Translink SHEQ Audit Inspection - T3 SSOW

• Contract Number

• Job Number

• Location
  Address

• Date of inspection

  Date

• Prepared by

• Team Supervisor

• Additional personnel on site

• Brief description of work activity

• Client

• Executive Summary

• TSC Name

• TSC possess valid competency card

  Yes

  No

  N/A

• TSC wearing appropriate armband

  Yes

  No

  N/A

• TSC briefing book completed correctly

  Yes

  No

  N/A

• Plant Equipment Materials (PEM) form completed

  Yes

  No

  N/A

• TSC possess WON

  Yes

  No

  N/A

• Correct PPE worn

  Yes

  No

  N/A

PTS

• All staff possess valid PTS competency card or TVP?

  Yes

  No

  N/A

• PTS staff received TSC brief and it is understood

  Yes

  No

  N/A

• All staff wearing correct PPE

  Yes

  No

  N/A

ES

• ES Name

• ES possess valid competency card

  Yes

  No

  N/A

• ES wearing appropriate armband

  Yes

  No

  N/A

• Engineering supervisors certificate completed correctly

  Yes

  No

  N/A

• All TSCs signed in with ES

  Yes

  No

  N/A

• Plant Equipment Materials (PEM) form completed

  Yes

  No

  N/A

• Authority to start work received from PICOP

  Yes

  No

  N/A

• ES possess WON

  Yes

  No

  N/A

• Worksite marker boards (if required)

  Yes

  No

  N/A

• Worksite marker boards at least 100m from possession protection

  Yes

  No

  N/A

• Worksite marker boards at least 100m between worksites

  Yes

  No

  N/A

• Is the ES aware of any RRV/Engineering train(s) affecting the worksite?

  Yes

  No

  N/A

• Has the ES checked and cleared the worksite before lifting the marker boards

  Yes

  No

  N/A

• Has the ES lifted the worksite marker boards and communicated correctly with the PICOP to hand back the worksite?

  Yes

  No

  N/A

• ES wearing correct PPE

  Yes

  No

  N/A

Rail Mounted Plant Compliance

• RRVO possess valid competency card and authority to work card

  Yes

  No

  N/A

• Pre-use inspections carried out for all RRVs by the RRVO & countersigned by RRVC?

  Yes

  No

  N/A

• RRVC possess valid competency card

  Yes

  No

  N/A

• Plant Equipment Materials (PEM) form completed

  Yes

  No

  N/A

• Dispatch and Catch form completed (if required)

  Yes

  No

  N/A

• All RRVs have a valid Certificate of Engineering Vehicle Acceptance and a copy is kept in each item of plant?

  Yes

  No

  N/A

• Thorough examination certificates available for all Rail mounted plant?

  Yes

  No

  N/A

• Thorough examination certificates available for all lifting equipment?

  Yes

  No

  N/A

• Are trailers certified?

  Yes

  No

  N/A

• Tools and Equipment have reflective tape or paint and clearly visible? Example: RRV bucket painted?

  Yes

  No

  N/A

PICOP

• PICOP Name

• PICOP possess valid competency card

  Yes

  No

  N/A

• PICOP wearing appropriate armband

  Yes

  No

  N/A

• Possession arrangements form completed correctly

  Yes

  No

  N/A

• Plant Equipment Materials (PEM) form completed

  Yes

  No

  N/A

• ES granted authority to start work

  Yes

  No

  N/A

• Token taken or three detonators 20m apart at both ends of possession

  Yes

  No

  N/A

• Possession limit indicator board at middle detonator

  Yes

  No

  N/A

• Protection is 400m ahead and rear of protecting signal/points/crossing

  Yes

  No

  N/A

• Hand signaller in appropriate place (if required)

  Yes

  No

  N/A

• PICOP possess WON

  Yes

  No

  N/A

• PICOP wearing correct PPE

  Yes

  No

  N/A

• Daily Risk Assessment (DRA) available and signed off by all relevant staff?

  Yes

  No

  N/A

• All persons signed in/out of site?

  Yes

  No

  N/A

• Site Managers briefing Instruction completed and briefed to all relevant safety critical staff in advance of works?

