Audit

The Planned general inspection (PGI) will include all areas of the station which are the responsibility of LOROL Customer Services Department.

The Head of Conductors is responsible for undertaking PGIs of the Conductor Management office and train crew accommodation on the High Level platforms.

The Head of Revenue Protection is responsible for undertaking PGIs of the RPI accommodation and the RPI cashing-up-room,Harrow Road entrance.

The SDM (Willesden Junction) is the Fire Precautions Manager for the whole station.

Every month a PGI must be carried out for all the areas shaded yellow on this PGI form.

Areas shaded in green represent safety, Quality & Environment standards, which should also be checked on a monthly basic.

Areas in purple indicate that PGI officers only need at this point to complete retail compliance checks, alongside the main PGI. PGI officers should print off a copy of Appendix 4 for each booking office , before embarking on PGI. ( Required every 8 Weeks) insert the date of last retail compliance check....
(The next should be within 8 weeks of this date)

Add date and time:
Is Either Person a FIRE PRECAUTION OFFICER (FPM)?

If 'NO; when was the last time a FPM accompanied or undertook this PGI?

If more than 3 months since an FPM was present, have arrangements been made to book a FPO for the next PGI?

Is Either Person a FIRE PRECAUTION OFFICER (FPM)?

Notes:

Add date and time:
Is Either Person a Local Health & Safety Representative (LHSR)?

If 'NO; when was the last time a LHSR accompanied or undertook this PGI?

If more than 3 months since an LHSR was present, have arrangements been made to book a FPO for the next PGI?

Is Either Person a Local Health & Safety Representative (LHSR)?

Notes:

Add date and time:

When was the last time an SDM undertook the retail compliances checks?

If more than 3 months since an SDM was present, then an SDM is required to oversee the retail compliance check ONLY,
please ensure this before completing or submitting this PGI.

Notes:

Add date and time:
1.0 - Station Entrance, Station Approach

1.1 - Is the forecourt clean and litter-free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s)/ fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department (s)/ person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
2.0 - DRAINAGE...

2.1 - Is Drainage On The Road Adequate?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
3.0 - PERIMETER FENCING AND RAILINGS...

3.1 - Is the perimeter fencing and railing along station approach all in good order?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
4.0 - FIXTURES AND FITTINGS...

4.1 - Are all fixtures and fittings secure and and in good order (benches, posters boards, ect)?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
5.0 - LIGHTINGS..

5.1 - Is the lighting adequate and in full working order? ( lights switched off during the day)?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
5.2- LAMP POST ON STATION APPROACH ROAD.

Are the lights working?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
6.0 - AUTOMATIC DOORS AND MANUAL SIDE DOOR...

6.1 - Are The Automatic Doors And Manual Side Door In Full Working Order?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
7.0 - BINS ON COMPOUND...

7.1 - Is The Bin Compound Locked, With All The Bin Securely Inside With Lids Close And No Rubbish On The Floor?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)

7.2 - Enough bins/emptied regularly

8.0 - TOTEM POLES SIGNS AND SIGNAGE...

8.1 - Are The Two Totem Pole Signs And Other Station Signage In Good Condition?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
9.0 - BIKE SHELTERS

9.1 - Bike Shelter In Good Condition And Free From Graffiti? Any Bikes Need Removing?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
10.0 - Conductor Manager Office, Bus Turning Circle

10.1 - Has a copy of the latest PGI from the Head of Conductors been obtained?

10.2 - Are exit doors free from obstructions and clearly signed? As non-public area is it lock?

10.3 - If NO, insert photo evidence under this box & corresponding fault number

10.4 - if faulted previously, and still unresolved has it been followed up with JLIS? If resolved, when was this resolved and how?

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
11.0 - FIRE EXTINGUISHERS...

11.1 - Are All Fire Extinguishers In Full Working OrderAnd Inspection In-Date?

11.2 - Last inspection date

Date expire:

11.3 - Fire extinguishers in place, clearly marked for type of fire?

