FG 3 - Polaris WHS Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Check List

• Check Ignition Key (Bent, Worn etc)<br>

  Safe

  At Risk

  N/A

• Check Windscreen integrity (cracks/chips)

  Safe

  At Risk

  N/A

• Visual Inspection for Exterior Damage <br>(Recommend taking pic of any vehicle damage and report to Manager)

  Safe

  At Risk

  N/A

• Check Tires for Wear and Pressure, inc. spare (Manufacturers specification pressure)

  Safe

  At Risk

  N/A

• Staff briefed on emergency procedures at least once a year?

  Yes

  No

  N/A

• Check Horn

  Yes

  No

  N/A

• Check Headlights / Tail Lights / Reverse Lights

  Safe

  At Risk

  N/A

• Vehicle free of non essential equipment and rubbish?

  Yes

  No

  N/A

• New Staff introduced to procedures?

  Yes

  No

  N/A

• First Aid Kit fully stocked and signposted

  Yes

  No

  N/A

• Brake pedal and hand brake in good working order

  Yes

  No

  N/A

• Add signature

  Sign