Information
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Document No.
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PLANT NUMBER:
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REGISTRATION NUMBER
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RESPONSIBLE DRIVER
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MAKE AND TYPE OF VEHICLE
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INSPECTED by
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Conducted on
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Personnel
ITEMS
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Tick and flick book in place an filled out
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Vehicle log sheet in place and filled out
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Correct storage of chemicals
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Correct storage of plant/tools/small equipment
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Check fuel & caps of fuel
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Seats in good condition
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Internal cabin of vehicle clean
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External cabin of vehicle clean
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Are all Loose items secure
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Are all aerosol cans removed from the cabin
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Check SDS are in place
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Check covers/guards of chainsaws, brushcutters, hedgers, saws etc
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Licence checked and current
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For job site inspection - Is correct PPE worn
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For job site inspection - Is all signage compliant
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Is the First Aid Kit compliant and up to date
PLEASE NOTE: seat covers are not the responsibility of the safety personnel to check, unless they are creating a hazard.
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COMMENTS
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Any concerns/defects reported to Supervisor first, then to Fleet & Procurement Coordinator
Officer Use
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Signature required
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COORDINATOR COMMENTS
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Coordinator Signature required
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Select date
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Data entry completed - CRM created
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CRM No. and Date completed