Un-notified Field Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Information

• Corridor

  Telarah-Acacia Ridge Corridor

  Sydney-Craigieburn Corridor

  Kalgoorlie-Cootamundra Corridor

  Melbourne-Crystal Brook Corridor

• Work Group

  Track and Civil

  Signals

  Contractor

• Work Type

  Maintenance

  Projects

• From KM/Signal To KM/Signal Section (Station to Station) Multiple Line Area Single Bi Direction Dual Uni Direction Dual Bi Direction

Personal Protective Equipment (PPE)

• Are all workers on site wearing PPE including safety vests, safety boots and long/longs

  Yes

  No

  N/A

• Are workers undertaking specialised tasks e.g welding/cutting wearing PPE specific for the task e.g. Spats/welding gloves?

  Yes

  No

  N/A

Pre Work Brief (PWB)

• Has the PWB been completed correctly in accordance with RLS-PR-005?

  Yes

  No

  N/A

• Have hazards been identified with the appropriate controls put in place?

  Yes

  No

  N/A

Worksite Protection Plan (WPP)

• What type of protection is in place

  Track Occupancy Authority

  Track Warrant Working

  Track Force Protection

  Look Out Working

  Other

• Has the WPP been completed correctly and in accordance with RLS-PR-006?

  Yes

  No

  N/A

• Is the appropriate protection in place?

  Yes

  No

  N/A

• Is the location of the CRSW and work group clearly marked by kilometerage on the Worksite Protection Plan (WPP) at the time of conducting the briefing (noting that this location will change for moving worksites). eg. Location Name and KM or KM and Signal Number

  Yes

  No

  N/A

• Has the Diary Log been filled in with appropriate information that includes all dialog including overlapping/adjoining limits?

  Yes

  No

  N/A

Certificates of Competency

• Do all on site contractors have a current RIW card as verified by OnSite track easy?

  Yes

  No

  N/A

• Are all workers competent and qualified to complete the task?

  Yes

  No

  N/A

• Do plant operators have the required competency or High Risk License to operate their item of plant?

  Yes

  No

  N/A

Communication

• Is communication equipment serviceable?

  Yes

  No

  N/A

• Are correct protocols for communication being used?

  Radio

  Mobile Phone

  Verbal

• Has a second form of communication been identified?

  Radio

  Mobile Phone

  Verbal

First Aid

• Is there a qualified First Aider on site?

  Yes

  No

  N/A

• Are First Aid kits available, in order and in date?

  Yes

  No

  N/A

Work Method Statements (WMS)

• Are WMS available on site?

  Yes

  No

  N/A

• Have all workers signed onto the WMS?

  Yes

  No

  N/A

• Is the WMS relevant to the task?

  Yes

  No

  N/A

• Are the controls being applied?

  Yes

  No

  N/A

Plant and Equipment

• Does all plant meet the ARTC General Plant Requirements EPP-32-03?

  Yes

  No

  N/A

• If the hiab crane is in use: are the stabilising legs/outriggers deployed?

  Yes

  No

  N/A

• If stabilising legs are deployed and the ground surface is soft/unstable, is dunnage in place?

  Yes

  No

  N/A

Track vehicles

• Is the PO aware on track plant and how it is being managed within the work site?

  Yes

  No

  N/A

• If HiRail vehicles are on track, is the dome light operating and are the headlights on?

  Yes

  No

  N/A

• Do all track vehicle on site have the minimum Emergency Safety Equipment on board?

  Yes

  No

  N/A

• Is all the Emergency Safety Equipment properly stored in locked metal boxes?

  Yes

  No

  N/A

Fatigue Management

• Has each person worked 12 hours or less in each shift in this job or project?

  Yes

  No

  N/A

• Have workers been rostered less than four consecutive 12 hour shifts?

  Yes

  No

  N/A

• Have all workers worked less than eight consecutive shifts

  Yes

  No

  N/A

• Have all workers had more than an eight hour break between shifts?

  Yes

  No

  N/A

• Do all workers travel less than an hour to and from work?

  Yes

  No

  N/A

Observations

• Add media

  Media