Information

  • Audit Title (e.g. Aqu 18 Daily Mines Check)

  • Conducted on

Ute Model

  • Inspection Date/Time

  • Ute

  • Driver

  • Ute Rego

  • Odometer

Physical

  • Is the Vehicle serviced according to schedule?

  • Is the Engine in good working condition?

  • Is the Water Level full?

  • Is the Window Washer Fluid full?

  • Is the Oil Level adequate?

  • Are there any Apparent Leaks in engine, water, oil, etc?

  • Are the Turn signals operational and clean?

  • Are the Brake lights operational and clean?

  • Are the Head Lights operational and clean?

  • Are the Tail Lights operational and clean?

  • Are the Reversing Lights operational and clean?

  • Is the Reverse Beeper Operational?

  • Are the Flashing Lights operational?

  • Do you have an Arrow Board in car?

  • Is the Vehicle body in good condition?

  • Are the Tyres in good condition?

  • Do you have a clean and undamaged Hi-Vis Flag?

  • Is the Ute bed and cab clean and organized?

Documentation

  • Do you have your Asco/Arrium Passport?

  • Do you have your Job Sheet?

  • Do you have your Task Hazard Prompt?

Other Safety Items

  • Is the Fire extinguisher charged and inspected?

  • Is the Spill kit complete?

  • Is the First aid kit stocked and up to date?

Signs & Equipment

  • Do you have a Safety Harness?

  • Are the Reflective Strips intact?

  • Is the C.B. Radio installed and operational?

  • Do you have Hazard cones and wheel chocks?

Additional Information

  • Any additional information such as damage, servicing, etc.?

Signatures

  • Employee Name and Sign here!

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.