Cambrilea Monthly Vehicle, Tools and Equipment Checklist (Full)

• Conducted on

  Date

• Name of person conducting the inspection

• Vehicle Registration

• Vehicle Make and Model

• WOF/COC current and displayed?

  Yes

  No

  N/A

• WOF due date

  Date

• Registration is current and displayed?

  Yes

  No

  N/A

• Odometer reading

• Road user labels are within range?

  Yes

  No

  N/A

Vehicle Inspection

• Windscreen free from damage and clean?

  Yes

  No

  N/A

• Wiper blades in good condition?

  Yes

  No

  N/A

• Front Lights free from damage?

  Yes

  No

  N/A

• Rear Lights are free from damage?

  Yes

  No

  N/A

• Drivers Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Passenger Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Spare tyre & jack in car and in good working order?

  Yes

  No

  N/A

• Are all vehicle stop/brake lights working?

  Yes

  No

  N/A

• Are all vehicle front lights working?

  Yes

  No

  N/A

• Are all seat belts in good working order?

  Yes

  No

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

• Are any warning lights illuminated on dash?

  Yes

  No

  N/A

• GPS operating and in good conditon?

  Yes

  No

  N/A

• Water

  Good

  Fair

  Poor

  N/A

• 5HP oil/gearbox

  Good

  Fair

  Poor

  N/A

• Brake Fluid

  Good

  Fair

  Poor

  N/A

• All hose clips tightened and inspected

  Yes

  No

  N/A

• Vibrating hoses secured?

  Yes

  No

  N/A

• Is the exterior of the vehicle clean?

  Good

  Fair

  Poor

  N/A

• Is inside the vehicle in a clean and tidy condition?

  Good

  Fair

  Poor

  N/A

Vehicle Parts & Spares

• Guns

  Yes

  No

  N/A

• Nozzle tips

  Yes

  No

  N/A

• O-Rings

  Yes

  No

  N/A

• Brass swivels

  Yes

  No

  N/A

• Spark plug

  Yes

  No

  N/A

• Fuel and oil

  Yes

  No

  N/A

• Tow Rope

  Yes

  No

  N/A

• Pull start cord

  Yes

  No

  N/A

• Jumper leads

  Yes

  No

  N/A

• Dye Taps

  Yes

  No

  N/A

• Pins

  Yes

  No

  N/A

Parts/Tools & other equipment

• Crescent, socket and screwdriver set

  Yes

  No

  N/A

• Sparkplug spanner

  Yes

  No

  N/A

• Multigrips

  Yes

  No

  N/A

• Knife and hammer

  Yes

  No

  N/A

• Allen Keys

  Yes

  No

  N/A

• Stanley Knife

  Yes

  No

  N/A

• 3 Litre jug

  Yes

  No

  N/A

• Measuring cylinder

  Yes

  No

  N/A

• Bucket

  Yes

  No

  N/A

• 4x chain tensioners

  Yes

  No

  N/A

• Penetrant and dye

  Yes

  No

  N/A

• Dye Taps

  Yes

  No

  N/A

• Status of hose fittings on spray reels

  Good

  Fair

  Poor

  N/A

• Swivel for reel and gun

  Good

  Fair

  Poor

  N/A

• Tips and Washers

  Yes

  No

  N/A

• Spare chemical

  Yes

  No

  N/A

• Spare gun

  Yes

  No

  N/A

• Hose clamps

  Yes

  No

  N/A

• Hose clamps tightened

  Yes

  No

  N/A

• Bungee cords and tie downs

  Yes

  No

  N/A

OSH

• Is there a First Aid Kit on board?

  Yes

  No

  N/A

• Is the First Aid kit fully stocked?

  Good

  Fair

  Poor

  N/A

• Sunglases

  Yes

  No

  N/A

• Eyewash

  Yes

  No

  N/A

• Hats

  Yes

  No

  N/A

• Sunscreen (also check expiry date)

  Yes

  No

  N/A

• PPE: Mark what is NOT available and needs replacing

  Select Gloves Masks Boots Overalls High vis

  • Gloves
  • Masks
  • Boots
  • Overalls
  • High vis

• Gloves

  Yes

  No

  N/A

• Masks

  Yes

  No

  N/A

• Overalls

  Yes

  No

  N/A

• Boots

  Yes

  No

  N/A

• Hi-vis

  Yes

  No

  N/A

• Is there a Fire Extinguisher on board?

  Yes

  No

  N/A

• Is the Fire Extinguisher current?

  Yes

  No

  N/A

• Certificates/maps/diary/haz plan

  Yes

  No

  N/A

• Workplace safety booklet

  Yes

  No

  N/A

• Clean water?

  Yes

  No

  N/A

• Toilet paper?

  Yes

  No

  N/A

• Change of clothes for when spraying?

  Yes

  No

  N/A

Defects, Damage and Comments Log

• Please log all damages and defects noted on the vehicle. If the first aid kits need stocking, or have expired contents please note.

• Attach photos of this defect (if applicable)

  Media

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

Sign Off

• I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.

• Inspector Signature

  Sign