WIJ PGI JANUARY 2014 (1)

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Notes:

• 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:

  Date

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)?

  Yes

  No

  N/A

• Notes:

• Add date and time:

  Date

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)?

  Yes

  No

  N/A

• Notes:

• Add date and time:

  Date

• When was the last time an SDM undertook the retail compliances checks? <br><br>If more than 3 months since an SDM was present, then an SDM is required to oversee the retail compliance check ONLY,<br>please ensure this before completing or submitting this PGI.

  Yes

  No

  N/A

• Notes:

• Add date and time:

  Date

1.0 - Station Entrance, Station Approach

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

2.0 - DRAINAGE...

• 2.1 - Is Drainage On The Road Adequate?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

3.0 - PERIMETER FENCING AND RAILINGS...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

4.0 - FIXTURES AND FITTINGS...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

5.0 - LIGHTINGS..

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

5.2- LAMP POST ON STATION APPROACH ROAD.

• Are the lights working?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

6.0 - AUTOMATIC DOORS AND MANUAL SIDE DOOR...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

• 7.2 - Enough bins/emptied regularly

  Yes

  No

  N/A

8.0 - TOTEM POLES SIGNS AND SIGNAGE...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

9.0 - BIKE SHELTERS

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

10.0 - Conductor Manager Office, Bus Turning Circle

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Date

11.0 - FIRE EXTINGUISHERS...

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

  Yes

  No

  N/A

• 11.2 - Last inspection date

  Yes

  No

  N/A

• Date expire:

  Date

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

  Yes

  No

  N/A

• 11.4 - Extinguishers clear of obstruction

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Notes:

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

  Date

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?

  Yes

  No

  N/A

• 12.2 - If NO, Corresponding fault number

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Notes:

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

  Date

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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Notes:

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

  Date

14.0 - BUS CIRCLE AREA

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Notes:

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

  Date

15.0 - PERIMETER FENCING AND RAILINGS BUS CIRCLE...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

16.0 - DRAINAGE...BUS CIRCLE

• 16. 1 - Is Drainage On The Road Adequate?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

17.0 - BUS SHELTER'S...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

18.0 - FIXTURES AND FITTINGS...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

19.0 - LIGHTINGS...

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

• 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 ?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

21.0 - DRAINAGE...(under bridge to depot)

• 21.1 - Is drainage in the area adequate?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

22.0 - FENCING ALONG FOOTPATH..

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

23.0 - LIGHTING..

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

26.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action initiated

  Yes

  No

  N/A

• 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)

  Date

27.0 - FOOTPATH FROM BUS TURNING CIRCLE TO HARROW ROAD

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

28.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

29.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

30.0 -

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

31.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

32.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

33.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

34.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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.

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

36.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

37.0 - STATION ENTRANCE, HARROW ROAD

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

38.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

39.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

40.0 - TICKET HALL, HARROW ROAD

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

41.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

42.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

43.0

• 43.1 - Is the gate line heater working correctly?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

44.0

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

  Yes

  No

  N/A

• Notes:

45.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

46.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

47.0

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

  Yes

  No

  N/A

• Notes:

48.0

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

  Yes

  No

  N/A

• Notes:

49.0

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

  Yes

  No

  N/A

• Notes:

50.0

• Date expired:

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

51.0 -HARROW ROAD TICKET OFFICE

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

52.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

53.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

54.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

55.0

• Date expired

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

56.0

• 56.1 - Is fire logbook in place?

  Yes

  No

  N/A

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

57.0 -

• Last PAT test:

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

58.0

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

  Yes

  No

  N/A

• Notes:

59.0

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

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

61.0

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

62.0

• Last recorded accident number & time and date:

  Date

• Notes:

63.0

• 63.1 - Have all accidents been investigated and close off?

  Yes

  No

  N/A

• If NO, note reason here?

• Initial and date last use page.

  Date

64.0

• Last recorded assault number & date and time:

  Date

• Notes:

65.0

• 65.1 - Have all assaults been investigated an closed off?

  Yes

  No

  N/A

• If NO, note reason here?

• Initial and date & time last used page.

  Date

66.0

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

  Yes

  No

  N/A

• If NO, note reason here?

67.0

• When does it expired?

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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)

  Yes

  No

  N/A

69.0

• First aid box serial number

70.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

71.0

• 71.1 - Is the CCTV monitor working and displaying accordingly?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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?

  Yes

  No

  N/A

• Load Hailer with batteries and working(1 required)

  Yes

  No

  N/A

• HI VI? ( 2 required)

  Yes

  No

  N/A

• Disruption cards? (1000 required)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Whistle? (1 required)

  Yes

  No

  N/A

• TVM sales warning? (1 per machine required)

  Yes

  No

  N/A

• Restriction / Hazard tape? (1 required)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• A-frame available and in good working order?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

73.0 - HARROW ROAD - RPI CASHING UP ROOM.

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

74.0

• Date expired

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

75.0 - ELEVATED WALKWAY BETWEEN TICKET OFFICE

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

76.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

77.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

78.0- MAIN TICKET HALL, STATION APPROACH

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

79.0

• 79.1- Is the gateline heater working correctly?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

80.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

81.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

82.0

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

  Yes

  No

  N/A

• 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?

  Safe

  At Risk

  N/A

• 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?

  Yes

  No

  N/A

• Last reviewed?