11.4 - Extinguishers clear of obstruction

11.5 - Extinguishers recently serviced (6 monthly punch mark on tab)

11.6 - If NO, insert photo evidence under this box & corresponding fault number

11.7 - if faulted previously, and still unresolved has it been followed up with JLIS? If resolved, when was this resolved and how?

Notes:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
12.0 - JLIS-(FOLDER IN MAIN TICKET OFFICE)

12.1 - Is the JLIS maintenance folder on site and does it confirm that the emergency lighting is being tested monthly?

12.2 - If NO, Corresponding fault number

12.3 - if faulted previously, and still unresolved has it been followed up with JLIS? If resolved, when was this resolved and how?

Notes:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
13.0 - De-ICER BINS( OUTSIDE CONDUCTORS OFFICE )

13.1 - Is the de-icer bin (outside Conductor office) undamaged with the lid lock shut? Is it stock up?

13.2 - Have contents been checked/ restocked within a 3month period

13.3 - If NO, insert photo evidence under this box & corresponding fault number

13.4 - if faulted previously, and still unresolved has it been followed up with JLIS? If resolved, when was this resolved and how?

Notes:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
14.0 - BUS CIRCLE AREA

14.1 - Is bus circle area clean and litter-free with no slipping / tripping hazards?

14.2 - If NO, insert photo evidence under this box & corresponding fault number

14.3 - if faulted previously, and still unresolved has it been followed up with JLIS? If resolved, when was this resolved and how?

Notes:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
15.0 - PERIMETER FENCING AND RAILINGS BUS CIRCLE...

15.1 - Is the perimeter fencing and railing around bus circle all in good order?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
16.0 - DRAINAGE...BUS CIRCLE

16. 1 - Is Drainage On The Road Adequate?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
17.0 - BUS SHELTER'S...

17.1- Is Bus shelter's in good condition and free Graffiti?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
18.0 - FIXTURES AND FITTINGS...

18.1 - Are all fixtures and fittings secure and in good order ( Benches, Poster Boards, ect.) ?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
19.0 - LIGHTINGS...

19.1 - Is the lighting adequate and in full working order? ( light switched off during the day)?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)

UNDER THE BRIDGE / ENTRANCE TO DEPOT (up to parking spaces)

20.0 - BRIDGE TO DEPOT...

20.1 - Is the road and footpath clean and litter / free with no slipping / tripping hazards and graffiti ?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
21.0 - DRAINAGE...(under bridge to depot)

21.1 - Is drainage in the area adequate?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
22.0 - FENCING ALONG FOOTPATH..

22.1 - Is the perimeter fencing along footpath to WCML all in good order?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
23.0 - LIGHTING..

23.1 - Is lighting adequate and in full working order? ( lights switched off during the day)?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
24.0 - STEPS TO HYTHE ROAD BRIDGE..

24.1- Are the steps up to Hythe Road Bridge in good condition, clean and in good condition( nosing/risers not required) is a handrail present and in good condition?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
25.0 - WCML Bridge and footpath down to Hythe Road ( walk length of path)

25.1 - Is the bridge in good order, no slip / trip hazards, free from litter and graffiti?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
26.0

26.1- Is the footpath litter- free and all foliage vegetation tidy? If NO, contact jonathon.james@networkrail.co.uk

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
27.0 - FOOTPATH FROM BUS TURNING CIRCLE TO HARROW ROAD

27.1 - Is the footpath clean and litter / free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
28.0

28.1- Are the bus turning circle steps and handrails in a good state of repair?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
29.0

29.1 - Is the de-icer bin (bus turning circle steps) undamaged with the lid lock shut? Is it stock up?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
30.0 -

30.1 - Are the harrow road steps in a good state of repair?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
31.0

31.1- Bike shelter in good condition and free from graffiti? Any bikes need removing? ( harrow road )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
32.0

32.1 - Is the station entrance signage in good condition? ( harrow road )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
33.0

33.1 - Is the boundary fencing on both side of footpath in a good state of repair? ( harrow road )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
34.0

34.1 - Is the footpath clean and litter - free with no slipping / tripping hazards? ( harrow road )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
35.0

35.1 - From walking the path, is there any trackside rubbish or graffiti visible? If so, report to (NR) on 08457114141 and note reference number, any longstanding issues should be elevated to LOROL Infrastructure team.

