Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Van Condition Report

• Vehicle serviced according to schedule

  Yes

  No

  N/A

• Service due date

  Date

• Check the condition of the tyres

  Safe

  At Risk

  N/A

• Headlights operational

  Yes

  No

  N/A

• turn signals operational

  Yes

  No

  N/A

• Break lights operational

  Yes

  No

  N/A

• Vehicle body in good condition

  Yes

  No

  N/A

• Internal crane

  Yes

  No

  N/A

• Last inspection date

  Date

• Compliant?

  compliant

  non compliant

• Enter/list issues here

Computer kit

• Laptop Computer

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Enter issues here

• Computer carry case

  Yes

  No

  N/A

• Brother label printer and cable

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Wireless data card

  Yes

  No

  N/A

• Powerboard

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Computer table

  Yes

  No

  N/A

• Folding Chair

  Yes

  No

  N/A

Test Equipment

• High Voltage Test Set

  Yes

  No

  N/A

• Last Calibration Date

  Date

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Insulation Tester 5kV DC

  Yes

  No

  N/A

• Last Calibration Date

  Date

• Compliant?

  compliant

  non compliant

• Multimeter

  Yes

  No

  N/A

• Last Calibration Date

  Date

• Compliant?

  compliant

  non compliant

• Oil Test Set

  Yes

  No

  N/A

• Last Calibration Date

  Date

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Entry Cut Out Switch/Dead man switch

  Yes

  No

  N/A

• strobe light

  Yes

  No

  N/A

• Extension Lead x 2

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Hose and fittings

  Yes

  No

  N/A

• Danger Signs x 3

  Yes

  No

  N/A

• Earth Tester

  Yes

  No

  N/A

• Last Calibration Date

  Date

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• 3 Phase Adapter

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Temp/humidity meter

  Yes

  No

  N/A

• Last Calibration Date

  Date

• Compliant?

  compliant

  non compliant

• Testing Racks x 2

  Yes

  No

  N/A

• Mat and Blanket Electrodes x 4

  Yes

  No

  N/A

• Sleeve Pipe

  Yes

  No

  N/A

• Hard cover electrodes x 2 U shaped

  Yes

  No

  N/A

• Hard cover electrodes x 2 20mm steel conduit

  Yes

  No

  N/A

• Copper cable or bar lengths x 2 for Ergon and Energex PETE tests

  Yes

  No

  N/A

• Pole guard electrodes 230 x 900mm

  Yes

  No

  N/A

• Brass shield for EWP tests

  Yes

  No

  N/A

• L Stand

  Yes

  No

  N/A

• Return Lead long

  Yes

  No

  N/A

• Return lead short

  Yes

  No

  N/A

• Insulating mats for EWP x 4

  Yes

  No

  N/A

• Glove and Sleeve Test tank

  Yes

  No

  N/A

• Glove and Sleeve test rack

  Yes

  No

  N/A

• Clips for test rack

  Yes

  No

  N/A

• Clothes Dryer

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Bucket x 2

  Yes

  No

  N/A

• Measuring Gauge for gloves

  Yes

  No

  N/A

• Pedestal fan

  Yes

  No

  N/A

• PAT TEST in date

  Yes

  No

  N/A

• Compliant?

  compliant

  non compliant

• Plastic barrier chain

  Yes

  No

  N/A

• Bollards x 4

  Yes

  No

  N/A

• Test Table

  Yes

  No

  N/A

• Tarp

  Yes

  No

  N/A

• Mat testing board x 2 - QLD only

  Yes

  No

  N/A

Stamps

• Tex Onsite & Phone number black

  Yes

  No

  N/A

• Tex Onsite & Phone number white

  Yes

  No

  N/A

• Next Test Due black

  Yes

  No

  N/A

• Next Test Due white

  Yes

  No

  N/A

• Date black

  Yes

  No

  N/A

• Date white

  Yes

  No

  N/A

• Tested to 30kV black (vic only)

  Yes

  No

  N/A

• Tested to 30kV white (vic only)

