Downer vehicle inspection form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Details

• Vehicle Registration

• Name of driver

• Drivers licence current ?

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  Media

• Project/Department

Vehicle legal requirements

• Warrant of fitness is current?

  Yes

  No

  N/A

• Diesel mileage up to date and valid?

  Yes

  No

  N/A

• No dents or other panel damage?

  Yes

  No

  N/A

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  Media

• The tyres are in good condition? Good tread, no uneven wear.

  Yes

  No

  N/A

• Front Passenger Side

• Front Driver Side

• Rear Passenger Side

• Rear Driver Side

• Windows free of chips or cracks that are either significant or capable of affecting the drivers vision?

  Yes

  No

  N/A

Tidiness and maintenance

• Vehicle clean outside?

  Yes

  No

  N/A

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  Media

• Vehicle clean and tidy inside?

  Yes

  No

  N/A

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  Media

• No loose heavy items, tools laying around the vehicle?

  Yes

  No

  N/A

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  Media

Safety and emergency preparedness

• Beacon lights on vehicle and working?

  Yes

  No

  N/A

• First aid kit in the vehicle

  Yes

  No

  N/A

• Fire extinguisher in the vehicle, charged and current?

  Yes

  No

  N/A

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  Media

• Safe Pole Work Label

• Vehicle fitted out appropriately for the work group tasks being undertaken

• Exterior fittings safe and secure ( including tow bar )

• Exterior fittings serviceable

• Interior fittings safe and secure

• Vehicle overhangs - within 1metre

• Ladders certified and properly secured

• Tent frame properly secured

• Electrical Equipment certified

• Comments Re electrical equipment

• LPG bottle - checked date ( <10 years )

Safety Equipment:

• Protective clothing ( Overalls, etc )

• PPE stored safely and properly in the vehicle?

  Yes

  No

  N/A

• Safety Glasses checked

• Ear muffs checked

• Hi Viz. vest in good condition

• Traffic control - signs, cones etc

• Comment on traffic control :

• Gas detector certified if has one:

• Comment RE gas detector,

• Red chevron/flags

• Green pack. - on hand and up to date

• First Aid Kit, on hand and correctly stocked:

• Comment on First Aid Kit

• Field Force Manual on hand

  Select On Laptop Paper Copy

  • On Laptop
  • Paper Copy

Actions

• Overall rating and soundness of vehicle?

  Off

  On

• Summary of actions required from this audit

Sign off

• Signature of person inspecting

  Sign