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
36.0

36.1 - Is the lighting adequate and in full working order? ( and not on during the day)?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
37.0 - STATION ENTRANCE, HARROW ROAD

37.1 - Is the forecourt clean and litter-free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
38.0

38.1 - Is the lighting adequate and in full working order? ( and not on during the day)

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
39.0

39.1 - Is the de-icer bin with the lid locked shut? Is it stock up?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
40.0 - TICKET HALL, HARROW ROAD

40.1 - Is the ticket hall clean and litter-free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
41.0

41.1 - Is the lighting adequate and in full working order? (And not on during the day)

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
42.0

42.1 - Is the help point workin? ( test emergency)

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
43.0

43.1 - Is the gate line heater working correctly?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
44.0

44.1 - Is there a T-Key available at or near the gateline to access the wheelchair ramp?

Notes:

45.0

45.1 - Are the automatic ticket gate (ATGs) in full working order and staff correctly?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
46.0

46.1 - Have both Emergency open (EMO) plungers for the ATGs been tested?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
47.0

47.1 - Are there records of twice-daily EMO testing in the gateline logbook?

Notes:

48.0

48.1 - Has the gateline logbook been inspected and sign-off?

Notes:

49.0

49.1 - Is the gateline both clean, tidy and in full working order?

Notes:

50.0
Date expired:

50.1 - Is the fire extinguisher in the booth in full working order and the inspection in-date?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
51.0 -HARROW ROAD TICKET OFFICE

51.1 - Is the HR ticket office clean and litter-free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
52.0

52.1 - Are exit doors free from obstructions and clearly signed? As a non-public area s it locked close?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
53.0

53.1 - Is lightning adequate and in full working order? ( switched off when TO closed)?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
54.0

54.1 - Is heating and ventilation adequate and in good order?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
55.0
Date expired

55.1 - Are all fire extinguishers in full working order and inspection in-date?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
56.0

56.1 - Is fire logbook in place?

If NO, raise with Safety team to get a replacement:

57.0 -
Last PAT test:

57.1 - Is all electrical equipment in good order and inspection in-date? When was last PAT?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
58.0

58.1 - Is there a health and safety notice board display and does it contain the correct information, as per appendix 2.

Notes:

59.0

59.1 - If there were any non- safety related notices on the H&S notice board, have those now been remove?

Notes:

60.0

60.1 - Is the Local Emergency Plan the latest version and are all emergency telephone numbers correct? Latest available here: http://lo-sp01/departments/safety/Station%20Emergency%20Plans/Willesden%20Junction%20(WIJ).pdf

61.0

61.1 - Have there been any changes to work practices and equipment (including DSE) and if so, has it been risk-assessed?

61.2 - If NO, has it been raised with safety department

62.0
Last recorded accident number & time and date:

Notes:

63.0

63.1 - Have all accidents been investigated and close off?

If NO, note reason here?

Initial and date last use page.
64.0
Last recorded assault number & date and time:

Notes:

65.0

65.1 - Have all assaults been investigated an closed off?

If NO, note reason here?

Initial and date & time last used page.
66.0

66.1 - Have the accident and assault books been filled in correctly?

If NO, note reason here?

67.0
When does it expired?

67.1 - Is there a DNA spit-kit clearly displayed on the wall?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
68.0

68.1 - Is the first aid box readily available, with all contents inside? If seal then select 'yes' (for a list of contents please see appendix 1, at back of this document)

69.0

First aid box serial number

70.0

70.1 - Has the station Logbook been inspected and sign off?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
71.0

71.1 - Is the CCTV monitor working and displaying accordingly?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
PGI OFFICERS ONLY...