85.0

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

87.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

88.0

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

  Yes

  No

  N/A

• Notes:

89.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

90.0

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

  Yes

  No

  N/A

• Notes:

91.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

91.1

• Date expired

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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

  Select yes no yes no yes no yes no yes no yes no

  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no

• Notes:

• 93.2- Toilet

  Select yes no yes no yes no yes no yes no yes no

  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no

• Notes:

• 94.3- Switch Room

  Select yes no yes no yes no yes no yes no yes no

  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no

• Notes:

• 95.4- Main Area

  Select yes no yes no yes no yes no yes no yes no

  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no

• Notes:

• 96.5- Kitchen

  Select yes no yes no yes no yes no yes no yes no

  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no
  • yes
  • no

• 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.

  Yes

  No

  N/A

• Notes:

98.0

• 98.1-Is the fire logbook Lin place?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

99.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

100.0

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

  Yes

  No

  N/A

• Load Hailer with batteries and working(1 required)

  Yes

  No

  N/A

• HI VI? ( 2 required)

  Yes

  No

  N/A

• Disruption cards? (1000 required)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Whistle? (1 required)

  Yes

  No

  N/A

• TVM sales warning? (1 per machine required)

  Yes

  No

  N/A

• Restriction / Hazard tape? (1 required)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• A-frame available and in good working order?

  Yes

  No

  N/A

• Disruption to train service poster? (1 required)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

101.0- MAIN TICKET OFFICE - STAFF TOILET

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

102.0

• 102.1- Are sanitary bins available and not overflowing?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

103.0- MAIN TICKET OFFICE - SWITCH ROOM

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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?

  Yes

  No

  N/A

• Notes:

105.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

106.0

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

  Yes

  No

  N/A

• Notes:

107.0

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

  Yes

  No

  N/A

• Notes:

108.0

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

109.0- MAIN TICKET OFFICE - kitchen

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

110.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

111.0

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

  Yes

  No

  N/A

112.0

• 112.0- Last recorded accident number & date:

  Date

• 113.0- Have all accidents been investigated and closed off?

  Yes

  No

  N/A

• Initial and date last used page.

  Date

114.0-

• 114-1 Last recorded assault number & date:

  Date

• 115.0- Have all accidents been investigated and closed off?

  Yes

  No

  N/A

• Initial and date last used page.

  Date

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)

  Yes

  No

  N/A

• Notes:

• 117.0- First aid box seal number:

118.0

• When does it expire?

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

• When does it expire?

  Date

119.0- FOOTBRIDGE TO LOW LEVEL PLATFORMS (Main ticket office end)

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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.<br>

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

121.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

122.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

123.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

124.0- LOW LEVEL LIFT

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

125.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

126.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

127.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

• Notes:

128.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

129.0

• Date expired

  Date

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

130.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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

  Yes

  No

  N/A

• 132- F / TOILET

  Yes

  No

  N/A

• 133- M / TOILET

  Yes

  No

  N/A

• 134- DIS / TOILET

  Yes

  No

  N/A

• 135- SDM OFFICE

  Yes

  No

  N/A

• 136- MESS / LOCKER ROOM

  Yes

  No

  N/A

• 137- MESS ROOM TOILET

  Yes

  No

  N/A

• 138- MOM ROOM

  Yes

  No

  N/A

• 139- ELECTRIC SWITCH ROOM

  Yes

  No

  N/A

• 140- TENANCY, CAFE NEMO

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

• Notes:

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

  Yes

  No

  N/A

• Notes:

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

• Notes:

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

  Yes

  No

  N/A

• Notes:

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

148.0

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

  Yes

  No

  N/A

• Notes:

149.0

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

  Yes

  No

  N/A

• Notes:

ELECTRICAL SWITCH ROOM, PLATFORM(3)

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

151.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

PUBLIC TOILETS

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

  Yes

  No

  N/A

• MALE:

  Yes

  No

  N/A

• FEMALE:

  Yes

  No

  N/A

• DISABLED:

  Yes

  No

  N/A

• Notes:

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

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

154.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

155.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

156.0

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

  Yes

  No

  N/A

• Notes:

157.0

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

  Yes

  No

  N/A

• Notes:

158.0

• 158.1- Last recorded accident number and date:

  Date

• 159.0- Have all accidents been investigated and closed off?

  Yes

  No

  N/A

• Notes:

• 160.0- Last recorded assault number & date:

  Date

161.0

• 161.1- Have all assaults been investigated and closed off?

  Yes

  No

  N/A

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)

  Yes

  No

  N/A

• First aid box seal number:

163.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

164.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

165.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

166.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

STATION STAFF MESS ROOM TOILET, PLATFORM (3)

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

168.0

• 168.1- Are sanitary bins available and not overflowing?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

STATION MANAGER OFFICE, PLATFORM (3)

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

170.0

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

  Yes

  No

  N/A

• Notes:

171.0

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

  Yes

  No

  N/A

• Notes:

PLATFORM (3) GENERAL

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

173.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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.

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

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.

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

176.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

177.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

178.0

• 178.1- Is drainage on the platforms adequate?

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

179.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date

180.0

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

  Yes

  No

  N/A

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

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

  Date

• Nature of issue(s) / fault(s)

• Action(s) required

• Action(s) initiated

  Yes

  No

  N/A

• 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)

  Date