Electric Results Vehicle Inspection

• Conducted on

  Date

• Personnel

• Employee Responsible for vehicle

• Vehicle type/model

• Vehicle Registration number

• Registration current (check with admin)

  Yes

  No

• Registration expiry date

  Date

• Speedometer reading

• Date of inspection

  Date

Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Have actions from previous audit been completed?

  Yes

  No

  N/A

Vehicle rear storage area

• Clear of rubbish?

  Yes

  No

  N/A

• All items in the rear storage area of van are stored securely?

  Yes

  No

• Is racking in good condition?

  Yes

  No

  N/A

• Are they kept clean?

  Yes

  No

  N/A

• No sharp edges?

  Yes

  No

  N/A

Equipment on vehicle

• Tools/equipment not in use kept in place?

  Yes

  No

  N/A

• Is vehicle stocked adequately and tidily?

  Yes

  No

  N/A

• Ladders present

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Trailing lead with resistance marked

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Green box multi tester

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Lock out kit complete with 2 locks, 2 circuit breaker lock outs and 5 danger tags

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Angle grinder

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• LAN tester

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Hard hat

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Hi visibility vest

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Safety glasses

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Ear protection

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

• Sun screen

  Select Yes No In-test N/A In good condition in poor condition

  • Yes
  • No
  • In-test
  • N/A
  • In good condition
  • in poor condition

Electrical Equipment

• Portable equipment tested and tagged within date?

  Yes

  No

  N/A

• All plugs, sockets or switches un-damaged and safe?

  Yes

  No

  N/A

• All leads un-frayed and un-damaged?

  Yes

  No

  N/A

• Are all portable power tools in good condition?

  Yes

  No

  N/A

Chemical Safety

• Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

First Aid Facilities

• Is first aid kit and contents clean and orderly?

  Yes

  No

  N/A

• All contents within their expiry date?

  Yes

  No

  N/A

• Is first aid kit located behind passenger seat?

  Yes

  No

• Is there easy access to the first aid kit?

  Yes

  No

  N/A

• Are all employees aware of location of first aid kit?

  Yes

  No

  N/A

Fire Prevention

• Are Extinguishers easily accessible and location known by all employees?

  Yes

  No

  N/A

• Is the fire extinguisher within test date?

  Yes

  No

Vehicle Condition

• Vehicle cabin clear of rubbish and tidy?

  Yes

  No

  N/A

• No loose items in vehicle cabin

  Yes

  No

  N/A

• Vehicle within service date

  Yes

  No

• Next service due

  Date

• Condition of tyres?

  Safe

  At Risk

  N/A

• Brake performance?

  Safe

  At Risk

  N/A

• Lights? (Check operation of brake, indicator and reversing lights)

  Safe

  At Risk

  N/A

• Is the condition of the drivers seat acceptable? Not dirty or torn

  Yes

  No

• Is the condition of the other seats acceptable? Not dirty or torn

  Yes

  No

• Seat belts in good condition

  Yes

  No

• Is the steering wheel and dash clean?

  Yes

  No

• Vehicle exterior is clean

  Yes

  No

• Vehicle exterior is free from dents/scratches and rust?

  Yes

  No

Sign Off

• Auditor

  Sign

• Technician responsible for vehicle

  Sign

• By signing above you agree to rectify the non compliant items within 3 working days.