Title Page

  • Site conducted

  • Prepared by

  • Engineer

  • Location
  • Conducted on

VAN REG :

  • undefined

FIRST AID KIT:

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

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

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

  • What was the action

  • Is there a burns kit if so is it date

FIRE EXTINGUISHER:

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

  • Is the fire extinguisher in date and full

  • Does the fire extinguisher need replacing

INSPECTION ITEMS

LADDERS

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

  • What is action is required

  • Take photo of the ladder inspection tag

  • Take photo of ladder tag

HARNESS

  • Is there a harness kit on the vehicle

  • Is the harness kit complete

  • Is the harness kit within its inspection date

  • Has the kit been removed until is been inspected

TETRA LADDER FIXING KIT

  • Has the ladder fixing kit been inspected

  • Remove Tetra kit until it has been inspected

GENERAL

  • Does then engineer have a suitable hard hat

  • What action is required

  • Is the Anemometer on the vehicle in good condition

  • What action is required

  • Is there multi-meter on the vehicle

  • What action is required

  • Is the hoover on the vehicle operational and PAT tested

  • What action is required

  • Is there a dust pan and brush on the vehicle

  • What action is required

VEHICLE

  • Are all the tyres legal

  • What action is required

  • Is the cab and it clean and tidy

  • What action is required

  • Take photos of the cab

  • Is the widescreen cracked

  • What action is required

  • Take photos of the windscreen

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

  • What action is required

  • Is the dash Cam fitted to the windscreen and is it working is the SD card in place

  • What action is required

  • Is the back of the vehicle clean and tidy

  • What action is required

  • Take photos of the back of the vehicle

  • If there is racking fixed is it in good condition

  • What action is required

  • Is there any damage to the wing mirrors

  • What action is required

  • Take photos of the wing mirrors

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

  • What action is required

  • Is there any damage to the front of the vehicle

  • What action is required

  • Take a number of photos of the front of vehicle

  • Is there any damage to driver side of the vehicle

  • What action is required

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

  • Is there any damage to the rear of the vehicle

  • what action is required

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

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

  • What action is required

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

  • What is the mileage of the vehicle

  • Mobile phone is in what condition

  • What is poor about the phone

  • Take photos of front and back of the phone

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.