Title Page

  • Audit No.

  • Site - Team - Driver

  • Client

  • Conducted on

  • Audited by

  • Record SIR / Defect Notification number here

  • Type of Work Being Performed

1. VEHICLE / PLANT CHECKS

  • 1.1 Vehicle / Plant Make, Type, Rego No.

  • 1.2 Rego Current?

  • 1.3 Driver / Operator, km, BCC Plant No.

  • 1.4 General appearance acceptable?

  • 1.5 Mechanically sound - no obvious defects?

  • 1.6 Being regularly checked and logged in Vehicle Pre-Start logbook?

  • 1.7 Clean and tidy condition?

  • 1.8 Regularly serviced and any damage reported on Pre-Start form?

  • 1.9 Relevant Vehicle Log Books being used?

  • 1.10 Comments / Other?

2. DOCUMENTATION CARRIED ON VEHICLE

  • 2.1 All documents in Work Packs are current IMS versions?

  • 2.2 IMS Procedure Manual / USB Drive / iPad contains, or links to, current versions of IMS documents?

  • 2.3 Safety Management Plan and SWMS available or accessible from vehicle?

  • 2.4 Site Risk Assessment completed and signed by all persons on site?

  • 2.5 IMSF-11029 Working Live Fault Finding Permit Risk Assessment completed for work performed "Live"?

  • 2.6 Current Energex WCS 37 available on Streetlighting vehicles?

  • 2.7 Current Energex Public Lighting Construction Manual available on Streetlighting vehicles?

  • 2.8 Current version of Energex Operating Practices Manual, Sect 15 available on Streetlighting vehicles?

  • 2.9 Energex LV Switching documents carried on Streetlighting vehicles?

  • 2.10 Comments / Other?

3. TOOLS, EQUIPMENT, PPE AVAILABLE ON VEHICLE

  • 3.1 "In Test" Cat III or IV voltage identification equipment (electrical vehicles)? Note: not proximity tester

  • 3.2 "In Test" Insulation / continuity tester (electrical vehicles)?

  • 3.3 "In Test" Earth Fault-Loop Impedance Tester (electrical vehicles)?

  • 3.4 "In Test" Trailing Earth Lead (electrical vehicles)?

  • 3.5 Cat III or IV Proximity Tester carried?

  • 3.6 "In Test" Class 00 Insulating Gloves (anyone who accesses pits or equipment)?

  • 3.7 Suitably insulated tools available (electrical vehicles)?

  • 3.8 Non-conductive ladder(s), in good condition, visually inspected daily?

  • 3.9 "In Test" LV Rescue Kits (electrical vehicles)?

  • 3.10 "In Test" Harnesses?

  • 3.11 "In Test" RubberMats and Line Covers (electrical vehicles)?

  • 3.12 Fuse Sticks and Height Sticks, in good condition?

  • 3.13 Hard hats marked with date of first use?

  • 3.14 All PPE and equipment "In Test", including privately owned equipment?

  • 3.15 Safety Boots with steel toecap not visible? (anyone who works around live cables in pits etc)

  • 3.16 Appropriate PPE carried for work performed?

  • 3.17 Asbestos kits carried?

  • 3.18 Lock out tags carried?

  • 3.19 Safety Glasses worn at all times (TNS policy)?

  • 3.20 Hearing Protection carried?

  • 3.21 Sunscreen carried?

  • 3.22 Drinking water carried?

  • 3.23 Broad brimmed hats / helmet brims carried?

  • 3.24 Comments / Other?

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.