Pages From Safety Bulletin 2007-1 - Rev 8 Sept 30 2014

Capital Program Management
Safety Bulletin 2007-1, Rev. #8, 9/30/14

Track Safety & Flagging Verification Checklist
PRIOR TO THE
START OF WORK
CHECK OFF
YES
NO
N/A
1 Was a properly completed G.O. and/or flagging request with supporting documentation
submitted in compliance with request procedures and deadlines?
2 Are any Emergency Alarm Boxes (EA) / Emergency Telephones (ET) listed on the Trouble
Ticket Report in the work area(s)? (Access via TENS at
http://itapps1.transit.nyct.com/TroubleTicket/ ; User Name & Password: cpmso)
a. If EA is listed on the outage report:
i Is the work to be performed under flagging? If yes, NOT allowed to work.
ii
Is the work under G.O. with power off? If yes, allowed to work ONLY if the nearest ET
works or other communication to RCC exists. (See DOS Procedure 2.1)
iii Is the work under G.O. with power on? If yes, NOT allowed to work.
Locate nearest ET to each work zone and verify that it is working (check for dial tone See DOS Procedure 2.1)
3 Has the CPM office in-charge coordinated with other G.O.s that may be working in the area
(during planning and on-site; piggybacking)?
b.
4 Prior to each work shift, did the Contractor's / Consultant's safety representative check that all
their personnel have the track training and task training needed to perform the work, including
their qualification cards (e.g. track safety, welding, other certifications)?
5 Did the Contractor's / Consultant's safety representative conduct a job-specific safety meeting
or Toolbox Safety Talk to include review of :
a.
b.
c.
d.
flagging arrangements
proper clearing up procedures
location and operation of nearest EA/ET
safe job site access and egress
e. job related hazards and mitigation procedures

6 Are all required / necessary environmental metering equipment on site and available for
immediate use?
Have the environmental meters been calibrated? Noise and emission levels of equipment
been determined and OSHA required noise suppression provided? Carbon Monoxide
a.
(CO) - 35ppm, Nitrogen Dioxide (NO2) -1ppm, Noise variable refer to OSHA,
CFR1926.52.
7 Did the Engineer-in-Charge (EIC) verify with the RCC that the track has been secured for
G.O. access to the trackway (i.e. power off and switches blocked & clamped)?
a. Record the following:
i name & pass # of RCC representative spoken to:
ii time of power off:
AM/PM
iii time switches blocked & clamped:
AM/PM
8 Are all personnel (including NYCT/CPM) wearing proper PPE (e.g.: vest, helmet, eye
protection, safety shoes, rubber and leather protective gloves for installing alarm box, etc.)
and have in-date training / qualification cards in their possession?
9 Did you discuss job-specific safety rules and applicable Policy Instructions with all NYCT/CPM
employees before establishing flagging / implementing the G.O.?
10 If work area is in CBTC mainline territory, has employee in charge of flagging contacted the
RCC to establish the work zone, inhibit Automatic Train Operation (ATO) and set primary and
auxiliary traffic to same direction?
Did the EIC verify that the CBTC work zone is properly established per Item 10 and that
a. workers are properly notified of the exact limits of established CBTC work zone?
DURING WORK
SHIFT
11 If barriers are used to isolate the work area from an active track, were they approved and
properly installed per the most recent Design Guidelines?
12 If used, are all components of the Temporary Tie Bumper in place? (2 red lights and/or flags,
chains/padlocks, portable trips, white bank of lights, & 7 rubber mat See CPM Safety
Bulletin 2005-3, latest revision)
COMPLETE PAGE 2
1
Capital Program Management

Safety Bulletin 2007-1, Rev. #8, 9/30/14
Track Safety & Flagging Verification Checklist (Cont)
DURING WORK
SHIFT
CHECK OFF
YES
NO
N/A
13 Did the EIC and the Contractor's / Consultant's safety representative conduct a job site
inspection prior to the start of the task and verify required equipment and safety devices (i.e.:
light, gas, & noise meters; rubber mats, temporary tie-bumper components) are on-site and in
good condition?
14 Have adequate clearance areas been identified and provided?
15 Is power ON? If yes, verify a. below.
a.
Are proper 3rd rail protective rubber mats used? (See DOS Procedure 6.0: required
length; must be Type1, Class 2; date stamped; not older than 18 months)
16 Is power OFF? If yes, verify a. & b. below.

a.
rd
Are there an adequate number of 3 rail alarm boxes in place at each work site? (Make
sure boxes are hooked up properly by each crew)
b. Have all 3rd rail alarm boxes been tested?

17 Are all work areas illuminated to 5 foot-candles (minimum)?
a. Was this verified using a calibrated light meter?
18 Is job site housekeeping satisfactory in accordance with the requirements for establishing the
BOX (work area between flags)?
AT THE END OF
WORK SHIFT
19 Has the work train been inspected prior to leaving the work site (i.e.: no overhanging material,
material not piled too high and in danger of falling off, material & equipment properly
secured)? - See NYCT P/I #2.8.0
20 If a test train has been requested, has the Contractor / Consultant been directed to remain
onsite to make corrections if needed?
21 If multiple shifts are involved, assure the new EIC has all required G.O. work information and
status, including piggybacking. Was this done?
22 Was the G.O. implemented / closed in accordance with PMG 123?
23 Was the "Track Safety & Flagging Verification Checklist" completed?
24 Are Safety Rule Dispute Resolution (SRDR) forms available?

DOS
RESPONSIBILITIES 25 Is the Joint Management/Union Safety Inspection Placard available?
26 Are "Flagger Position Illumination Lamps" required / in use? (Note: RTO-C has been issued
OSS approved portable lamps by CPM for this purpose. Flaggers are responsible to bring
them to site and for their use.
CONTRACT #:
LOCATION:
WORK SHIFT:
NAME/TITLE:
PMG 123 TRAINING
EXP. DATE:
TRACK SAFETY
TRAINING EXP.
DATE:
SIGNATURE:
DATE:
Revised 9/30/14

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Capital Program Management

Safety Bulletin 2007-1, Rev. #8, 9/30/14

e. job related hazards and mitigation procedures

iii time switches blocked & clamped:

Capital Program Management

16 Is power OFF? If yes, verify a. & b. below.

b. Have all 3rd rail alarm boxes been tested?

24 Are Safety Rule Dispute Resolution (SRDR) forms available?

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