Title Page

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Has reversing been minimised as far as practical, and suitable reversing areas allocated?

  • Have spotter roles been designated?

  • Confirm with site supervisor that spotters are trained

  • Is spotter standing in safe position?

  • Reversing is always controlled by a spotter?

  • Driver operator is following directions given by spotter?

  • Where practical has the site been planned to utilise no go zones?

  • Has a Vehicle Movement Plan been completed?

  • Have exclusion zones and where possible no go zones being applied on site?

  • Workers are not standing in plant blind spots?

  • Is a safe walking path being provided on site?

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.