Please refer now to and complete Retail Compliance Check, Appendix 1.2 - 1.8

72.0 - Is the TRIP / PIDD box easily available?

Load Hailer with batteries and working(1 required)

HI VI? ( 2 required)

Disruption cards? (1000 required)

Alternative route guide & up-to-date? ( 5-10 required)

Local maps & up-to-date? (handful required)

Whistle? (1 required)

TVM sales warning? (1 per machine required)

Restriction / Hazard tape? (1 required)

Alternative route poster & up-to-date and in good condition? (1 required)

A-frame available and in good working order?

Disruption to train service poster and in good condition? (1 required)

73.0 - HARROW ROAD - RPI CASHING UP ROOM.

73.1 - Has a copy of the latest PGI from head of Revenue Protection been obtained?

73.2- Are exit doors free from obstruction and clearly signed? As a non-public area is it locked closed?

74.0
Date expired

74.1- Are all fire extinguishers in full working order and inspection in-date?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
75.0 - ELEVATED WALKWAY BETWEEN TICKET OFFICE

75.1- Is it clean and litter-free with no slipping/tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
76.0

76.1- Is the lighting adequate and in full working order? (and not on during the day)

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
77.0

77.1- Is gate de-icer bin undamaged with the lid locked shut? Is it stock up?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
78.0- MAIN TICKET HALL, STATION APPROACH

78.1- Is the ticket hall clean and litter-free with no slipping/tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
79.0

79.1- Is the gateline heater working correctly?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
80.0

80.1- Is the help point working? (test emergency)

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
81.0

81.1- Are the automatic ticket gates (ATGs) in full working order and staffed correctly?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
82.0

82.1- Is there a T-Key available at or near the gateline to access the wheelchair ramp?

Notes:

83.0

83.1- Has a risk assessment been carried out for the operations of the automatic ticket gates (ATGs), and where can it be located?

83.2- If NO, have arrangements been made to undertake this?

84.0

84.1- If the risk is available, when was it last reviewed? If more than 12 months, are arrangement in place to this reviewed?

Last reviewed?

85.0

85.1- If risk assessment is available, are the ATGs being operated in accordance with findings of risk assessment?

Notes:

86.0

86.1- Has risk assessment been carried out for the operation of the automatic ticket gates(ATGs), and where can it be located?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
87.0

87.1- Have both Emergency open (EMO) plungers for the ATGs been tested?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
88.0

88.1- Are there records of twice-daily EMO testing in the gateline logbook?

Notes:

89.0

89.1- Are all gates working? And is the area around in good condition, with no trip hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
90.0

90.1- Has the gateline logbook been inspected and sign off?

Notes:

91.0

91.1- Is the gateline booth clean, tidy and in full working order?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
91.1
Date expired

91.1- Is the fire extinguisher in the booth in full working order and the inspection in-date?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
92.0- MAIN TICKET OFFICE

* Clean and litter-free with no slipping/tripping hazards?

* Are exit doors free from obstructions and clearly signed? As a non-public area is it locked close?

* Is lighting adequate and in full working order? And switch off when not in use?

* Are all fire extinguishers in full working order and inspection in-date?

* Is the JLIS maintenance folder on site and does it confirm that the emergency lighting is being tested monthly?

* Is heating and ventilation adequate and in good order?

* Are all closures on fire doors working correctly?

* Is all electrical equipment in good order and inspection in-date? When was last PAT?

Notes:

92.1Lobby

Notes:

93.2- Toilet

Notes:

94.3- Switch Room

Notes:

95.4- Main Area

Notes:

96.5- Kitchen

Notes:

97.0- PGI OFFICERS ONLY
Please refer now to and complete Retail Compliance Checks, Appendix 1.2 - 1.8

97.1- Has all confidential waste older than 3 months, been disposed of and if not are arrangements in place to see that this happens? i.e. Balance support, transfer of cash, shift sheets.

