Template

SWL1 PIC COSS Safety Responsibility Statement

by Osborne Assurance, from the Community

This SWL1 PIC COSS Safety Responsibility Statement defines duties for the Person In Charge on Octavius rail infrastructure works. It outlines leadership and accountability for safe work delivery outside possession worksites, adherence to Network Rail Rule Book, Safe Work Plans, WPPs, Task Briefings, and HSEQ policies. Responsibilities include stakeholder coordination for safe track access, setting the example on PPE and behaviours, mentoring teams, enforcing Restricted Hours and Alcohol & Drugs policies, reporting and investigating incidents, and stopping unsafe activities. It details required competencies, briefings, inspections, and essential qualifications such as COSS, PC, SSSTS/SMSTS, SWL1, and First Aid.

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Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
SWL2 and PIC Rail Safety Responsibility Statement
This responsibility statement defines the duties of a Safe Work Leader 2 and Person in Charge on Octavius rail infrastructure worksites. It clarifies accountability for leading safe work delivery, setting up and maintaining approved safe systems of work, and complying with the Network Rail Rule Book. Use it to brief teams on roles such as ES and COSS, manage operational and task risks via WPPs, Task Briefings and Safe Work Plans, and reinforce HSEQ expectations including PPE, incident reporting, restricted hours, and alcohol and drugs policies. It also highlights leadership behaviours, stakeholder coordination, and the core competencies required for SWL2, ES, PC and COSS.
by Osborne Assurance, from the Community
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Template
PIC/COSS Observation for Non-IP Rail Maintenance
This PIC and COSS observation checklist supports Non-IP rail maintenance works for SQP1 new starters up to Bronze. It covers paperwork and planning, SSOW setup, minimum standards, PPE and equipment checks, site limits, access and egress, lighting and conditions, and emergency procedures. It also assesses non-technical skills including situational awareness, communication, workload management, and self-management. Octavius specific processes are included, such as inductions, briefings, reporting, and end of shift requirements. Finish with overall recommendations and required signatures.
by Osborne Assurance, from the Community
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Template
COSS Assurance PAIR Form Checklist
Use this PAIR form to audit and assure COSS activities on rail worksites. Document SSOW planning and approvals, protection methods such as line blockages, possessions, and warning systems, verify Sentinel checks and site briefings, monitor lookout and site warden positions, and log actions and close calls. Ideal for vegetation management and other trackside tasks requiring COSS oversight.
by Jamie Marks, from the Community
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Template
Octavius Assurance Review Checklist
This Octavius Assurance Review Checklist helps supervisors and site leads review safe systems of work on rail and LUL projects. It covers Works Package Plans, task briefings, required permits, and Safe Work Packs, plus checks for Sentinel competencies such as PTS, ICI, COSS, and ES. The checklist prompts verification of rail approved PPE, welfare facilities, access equipment and PASMA certification, operator competency cards including CSCS, manual handling controls, and effective ALO planning. Use it to capture photos, note improvements, and confirm sign off by site and project representatives.
by Osborne Assurance, from the Community
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SWL1 PIC COSS Safety Responsibility Statement

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SWL2 and PIC Rail Safety Responsibility Statement

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