Vital Human Resources. - LXA Compliance Checklst

• Conducted on

  Date

• Prepared by

• Nature of the works

• Location
  Address

• Client / Principal contractor

SWP Compliance - Have the following been completed correctly?

• Name and Sentinel Number

  Yes

  No

  Not applicable

• Correct Date

  Yes

  No

  Not applicable

• Time Started

  Yes

  No

  Not applicable

• Signed

  Yes

  No

  Not applicable

• Handover completed if applicable

  Yes

  No

  Not applicable

• Hazard Directory covers mileage

  Yes

  No

  Not applicable

• Sectional Appendix covers mileage

  Yes

  No

  Not applicable

LXA Equipment compliance

• Correct Red flags with ploes

  Yes

  No

  Not applicable

• Correct Green flag with pole

  Yes

  No

  Not applicable

• 2 x Til Dawn lamps (batteries working)

  Yes

  No

  Not applicable

• Hand lamp with Red and Green aspect

  Yes

  No

  Not applicable

• Full Vital Rail endorsed Personal protective equipment

  Yes

  No

  Not applicable

Welfare Facilities

• Are Welfare facilities adequate

  Yes

  No

  Not applicable

• Clean Condition

  Yes

  No

  Not applicable

• Clean Soap and water available

  Yes

  No

  Not applicable

• Close enough for staff to use

  Yes

  No

  Not applicable

Signed as complete

• Vital Rail Representative

  Sign

• Level Crossing attendant

  Sign