Notes:

98.0

98.1-Is the fire logbook Lin place?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
99.0

99.1- Is the fire alarm logbook up-to-date, giving evidence of weekly fire alarm checks?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
100.0

100.1- Is the TRIP / PIDD box easily available and stocked up?

Load Hailer with batteries and working(1 required)

HI VI? ( 2 required)

Disruption cards? (1000 required)

Alternative route guide & up-to-date? ( 5-10 required)

Local maps & up-to-date? (handful required)

Whistle? (1 required)

TVM sales warning? (1 per machine required)

Restriction / Hazard tape? (1 required)

Alternative route poster & up-to-date? (1 required)

A-frame available and in good working order?

Disruption to train service poster? (1 required)

Where there is a shortfall, is this now on order?

101.0- MAIN TICKET OFFICE - STAFF TOILET

101.1- Is it clean with adequate hand washing / drying facilities available?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
102.0

102.1- Are sanitary bins available and not overflowing?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
103.0- MAIN TICKET OFFICE - SWITCH ROOM

103.1- Is the switch room clean and litter-free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
104.0- MAIN TICKET OFFICE

194.1- Have there been any changes to work practices and equipment ( including DSE) and if so, has it been risk-assessed?

Notes:

105.0

105.1- Has the station logbook been inspected and sign off?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
106.0

106.1- Is there a health and safety notice board displayed and does it contain the correct information, as per appendix 2.

Notes:

107.0

107.1- If there were any non-safety related notice on the H&S notice board, have these now been removed?

Notes:

108.0

108.1- Is the local emergency plan the latest version and are all emergency telephone numbers correct?

Latest available here: http://lo-sp01/departments/safety/Station Emergency Plans/Willesden Junction (WIJ).pdfhttp://lo-sp01/departments/safety/Station%20Emergency%20Plans/Willesden%20Junction%20(WIJ).pdf
http://lo-sp01/departments/safety/Station Emergency Plans/Willesden Junction (WIJ).pdf

108.1

108.2- Is the CCTV monitor working and display acordingly?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
109.0- MAIN TICKET OFFICE - kitchen

109.1- Is the kitchen equipment in good working order, clean and hygienic?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
110.0

110.1- Microwave leakage test inspection in-date? When is the next due?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
111.0

111.1- Have the accident and assault book been filled in correctly?

112.0
112.0- Last recorded accident number & date:

113.0- Have all accidents been investigated and closed off?

Initial and date last used page.
114.0-
114-1 Last recorded assault number & date:

115.0- Have all accidents been investigated and closed off?

Initial and date last used page.
116.0

116.1- Is the first aid box readily available, with all contents inside? If seal then select 'YES' ( for a list of contents please see appendix 1, at the back of this document)

Notes:

117.0- First aid box seal number:

118.0
When does it expire?

118.1- Is there a DNA spit - kit clearly displayed on the wall?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
When does it expire?
119.0- FOOTBRIDGE TO LOW LEVEL PLATFORMS (Main ticket office end)

119.1- Is it clean and litter - free with no slipping / tripping hazards?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
120.0

120.1- From here, is there any trackside rubbish or graffiti visible, If so, report to NR on 08457114141 and note reference number, any longstanding issues should be elevate to LOROL Infrastructure team.

