Permit to Work – Complete Safety Induction Request the Induction Document "*" indicates required fields First Name* Last Name* Email* I, the individual, confirm I have read the presentation I understand and accept that my personal information is used exclusively for the purpose of recording completed inductions I understand and accept that each party shall comply with their respective obligations under the Privacy Act 2020. Neither Auckland Transport Limited, Auckland One Rail Limited, nor anyone acting on their behalf, intend to have access to personally identifiable information for commercial purposes, of those individuals engaged in providing services that are required to register by using this form for any reason. Such personally identifiable information will be used exclusively in relation to completion of the induction. Disclaimer* I acknowledge the above terms CAPTCHA1. Contractors working on the network and depots will be subject to which of the following?* Compliance audits from AOR Asset, Management and Engineering Safety Audits from AOR Health and Safety Random Drug and Alcohol Testing All the above None of the above 2. Who will make suitable arrangements to ensure a certified RPO is provided by the issuing authority?* The contractor AOR KiwiRail AT All the Above None of the above 3. Who is responsible for identifying a Safe Place when working on the rail corridor?* AOR Stations Manager Contractor Site Supervisor / In charge RPO, and/or site protector if appointed All the above None of the above 4. A contractor’s PTW will be suspended if there is a breach in the conditions of their Permit.* True False 5. What are the potential risks for people or members of the public in the rail network?* People who engage in a physical attack People might be intoxicated and not in their proper mind Self-harmer individuals Workers who act unsafely on the network All the above None of the above 6. What are the important requirements to consider when working on Station Platforms?* No work beyond the yellow platform edge tactiles during service hours Emergency public access/egress should not be restricted and hindered during service hours Contractor’s work activity noise should minimize impact on station public address Pedestrian flow management plan will be required if works impact platform areas and designated walkways All of the above None of the above 7. Are contractors entitled to use the lifts to transport equipment and workers?* Yes, unless emergency Not allowed to all extent No, unless approval been given prior to use Workers are only allowed to use 8. What is the distance, in meters, that is considered safe in relation to the MAD zone?* 2meters for persons and tools .75meters for emergency rescue 8meters for scaffolding 4meters for plant All the above A & B only 9. What are the contractor requirements on AOR Depots and Stabling yards?* Sign the visitor’s book or log into the site visitors electronic Kiosk (where available) on arrival and sign out when leaving the site. Entry into the site is by invite or swipe card access Report to the site AOR on duty Person in charge (PIC). No entry to the stabling yard until they have reported first to the Wiri Control Centre (Wiri Ops) found on the 1st floor of the Depot Facility Building. For EMU Maintenance facility, must first sign in with the EMU Maintenance Shift Manager Be aware of and adhere to the site safety rules and take note of the operational safety boards and to be familiar with Stabling Yards Joint Operation Plans When walking through the yard keep to the designated footpaths and stay inside the yellow painted lines, where marked All of the above None of the above 10. AOR facilities are an alcohol and drug free workplace. Smoking and vaping are also not permitted on these facilities.* True False HiddenNumberCommentsThis field is for validation purposes and should be left unchanged.