• Site Image Whole

  • Have all employees got utility Id cards on them?


  • Operators EWP manual on Vehicle

  • Wash Log Book available & up to date

  • EWP Pre-Op Inspections carried out & entered into logbook

  • SWMS/JSA on vehicle and sighted by auditor

  • HAC (JSA) signed and understood by all crew members & sighted by auditor

  • Hazards particular to site have been identified and effective controls implemented

  • EWP < 10 years old or rebuilt, evidence on vehicle

  • Electrical test certificate < 6 months old (sighted), note Test Date, add image if possible.

  • Weight test certificate < 12 months (sighted), note test date, add image if possible

  • monthly, 3 monthly and 6 monthly inspections carried out (sighted)

  • Vehicle registration current

  • View operators licenses. image


  • First Aid Kit (Check Contents via contents list) (1 required)

  • First Aid sticker outside vehicle

  • Earth Chain fitted (1 metre on ground)

  • Flashing light on elbow (optional)

  • Flashing lights (optional) directional arrow fitted.

  • Wheel chocks (2 required)

  • Stabiliser Pads (1 per leg)

  • EWP lanyards (including Shock absorber. AS labeled (2)

  • EWP Harness (AS labeled) (2 required)

Traffic Managment

  • Symbolic Worker Ahead (digger man) (900x600) (2 required)

  • Prepare to stop signs (900x600) (2 required)

  • Chevron (direction arrow) (2 required)

  • Stands for signs (4 required)

  • Stop/Slow bats (2 required)

  • Witches Hats (12 required)


  • Level indicators to be fitted (2 required)

  • Duplicate controls to be fitted (basket & turret)

  • Controls to be clearly marked (basket & turret)

  • Dead man to be fitted

  • Emergency stop to be fitted

  • CDD's fitted (2 required)

  • Anchorage points for harness in basket

  • SWL clearly marked on basket

  • Means of emergency escape required

Herbicide / Dangerous Substances

  • Herbicide stored securely (dispenser/refill)

  • Water container with water

  • Spill Kits available

  • All chemicals and containers appropriately labeled

  • All relevant MSDS located on vehicle

Fire Season Equipment

  • Knapsack (1 required)

  • Rake / Hoe (1 required)

Safe Use of EWP

  • Min 2 employees to be trained and authorised

  • Keep uninsulated bottom boom of EPV clear of LV

  • Regularly inspect for "dead man" operation

  • Safety harness worn and attached

  • CCD is ready for use

  • EWP set up - Park Brake

  • EWP set up - Stabilizers

  • EWP set up - Earth Chain Lowered

  • EWP set up - Wheel Chocks on slopped terrain

  • SAFETY OBSERVER posted and > 6m from EWP when near live apparatus

  • Observer within a position where communication with the cutter is effective, whistle on site and available at all times

  • Drop Zone controlled & no unauthorized persons entered the work place

  • EWP setup working to the TMP & maintaining safe operating distance of 600mm as per Plan

PPE and Clothing

  • Non Conductive Shirt, Jumpers and Coats worn and in good repair

  • Ear protection worn

  • Eye Protection worn

  • LV Gloves available and in suitable containers

  • Hard Hat worn and Issue date clearly shown.

  • General Comments,

Sign Off

  • Person Conducting Audit

  • Select date

  • Leading Hand / Supervisor

  • Select date

  • other persons involved

  • Select date

Corrective actions required

  • Item 1

  • Item 2

  • Item 3

  • Item 4

  • Corrective actions completed by

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.