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
121.0

121.1- Are the steps to platform 1 and 2 in good condition, with nosings and risers well highlighted?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
122.0

122.1- Are the steps on platform 3 in good condition, with nosings and risers well highlighted?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
123.0

123.1- Is the lighting adequate and in full working order? ( and not on during the day)

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
124.0- LOW LEVEL LIFT

124.1- Is the lift in full working order? ( low level )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
125.0

125.1- Is the lift clean and litter-free with no slipping / tripping hazards? ( low level )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
126.0

126.1- Is lighting adequate and in full working order? ( low level lift )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
127.0

127.1- Is the lift alarm in full working order? Did it call station assistant and station standard phone? ( low level )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)

Notes:

128.0

128.1- Are the lift motor room doors kept locked, with a 'Danger' hazard sign on the door? ( low level )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
129.0
Date expired

129.1- Are all fire extinguishers in full working order and inspection in-date?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
130.0

130.1- Is the lift motor room kept complete clear of stored items ect ? ( low level )

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
PLATFORM (3)

Clean and litter-free with no slipping / tripping hazards? Are exit doors free from obstructions and clearly signed? As a non-public area is it locked closed? Are the closures on all fire doors working correctly? Is lighting adequate and in full working order? And switch off when not in use? All fire extinguishers in full working order and inspections in-date? Is heating and ventilation adequate and in good order? Is all electrical equipment in good order and inspection in-date? When was last PAT?

131- PUBLIC AREA

132- F / TOILET

133- M / TOILET

134- DIS / TOILET

135- SDM OFFICE

136- MESS / LOCKER ROOM

137- MESS ROOM TOILET

138- MOM ROOM

139- ELECTRIC SWITCH ROOM

140- TENANCY, CAFE NEMO

Notes about fire extinguishers:

141.0- WINTERISATION COMPOUND - PLATFORM (3)

141.1- Are winter weather local action plan available at the station? And where are these located?

Notes:

142.0- Are appropriate supplies of de-icing material and equipment available for use at the station? ( and as outline in plan)

Notes:

143-0- Are supplies of de-icing material and equipment being safely stored? ( and as outlined in plan & in accordance with COSHH)

Notes:

144.0- Is a COSHH / Risk Assessment available at the station advising staff of method of working and PPE to be worn? And where are these located?

Notes:

145.0- What is the actual stock count of winterisation product and does this concur with CSC records?

Notes:

146.0- Is sufficient supply of PPE for winter weather precautions available at the station? Where is it located? What are the quantities?

SNOW SCOOPS? (4 required at each compound) SHOVELS? (4 required at each compound) BUCKETS? (4 required at each compound) SPREADERS? (3 required at each compound) GLOVES? (4 required at each compound) GOGGLES? (4 required at each compound)

Notes: Where there is a shortfall, is this on order?

TENANCY CAFE NEMO, PLATFORM (3)

147.0- Does the tenant have any safety concern?

To acknowledge the need to document(s) and photograph fault(s), please tick box

Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
148.0

148.1- Are all tenant displaying photo ID badges when on non-public areas, i.e. The shop or staff mess room?

Notes:

149.0

149.1- Is the emergency plan and fire action card in date and displayed?

Notes:

ELECTRICAL SWITCH ROOM, PLATFORM(3)

150.0- Is the switch room kept locked, with 'Danger - 400V' hazard sign on door?

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Date and time issue(s) / fault(s) found

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Action(s) required

Action(s) initiated

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
151.0

151.1- Is the switch room kept completely clear of stored items ect. ?

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PUBLIC TOILETS

152.0- Are the public toilets clean with adequate hand washing / drying facilities available?

MALE:

FEMALE:

DISABLED:

Notes:

153.0- STATION STAFF MESSROOM, PLATFORM (3) INCLUDING LOCKER ROOM.

153.1- Is the kitchen equipment in good working order, clean and hygienic?

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154.0

154.1- Is the fire blanket in good condition and inspection in-date?

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Date and time issue(s) / fault(s) found

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155.0

155.1- Microwave leakage test inspection in-date? When is the next due?

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156.0

156.1- Is drinking water marked clearly with a conspicuous sign?

Notes:

157.0

157.1- Have the accident and assault books been filled in correctly?

Notes:

158.0
158.1- Last recorded accident number and date:

159.0- Have all accidents been investigated and closed off?

Notes:

160.0- Last recorded assault number & date:
161.0

161.1- Have all assaults been investigated and closed off?