  Yes

  No

  N/A

Consumables

• Aluminium foil roll

  Yes

  No

  N/A

• Silslation

  Yes

  No

  N/A

• Copper meter sealing wire 1 Roll

  Yes

  No

  N/A

• Cable ties x 100

  Yes

  No

  N/A

• Spare lugs for electrodes x 20

  Yes

  No

  N/A

• Spare electrode chain x 2m

  Yes

  No

  N/A

• Methylated spirits x 1L

  Yes

  No

  N/A

• Rags

  Yes

  No

  N/A

• Ink pad black

  Yes

  No

  N/A

• Ink pad white

  Yes

  No

  N/A

• Ink black x 2

  Yes

  No

  N/A

• Ink white x 2

  Yes

  No

  N/A

• Sharpie pens x 2

  Yes

  No

  N/A

• White paint markers x 2

  Yes

  No

  N/A

• Rubber repair patch size 2 x 40

  Yes

  No

  N/A

• Rubber repair patch size 3 x 40

  Yes

  No

  N/A

• Rubber repair patch size 4 x 40

  Yes

  No

  N/A

• Contact cement x 2

  Yes

  No

  N/A

• Sand paper 40 or 60 grit x 1m

  Yes

  No

  N/A

• AA batteries x 10

  Yes

  No

  N/A

• C batteries x 20

  Yes

  No

  N/A

• 9v batteries x 10

  Yes

  No

  N/A

• Brother label tape x 10

  Yes

  No

  N/A

• Client survey form x 20

  Yes

  No

  N/A

• Out of service tags x 50

  Yes

  No

  N/A

• Managers business cards x 20

  Yes

  No

  N/A

• Equipment removal book

  Yes

  No

  N/A

Tools

• Patch roller

  Yes

  No

  N/A

• Pliers

  Yes

  No

  N/A

• Flat screwdriver large

  Yes

  No

  N/A

• Flat screwdriver small

  Yes

  No

  N/A

• Phillips screwdriver large

  Yes

  No

  N/A

• Phillips screwdriver small

  Yes

  No

  N/A

• Vice grips x 2

  Yes

  No

  N/A

• Shifter x 2

  Yes

  No

  N/A

• Torch

  Yes

  No

  N/A

• Ratchet tiedowns x 2

  Yes

  No

  N/A

• Bungee cords x 5

  Yes

  No

  N/A

• GPS navigator

  Yes

  No

  N/A

• BP fuel card

  Yes

  No

  N/A

• E-tag

  Yes

  No

  N/A

• Hand cleaner

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Expiry date

  Date

• Compliant?

  compliant

  non compliant

• Storage boxes x 4

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• Expiry date

  Date

• Compliant?

  compliant

  non compliant

Personal Protection Equipment

• Helmet

  Yes

  No

  N/A

• Expiry date

  Date

• Compliant?

  compliant

  non compliant

• Safety glasses clear

  Yes

  No

  N/A

• Safety glasses tinted

  Yes

  No

  N/A

• Riggers gloves

  Yes

  No

  N/A

• Harness

  Yes

  No

  N/A

• Expiry date

  Date

• Compliant?

  compliant

  non compliant

• Pole strap

  Yes

  No

  N/A

• Expiry date

  Date

• Compliant?

  compliant

  non compliant

• Personal sling

  Yes

  No

  N/A

• Expiry date

  Date

• Compliant?

  compliant

  non compliant

Actions and comments

• Over all comments or action required

Apparel

• Uniform worn in accordance with company guidelines

  Yes

  No

  N/A

• Safety boots

  Yes

  No

  N/A

• Overall appearance 1 being poor 10 being perfect

• Please state reason for score

Safety

• Safety barriers used and set up correctly

  Yes

  No

  N/A

• Danger signs displayed in a prominent area

  Yes

  No

  N/A

• Local staff access evaluated

  Yes

  No

  N/A

• Heights safety equipment used correctly

  Yes

  No

  N/A

• Overall safety 1 being poor 10 being perfect

• Please provide reason for score

HV Equipment

• Test set connected in accordance with work procedure

  Yes

  No

  N/A

• Leads positioned so they cannot be stood on

  Yes

  No

  N/A

• Rack connections intact

  Yes

  No

  N/A

• Test set start up checks preformed

  Yes

  No

  N/A

• Overall test set set up score 1 being poor 10 being excellent

• Please provide reasons for score

Site

• Live line equipment on tarps

  Yes

  No

  N/A

• Work area free from obstructions

  Yes

  No

  N/A

• Rubbish bin located at worksite

  Yes

  No

  N/A

• Test set static once set up

  Yes

  No

  N/A

• Water and power accessed

  Yes

  No

  N/A

• Tidy, logical layout of test set and equipment

  Yes

  No

  N/A

• Vehicle parked securely and safely

  Yes

  No

  N/A

• Site layout and tidiness 1 being poor 10 being excellent

• Please comment on score

  Yes

  No

  N/A

Site safety

• JSA and SWMS completed correctly

  Yes

  No

  N/A

• Hazards identified correctly

  Yes

  No

  N/A

• Site safety score 1 being poor 10 being excellent

• Please provide comment on score

Work methods

• Work carried out in accordance with company policies

  Yes

  No

  N/A

• Visual inspections preformed correctly and thoroughly

  Yes

  No

  N/A

• Out of service tags used where appropriate

  Yes

  No

  N/A

• Electrodes applied to equipment under test correctly

  Yes

  No

  N/A

• Visual inspections preformed correctly and thoroughly

  Yes

  No

  N/A

• Work methods score 1 being poor 10 being excellent

• Please provide comment on score

Data collection

• Data read correctly

  Yes

  No

  N/A

• Correct determination of leakage current

  Yes

  No

  N/A

• Data entered correctly

  Yes

  No

  N/A

• Data collection score 1 being poor 10 being excellent

• Please comment on score

  Yes

  No

  N/A

Additional information

• If required

By signing the below I have read, acknowledged and understood this audit.

• Auditor

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• Employee

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