VHRL Possession Management On Site Audit

• DOCUMENT NO.

• PERSONNEL

• POSSESSION REFERENCE

• WHAT ROLE IS BEING AUDITED?

  PSS inc Protection

  PSS excl Protection

  LXA

  (S)PICOP inc Protection

  (S)PICOP excl Protection

• POSSESSION ITEM NUMBER

• CONDUCTED ON

  Date
• LOCATION
  Address

• PREPARED BY

ACCESS POINT INFORMATION

• ACCESS POINT NAME

• ELR

• MILEAGE

POSSESSION / BLOCKING DETAILS

• WON ITEM

  Media

• BLOCKING POINT / LX INFORMATION

SSOW METHOD INFORMATION (auditor to complete)

• WERE ANY LINES AT SITE OPEN TO TRAFFIC WHILST PLACING / REMOVING PROTECTION?

  YES

  NO

• WHAT SSOW METHOD IS APPROPRIATE WHILST WORKING?

  SAFEGAURDED

  FENCED

  SITE WARDEN WARNING

  LOOKING UP EVERY 5 SECONDS

• WHAT SSOW METHOD IS APPROPRIATE WHILST WALKING TO SITE OF WORK?

  SAFEGAURDED

  FENCED

  SITE WARDEN WARNING

  LOOKING UP EVERY 5 SECONDS

MANDATORY PPE

• WAS AUDITEE OBSERVED CARRYING OUT THIER DUTIES ON OR NEAR THE LINE?

  YES

  NO

• IS A HARD HAT BEING WORN?

  YES

  NO

• IS A HI-VIZ VEST OR COAT BEING WORN?

  YES

  NO

• IS A PAIR OF HI-VIZ TROUSERS BEING WORN?

  YES

  NO

• IS A PAIR OF SAFETY BOOTS BEING WORN?

  YES

  NO

• IS A PAIR OF SAFETY GLASSES BEING WORN?

  YES

  NO

• IS A HARD HAT AVAILABLE?

  YES

  NO

• IS A HI-VIZ VEST OR COAT AVAILABLE?

  YES

  NO

• IS A PAIR OF HI-VIZ TROUSERS AVAILABLE?

  YES

  NO

• IS A PAIR OF SAFETY BOOTS AVAILABLE

  YES

  NO

• IS A PAIR OF SAFETY GLASSES AVAILABLE?

  YES

  NO

• IS A TORCH AVAILABLE FOR USE AT NIGHT?

  YES

  NO

  N/A

PPE QUALITY

• IS ALL PPE CLEAN?

  YES

  NO

• DOES HI-VIZ COAT OR VEST HAVE THE VITAL LOGO ON THE BACK?

  YES

  NO

SENTINEL CHECK

• DOES AUDITEE HAVE THEIR SENTINEL CARD?

  YES

  NO

• SCREENSHOT FROM SENTINEL CHECK

  Media

• DOES AUDITEE HOLD THE CORRECT COMPETENCY FOR THE DUTY BEEN UNDERTAKEN?

  YES

  NO

ON TRACK DOCUMENTATION (SWP)

• SWP REFERENCE NUMBER

• DOES AUDITEE HAVE A SWP

  YES

  NO

• IN WHAT FORM IS SWP

  PAPER

  TABLET

  PHONE

• IS SWP UP TO DATE

  YES

  NO

• IS SWP SUITABLE FOR THE DUTY AND LOCATION BEING CARRIED OUT

  YES

  NO

• HAS ANY SAFETY CRITICAL COMMUNICATION BEEN OBSERVED?

  YES

  NO

• WAS KEY INFORMATION REPEATED BACK?

  YES

  NO

• WAS CONVERSATION ACCURATE, BRIEF AND CLEAR?

  YES

  NO

• WAS LINE, APP/BEY, SIGNAL/POINTS CLEARLY REFERENCED?

  YES

  NO

• HOW WOULD YOU RATE THIS CONVERSATION? 0 -VERY POOR, 5 - VERY GOOD

• DUTY BEEN UNDERTAKEN

  PSS inc Protection

  PSS excl Protection

  LXA

  (S)PICOP inc Protection

  (S)PICOP excl Protection

DETONATOR PROTECTION

• ARE ALL DETONATORS IN DATE?

  YES

  NO

• ARE ALL DETONATORS IN GOOD CONDITION?

  YES

  NO

• HAVE THESE DETONATORS BEEN REPLACED ON SITE?

  YES

  NO

• HAS A REQUEST BEEN SUBMITTED TO THE OFFICE FOR REPLACEMENT DETONATORS TO BE ARRANGED?

  YES

  NO

• HAS DETONATOR PROTECTION BEEN PLACED AT THE CORRECT LOCATION?

  YES

  NO

• SCREENSHOT FROM TRACK LOCATOR OF LOCATION OF DETONATOR PROTECTION OR PHOTO OF TRACK DIAGRAM WITH DETONATOR PROTECTION MARKED

  Media

• ARE ALL PLB's IN GOOD WORKING ORDER?

  YES

  NO

LEVEL CROSSING PROTECTION

• IS IT NIGHT OR DAY?

  NIGHT

  DAY

• ARE TIL DAWN'S IN PLACE?

  YES

  NO

• IS A TORCH CAPABLE OF SHOWING A GREEN ASPECT OR BARDIC LAMP AVAILABLE?

  YES

  NO

  N/A

• ARE RED AND GREEN FLAGS AVAILABLE FOR WHEN IT GETS LIGHT

  YES

  NO

  N/A

• ARE FLAGS IN PLACE?

  YES

  NO

• ARE TIL DAWNS AVAILABLE FOR WHEN IT GETS DARK?

  YES

  NO

  N/A

• IS A TORCH CAPABLE OF SHOWING A GREEN ASPECT OR BARDIC LAMP AVAILABLE?

  YES

  NO

  N/A

• REASON FOR NOT CHECKING DETONATOR PROTECTION

• AUDITOR COMMENTS

• COMPLETED ON

  Date

• AUDITOR SIGNATURE

  Sign

• AUDITEE SIGNATURE

  Sign