Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Documentation

  • Truck manual up to date?

  • MSDS for pesticides available?

  • All pesticides labeled correctly?

  • Latest Truck Run sheet available?

  • Pest management licence available?

  • Drivers licence (class and up to date)?

Vehicle

  • Is the vehicle clean and body in good condition?

  • Pump and hoses in good condition and functioning correctly?

  • Filters and tanks clean?

  • Reel rewind remote control functioning correctly

Personal Protective Equipment (PPE)

  • Safety glasses and or goggles used and in good condition?

  • Respirator - stored, clean and in good condition?

  • Gloves - used and in good condition?

  • Hearing protection available and in good condition?

  • Overalls, clean and second set available?

  • Washable hat used and in good condition?

Other Safety Items

  • Fire extinguisher charged and inspected?

  • Spill kit complete and in good condition?

  • First aid kit available, stocked and up to date?

  • Change of clothes available, clean and in good condition?

Pesticide

  • Storage boxes lockable and in good condition?

  • Pesticides in suitable labeled containers?

  • Pesticides secured / restricted?

  • Warning / Caution label correctly displayed?

Other

  • Basic tools available?

  • Fuel containers stored away from pesticides and secured?

  • Loose items in Cab secured / stored safely?

Comments

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Signature

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  • Select date

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.