  Yes

  No

  N/A

• All site operatives inducted?

  Yes

  No

  N/A

• Staff appropriately trained for the works they are carrying out?

  Yes

  No

  N/A

• Method Statement & Risk Assessments (RAMS) available and signed by all relevant staff?

  Yes

  No

  N/A

• Permit to Work in place?

  Yes

  No

  N/A

• NI10 form available?

  Yes

  No

  N/A

• Correct PPE being worn? (Behaviour/Compliance)

  Yes

  No

  N/A

• Seat belts being worn when operating plant?

  Yes

  No

  N/A

• Suitable site access and egress?

  Yes

  No

  N/A

• Site security adequate? E.g. fencing, locked gates etc.

  Yes

  No

  N/A

• Housekeeping adequate? (Slips, trips, falls, adequate lighting)

  Yes

  No

  N/A

• Traffic management (signing / lighting / guarding) in place where applicable?

  Yes

  No

  N/A

• Excavations safely guarded / battered back?

  Yes

  No

  N/A

• Underground services identified? HSG47

  Yes

  No

  N/A

• Weekly inspection of excavations completed?

  Yes

  No

  N/A

• Overhead lines protected? GS6

  Yes

  No

  N/A

• Is there an appropriate lift plan in place?

  Yes

  No

  N/A

• Work at height properly planned?

  Yes

  No

  N/A

• Aluminium tower fit for purpose and appropriate inspections carried out?

  Yes

  No

  N/A

• Scaffolding fit for purpose and appropriate inspections carried out?

  Yes

  No

  N/A

• Work on or near water properly planned?

  Yes

  No

  N/A

• Measures in place to manage and control temporary works safely?

  Yes

  No

  N/A

• Asbestos Refurbishment & Demolition Survey Report / Register available?

  Yes

  No

  N/A

• Are toolbox talks being carried out weekly?

  Yes

  No

  N/A

• Are good catches being recorded?

  Yes

  No

  N/A

Kit & Equipment

• Tools and Equipment have reflective tape and clearly visible?

  Yes

  No

  N/A

• Weekly LOLER inspections completed?

  Yes

  No

  N/A

• Weekly PUWER inspections completed?

  Yes

  No

  N/A

• Thorough examination certs (TEC) available for all plant & equipment?

  Yes

  No

  N/A

• Thorough examination certs (TEC) available for all lifting equipment?

  Yes

  No

  N/A

• Daily plant inspections completed?

  Yes

  No

  N/A

• CAT & Genny available and calibrated?

  Yes

  No

  N/A

• Fire fighting equipment available?

  Yes

  No

  N/A

• First Aid Kit (FAK) & Eye Wash stations available?

  Yes

  No

  N/A

• Trained first aider on site and known to workers?

  Yes

  No

  N/A

• Welfare facilities in place and adequate?

  Yes

  No

  N/A

• Portable Appliance Testing (PAT) in place and up to date?

  Yes

  No

  N/A

• Any hazards that require immediate intervention not stated above?

  Safe

  At Risk

  N/A

• Please state below any other observations identified on site

• Please state below any other observations identified on site

• Please state below any other observations identified on site

• All hazardous substances stored correctly? e.g. drip trays

  Yes

  No

  N/A

• All hazardous substances labelled correctly?

  Yes

  No

  N/A

• Spill kits available?

  Yes

  No

  N/A

• Waste disposed of correctly?

  Yes

  No

  N/A

• Dust and noise controls in place?

  Yes

  No

  N/A

• COSHH Assessments available?

  Yes

  No

  N/A

• Please state any other observations identified on site

• Quality of works to an acceptable standard?

  Yes

  No

  N/A

• Company insurance policy available and in-date?

  Yes

  No

  N/A

• Company forms used in line with ISO procedures?

  Yes

  No

  N/A

• Company procedures adhered too?

  Yes

  No

  N/A

• Sub-contractors used for the works approved in line with company procedure?

  Yes

  No

  N/A

• Verification sub-contractor has implemented a modern slavery policy and were not in place has agreed to work under ACPL policy?

  Yes

  No

  N/A

• Add signature

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