162.0

162.1- Is the first aid box readily available, with all contents inside? If sealed then select 'yes' ( for a list of contents please see appendix 1, at back of document)

First aid box seal number:

163.0

163.1- Is there a DNA spit-kit clearly displayed on the wall? When does it expired?

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164.0

164.1- Are all 16 smith lights fully charged? Test each using button on back.

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165.0

165.1- Has the smith light logbook been inspected and signed off?

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166.0

166.1- Emergency water count, does a cursory check indicate stock is in date?

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STATION STAFF MESS ROOM TOILET, PLATFORM (3)

167.0- Is the staff toilet clean with adequate hand washing / drying facilities available?

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168.0

168.1- Are sanitary bins available and not overflowing?

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STATION MANAGER OFFICE, PLATFORM (3)

169.0- Is there a DNA spit-kit clearly displayed on the wall? When does it expired?

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170.0

170.1- Are all original accident records for employees filed and available ( for the duration of their employment?)

Notes:

171.0

171.1- Are all original accident records for customers filed and available ( for the laST FOUR years)?

Notes:

PLATFORM (3) GENERAL

172.0- Are all parameter walls and or fences in good order?

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173.0

173.1- Is the help point working? ( test emergency ) ( pl 3)

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174.0

174.1- From here, is there any trackside rubbish or graffiti visible. If so, report to NR on 08457114141and note reference number, any longstanding issues should be elevated to LOROL Infrastructure team.

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Action(s) initiated

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Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
175.0

175.1- Is the track bed clear of litter? If no, and if this is a regular issue at a specific location then report to Gareth Biggins for it to be escalated to NR level 2 meeting.

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Date and time issue(s) / fault(s) found

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Action(s) initiated

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
176.0

176.1- Are the coping stones in good condition, secure and level?

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Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
177.0

177.1- Are there any slips / trip hazards or potholes present?

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Date and time issue(s) / fault(s) found

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
178.0

178.1- Is drainage on the platforms adequate?

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Action(s) initiated

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179.0

179.1-Are the yellow and white lines clearly visible? Including 'mind the step' / ' mind the gap'

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Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
180.0

180.1- Are all fixtures and fittings secure and in good order ( benches, poster boards, ect.) ?

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Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
181.0

181.1- Is the platform end signage in place and clearly visible?

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Action(s) initiated

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Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
182.0

182.1- Is a disabled ramp available, is it in good condition and the lock is rust free?

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Date and time issue(s) / fault(s) found

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
183.0

183.1- Canopy in good condition, no bird nesting?

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Date and time issue(s) / fault(s) found

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Action(s) initiated

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
184.0- FOOTBRIDGE TO LOW LEVEL PLATFORMS ( harrow road end)

184.1- Is the footbridge clean and litter-free with no slipping / tripping hazards?

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Date and time issue(s) / fault(s) found

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
185.0

185.1- From here, is there any trackside rubbish or graffiti visible. If so, report to NR on 08457114141 and note reference number, any longstanding issues should be elevated to LOROL Infrastructure team .

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Date and time issue(s) / fault(s) found

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
186.0

186.1- Are the steps to PL 1 and 2 in good condition, with nosing and risers well highlighted?

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Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
187.0

187.1- Are the steps to Platform 3 in good condition, with nosing and risers well highlighted?

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Date and time issue(s) / fault(s) found

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Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
188.0

188.1- Is the lightening adequate and in full working order? ( and not on during the day) ?

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189.0- PLATFORM 1 AND 2

189.1- Are they clean and litter-free?

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
190.0

190.1- From here, is there any trackside rubbish or graffiti visible. If so, report to NR on 08457114141 and note reference number, any longstanding issues should be elevated to LOROL Infrastructure team .

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
191.0

191.1- Is the track bed clear of litter? If no, and if this is a regular issue at a specific location then report to Gareth Biggins for it to be escalated to NR level 2 meeting.

