified ?

  Yes

  No

  N/A

• Are COSHH assessments / processes available for all substances on site ?

  Yes

  No

  N/A

• Are Hazardous substances being stored correctly on site ?

  Yes

  No

  N/A

• Are Spill Kits being used and Available on site ?

  Yes

  No

  N/A

• Have any Members of Staff Raised and concerns over Environmental Issues ?

  Yes

  No

  N/A

GENERAL

• Any issues with PPE ?

  Yes

  No

  N/A

• Are there any good practices, innovations or opportunities noted?

  Yes

  No

  N/A

• Name of Personnel Spoken to on site and any issues raised

  Yes

  No

  N/A

• Are there any Subcontractors on Site ?

  Yes

  No

  N/A

• Any Non Conformances to be Raised ?

  Yes

  No

  N/A

• Signed by Author

  Sign

• Has the COSS/ES been supplied with the SSOW Pack?

  Yes

  No

  N/A

• Have the Protection arrangements been set up in accordance with the SSOW?<br>

  Yes

  No

  N/A

• If the works are classed as a construction site, are the risk control measures sufficient to provide a safe system of work?

  Yes

  No

  N/A

• Has equipment warning (Open Line) been implemented? Have sufficient Lookouts been appointed?<br>Has this method been approved by a Director.

  Yes

  No

  N/A

• Are Lookouts/ Site Wardens in possession of the correct Kits?

  Yes

  No

  N/A

• Has a Possession of Sidings form been completed?

  Yes

  No

  N/A

• Are protecting points clamped,scotched,and locked? Does the COSS possess the key for the padlock?

  Yes

  No

  N/A