F200 Vehicle inspection form for R&M Engineers

• Site conducted

  Select

• Prepared by

• Engineer

• Location
  Address

• Conducted on

  Date

VAN REG :

• undefined

FIRST AID KIT:

• Is there a first aid kit and is it in date

  Yes

  No

  N/A

• Has the engineer been told to purchase a new first aid kit

  Yes

  No

  N/A

• Has the first aid kit been topped up, replaced or removed

  Yes

  No

  N/A

• What was the action

FIRE EXTINGUISHER:

• Is there a 2kg Powder fire extinguisher in the van

  Yes

  No

  N/A

• Is the fire extinguisher in date and full

  Yes

  No

  N/A

• Does the fire extinguisher need replacing

  Yes

  No

  N/A

INSPECTION ITEMS

LADDERS

• Have all ladders been inspected, tagged and are suitable for use.

  Yes

  No

  N/A

• What is action is required

• Take photo of the ladder inspection tag

  Media

• Take photo of ladder tag

  Media

HARNESS

• Is there a harness kit on the vehicle

  Yes

  No

  N/A

• Is the harness kit complete

  Yes

  No

  N/A

• Is the harness kit within its inspection date

  Yes

  No

  N/A

• Has the kit been removed until is been inspected

  Yes

  No

  N/A

TETRA LADDER FIXING KIT

• Has the ladder fixing kit been inspected

  Yes

  No

  N/A

• Remove Tetra kit until it has been inspected

  Yes

  No

  N/A

• Is there multi-meter on the vehicle

  Yes

  No

  N/A

• What action is required

• Is the Anemometer on the vehicle in good condition

  Yes

  No

  N/A

• What action is required

• Is the engineer wearing safety boots

  Yes

  No

  N/A

• What action is required

• Does the engineer have a LCX HV vest

  Yes

  No

  N/A

• What action is required

• Does the engineer have gloves suitable for their work tasks

  Yes

  No

  N/A

• What Gloves are needed

• Does the engineer have clean and suitable safety goggles

  Yes

  No

  N/A

• What action is required

• Does the engineer have an operational FFP3 mask and spare filters

  Yes

  No

  N/A

• What action is required

• Does then engineer have a suitable hard hat

  Yes

  No

  N/A

• What action is required

• Does the engineer have an update company issued Identification badge

  Yes

  No

  N/A

• What action is required

• Is the engineer wearing company issued uniform and is it good condition

  Yes

  No

  N/A

• What action is required

• Is there sufficient safety shoe covers in the vehicle

  Yes

  No

  N/A

• What action is required

• Is there sufficient hand sanitiser on the vehicle

  Yes

  No

  N/A

• What action is required

GENERAL

• Are there dust sheets on the Vehicle and are they clean

  Yes

  No

  N/A

• what action is required

• Is the hoover on the vehicle operational and PAT tested

  Yes

  No

  N/A

• What action is required

• Is there a dust pan and brush on the vehicle

  Yes

  No

  N/A

• What action is required

• Is there sufficient wet wipes on the vehicle

  Yes

  No

  N/A

• What action is required

VEHICLE

• Are all the tyres legal

  Yes

  No

  N/A

• What action is required

• What are the tyre pressures in PSI/BAR

• Is the cab and it clean and tidy

  Yes

  No

  N/A

• What action is required

• Take photos of the cab

  Media

• Is the widescreen cracked

  Yes

  No

• What action is required

• Take photos of the windscreen

  Media

• If there is a Sat Nav in the vehicle is it fixed to the windscreen

  Yes

  No

  N/A

• What action is required

• Is the dash Cam fitted to the windscreen and is it working

  Yes

  No

  N/A

• What action is required

• Is the back of the vehicle clean and tidy

  Yes

  No

  N/A

• What action is required

• Take photos of the back of the vehicle

  Media

• If there is racking fixed is it in good condition

  Yes

  No

  N/A

• What action is required

• Is there any damage to the wing mirrors

  Yes

  No

• What action is required

• Take photos of the wing mirrors

  Media

• If there is a roof rack is it fixed securely to the vehicle

  Yes

  No

  N/A

• What action is required

• Is there any damage to the front of the vehicle

  Yes

  No

• What action is required

• Take a number of photos of the front of vehicle

  Media

• Is there any damage to driver side of the vehicle

  Yes

  No

• What action is required

• Take a number of photos of the drivers side of the vehicle

  Media

• Is there any damage to the rear of the vehicle

  Yes

  No

• what action is required

• Take a number of photos of the rear of the vehicle

  Media

• Is there any damage to the passenger side of the vehicle

  Yes

  No

• What action is required

• Take a number of photos of the passenger side of the vehicle

  Yes

  No

  N/A

• What is the mileage of the vehicle