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
192.0

192.1- Are the coping stones in good condition, secure and level?

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Date and time issue(s) / fault(s) found

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Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
193.0

193.1- Are there any slips / trip hazards or potholes present?

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
194.0

194.1- Is drainage on the platforms adequate?

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Date and time issue(s) / fault(s) found

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Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
195.0

195.1- Is the help point working? ( test emergency ) ( pl 1-2 )

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Date and time issue(s) / fault(s) found

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
196.0

196.1- Are the yellow and white lines clearly visible? Including ' mind the step' / ' mind the gap'

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
197.0

197.1- Are all fixtures and fittings secure and in good order ( benches, poster boards, ect. )?

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
198.0

198.1- Is the platform end signage in place and clearly visible?

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Date and time issue(s) / fault(s) found

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
199.0

199.1- Is the lighting adequate and in full working order? ( and not on during the day?)

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Date and time issue(s) / fault(s) found

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Action(s) initiated

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
200.0

200.1- Are the buffer stop red lights on platform 2 illuminated?

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
201.0

201.1- Are all CIS screens in full working order?

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Action(s) required

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
202.0

202.1- Is the public address system in full working order?

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
203.0

203.1- Are all walls and or fences on the platform in good order?

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Date and time issue(s) / fault(s) found

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
204.0

204.1- Canopy in good condition, no bird nesting?

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Date and time issue(s) / fault(s) found

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
205.0- NEW SUBWAY AND WALKWAY FROM HARROW ROAD FOOTBRIDGE TO HIGH LEVEL PLATFORMS ( secondary means of exit, SME)

205.1- Is it open and accessible to the public?

Notes:

206.0

206.1- Is it clean and litter-free with no slipping / tripping hazards?

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Date and time issue(s) / fault(s) found

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Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
207.0

207.1- Are all the steps on flights of stairs in good condition, with nosing and riser well highlighted ?

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Date and time issue(s) / fault(s) found

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Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
208.0

208.1- Is the lighting adequate and in full working order? ( and not on during the day) ?

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
209.0

209.1- Is the help point working? ( test emergency )

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Fault(s) number if applicable:

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210.0- HIGH LEVEL WAITING ROOM 4 & 5

210.1- Is the heating working?

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
211.0

211.1- Is it clean and free of litter?

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Date and time issue(s) / fault(s) found

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
212.0

212.1- Are all fixtures and fittings in good order? Is Perspex secure?

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Date and time issue(s) / fault(s) found

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Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
213.0- PLATFORM 4

213.1- Is it clean and free of litter?

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Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
214.0

214.1- From here, is there any trackside rubbish or graffiti visible. If so, report to NR on 08457114141 and note reference number, any longstanding issues should be elevated to LOROL Infrastructure team .

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Date and time issue(s) / fault(s) found

Nature of issue(s) / fault(s)

Action(s) required

Action(s) initiated

Department(s) / person(s) Responsible

Fault(s) number if applicable:

Date and time of fault(s) closed (if close for more than 2 months delete fault from PGI)
214.1

214.2- Is the track bed clear of litter? If no, and if this is a regular issue at a specific location then report to Gareth Biggins for it to be escalated to NR level 2 meeting.

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Date and time issue(s) / fault(s) found

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215.0

215.1-Are the coping stones in good condition, secure and level?

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216.0

216.1- Are there any slips / trip hazards or potholes present?

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217.0

217.1- Is drainage on the platforms adequate?

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218.0

218.1- Are the yellow and white lines clearly visible? Including ' mind the step' / ' mind the gap'

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219.0

219.1- Are all fixtures and fittings secure and in good order ( benches, poster boards, ect. )?

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220.0

220.1- Is the help point working? ( test emergency )

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221.0

221.1- Canopy in good condition, no bird nesting?

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222.0

222.1- Is the platform end signage in place and clearly visible?

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223.0

223.1- Is the lighting adequate and in full working order? ( and not on during the day) ?

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