ATV All Terrain Vehicle Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ATV Description

• Is the make and model visible on the ATV?

  Yes

  No

  N/A

• Is the ATV Registered and Insured?

  Yes

  No

  N/A

• What is the general condition of the ATV? If possible provide photo.

  Safe

  At Risk

  N/A

PPE Personal Protective Equipment

• Site Specific ERP Emergency Response Plan

  Yes

  No

  N/A

• Eye Protection

  Safe

  At Risk

  N/A

• Proper Footwear

  Safe

  At Risk

  N/A

• CSA or DOT Approved ATV helmet

  Safe

  At Risk

  N/A

• High Vis Safety Vest

  Yes

  No

  N/A

• Fire Extinguisher or Water Bag

  Safe

  At Risk

  N/A

• First Aid Kit

  Safe

  At Risk

  N/A

ATV Check List

• Tire and Rim Condition

  Safe

  At Risk

  N/A

• Front Lights Hi/Low

  Safe

  At Risk

  N/A

• Back Lights

  Safe

  At Risk

  N/A

• Suspension Front/Back

  Safe

  At Risk

  N/A

• Brakes Front/Back

  Safe

  At Risk

  N/A

• Oil condition and Level

  Adequate

  Low

• Winch and Cable

  Yes

  No

  N/A

• Switches and Cabels

  Safe

  At Risk

  N/A

• Tire Chains

  Yes

  No

  N/A

• Racks

  Safe

  At Risk

  N/A

• Supply Box

  Safe

  At Risk

  N/A

• Operator

  Sign

• Auditor

  Sign