Title Page
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Site conducted
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Conducted on
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Conducted by
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Conducted on
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Location
Engineer Audit
Is Engineers PPE held in good condition?
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Hi-Vis
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Does Engineer have Hi-Vis?
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Gloves
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Does Engineer have Gloves?
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Condition of Gloves?
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Dust Mask
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Does Engineer have a Dust Mask?
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Safety Glasses
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Gas Monitor (GDU)
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Last Calibration Date
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Safety Boots
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Hard Hat
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First Aid Kit
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First Aid Kit Expiration Date
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Ear Protection
Signage/Lighting/Guarding in good condition?
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Beacons
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Narrow Sign Left
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Condition
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Narrow Sign Right
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Condition
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Men at Work Sign x2
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Condition
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Traffic Cones x6
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Gate Guards
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Arrow Signs Left
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Condition
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Arrow Signs Right
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Condition
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Van Chevrons
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NASRWA Card
Engineers Equipment
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Does Engineers have a Pit Lifter
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Does Engineer have a Roll Bar?
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Does Engineer have T Keys?
Vehicle Condition
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Is the vehicle supplied by OMNI CONNECT LTD
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Does the driver have a full UK License
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Exterior of vehicle clean and Registration readable?
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Any Visible Damage?
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Has it been Reported
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Date of report
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Are the tires in good condition?
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Warning Lights on the Dashboard?
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Spill Kit Available?
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Hazard, Beacon, & Indicator lights all working properly?
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Whats not working?