CUC Crew Truck Audit x03

• Location

  Surrey Yard

  Coquitlam Yard

  OTHER

• Please ENTER LOCATION

• DATE

  Date

• Vehicle ID

• Current ODOMETER

• ODOMETER at Most Recent MAINTENANCE

• First Aid Kit

  Acceptable

  Deficient

  Not Found

• Auto External Defibrillator (AED)

  Acceptable

  Deficient

  Not Found

• Checklist of Documents

  Select Registration/Insurance RED Card (Std Field Guideline on Gas Emergencies) Fusion Manual (FortisBC Standards) Vehicle Maintenance Schedule Safety Manual Traffic Control Manual Item(s) Missing

  • Registration/Insurance
  • RED Card (Std Field Guideline on Gas Emergencies)
  • Fusion Manual (FortisBC Standards)
  • Vehicle Maintenance Schedule
  • Safety Manual
  • Traffic Control Manual
  • Item(s) Missing

• Explosion-Proof Flashlight

  Acceptable

  Deficient

  Not Found

• Warning Tape

  Acceptable

  Deficient

  Not Found

• COUNT of Mid Cones

• Condition of All Mid Cones

  Acceptable

  Deficient

  Not Found

• Have Traffic Control Signs?

  Yes

  No

  N/A

• Please Explain

• "Crew Working" SIGN

• "Flaggers" SIGN

• "Prep to Stop" SIGN

• "Lane Closure" SIGN

• SIGN Stands

• Condition of All Traffic Control Signs

  Acceptable

  Deficient

  Not Found

• Please Explain

• Hole Hog

  Acceptable

  Deficient

  Not Found

• Hog Oiler

  Acceptable

  Deficient

  Not Found

• Hog Hose

  Acceptable

  Deficient

  Not Found

• Electric Generator

  Acceptable

  Deficient

  Not Found

• Last Maintenance Date [Generator]

  Date

• Generator is Secured

  Yes

  No

  N/A

• Electric Water Pump

  Acceptable

  Deficient

  Not Found

• Last Maintenance Date [Water Pump]

  Date

• GFCI Extension Cord

  Acceptable

  Deficient

  Not Found

• Purge Stack Condition

  Acceptable

  Deficient

  Not Found

• Pressure Testing Gauge

  Acceptable

  Deficient

  Not Found

• Gauge Serial #

• Calibration Date of Foreman's RKI

  Date

• PE Irons

  Acceptable

  Deficient

  Not Found

• Serial # [PE Irons]

• PE Button Fusion Equip

  Acceptable

  Deficient

  Not Found

• Serial# [PE Button Fusion Equip]

• PE M&S Completion Kit

  Acceptable

  Deficient

  Not Found

• Stop Watch

  Acceptable

  Deficient

  Not Found

• PE Anti-Static Kit (Soap/Bottle/Ground Cable/Rod)

  Acceptable

  Deficient

  Not Found

• PE Crimpers with Ground Rod

  Acceptable

  Deficient

  Not Found

• PE Checklist

  Select Inspection Mirror Clean Irons Iron Cord Condition Iron Temp Gauge (500F) Pyrometer

  • Inspection Mirror
  • Clean Irons
  • Iron Cord Condition
  • Iron Temp Gauge (500F)
  • Pyrometer

• PE Pipe & Fittings are Fastened & Securely Stored with End Caps OR Taped?

  Yes

  No

  N/A

STEEL Tools

• ST Crimpers

  Acceptable

  Deficient

  Not Found

• # Times Used since Last Maintenance

• E4 Machine

  Acceptable

  Deficient

  Not Found

• Serial # [E4 Machine]

• Valve/Curbcock Keys [Shared]

  Acceptable

  Deficient

  Not Found

Oxyacetylene Welding Equip

• Hoses, Fittings, Valves

  Acceptable

  Deficient

  Not Found

• Regulator

  Acceptable

  Deficient

  Not Found

• Head Covers

  Acceptable

  Deficient

  Not Found

• Fire Extinguisher with Seal Intact

  Acceptable

  Deficient

  Not Found

• Current Inspection Date [Extinguisher]

  Date

Lifting Equipment

• Nylon Slings

  Acceptable

  Deficient

  Not Found

• Weight Req of Nylon Slings

• Chains

  Acceptable

  Deficient

  Not Found

• Last Test Date [Chains]

  Date

• Rated Capacity [Chains]

• Spills Kit

  Acceptable

  Deficient

  Not Found

• Spills Kit Annual Inspection Date

  Date

• Gasoline Storage Can [Proper Flame Trap & WHMIS Label]

  Acceptable

  Deficient

  Not Found

• Pressure Vessels [Stored Secure Upright]

  Acceptable

  Deficient

  Not Found

• Labelling of Hazardous Materials

  Acceptable

  Deficient

  Not Found

• Asbestos Kit

  Acceptable

  Deficient

  Not Found

• Condition of Half Mask Respirators

  Acceptable

  Deficient

  Not Found

• Meter In/Out Connections are Capped

  Acceptable

  Deficient

  Not Found

• Meters Secured Upright

  Acceptable

  Deficient

  Not Found

• Opportunities for Improvement

• Positive Observations

• Assessor: ENTER Name

• Assessor: SELFIE at Crew Truck

  Media

• PICTURE: Overall Condition of Crew Truck

  Media

• Endorsed By: ENTER NAME

• Endorsed By: Signature

  Sign