ATV All Terrain Vehicle Audit - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ATV Description

• Photo of ATV

  Media

• Owner

  GWR

  Personal

  Rental

• Unit Number

• Make and Model

• Registration Information

• Insurance Information

• 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

  Yes

  No

  N/A

• Proper Footwear

  Yes

  No

  N/A

• CSA or DOT Approved ATV helmet

  Yes

  No

  N/A

• High Vis Safety Vest

  Yes

  No

  N/A

• Fire Extinguisher or Water Bag

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Handheld Radio and/or Cell Phone

  Yes

  No

  N/A

ATV Check List

• Tire and Rim Condition

  Safe

  At Risk

  N/A

• Front Lights Hi/Low

  Safe

  At Risk

  N/A

• Rear Lights

  Safe

  At Risk

  N/A

• Brake 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

  Safe

  At Risk

  N/A

• Switches and Cables

  Safe

  At Risk

  N/A

• Tire Chains

  Yes

  No

  N/A

• Racks

  Safe

  At Risk

  N/A

• Supply Box

  Safe

  At Risk

  N/A

• Body Condition

  Safe

  At Risk

  N/A

• Owner's Manual

  Yes

  No

  N/A

• Log Book

  Yes

  No

  N/A

• Auditor

  Sign