Staff Surveillance Self Assurance Checklist

This self assurance staff surveillance form supports rail site inspections and safety oversight. Use it to confirm thorough briefings by the person in charge, review safe work packs and risk control sheets, and check that permits and permissions are in place. Verify staff competence, PPE condition and use, and that tools and equipment are fit for purpose and stored correctly. Assess controls for hazards such as vibration, dust and fumes, and ensure exposure monitoring where needed. Record immediate observations, note any unsafe acts or conditions, assign actions with owners and dates, and capture final summaries and signatures.