FHL OSH On-site Inspection

• Document No.

• Title

• Area Office

• Date

  Date

• Conducted by

• Location
  Address

• Operative

• Health & Safety Inspection

Operative Appearance PPE & Work Wear

• Issued uniform being worn?

  Yes

  No

• Identification badge visible?

  Yes

  No

• Uniform condition?

  Satisfactory

  Unsatisfactory

• Appropriate PPE Being worn and serviceable?

  Yes

  No

  N/A

Tools & Equipment

• Hand tools in a serviceable condition?<br>If inform tradesman not to use and replace and record

  Safe

  At Risk

  N/A

• Are Power Tools electrical leads including RCD in a serviceable condition?

  Safe

  At Risk

  N/A

• TEST and TAG test date?

  Date

• Calibrated equipment in date?

  Yes

  No

  N/A

• Electrical isolation & Testing equipment available?

  Safe

  At Risk

  N/A

Safe working at height

• All working at height equipment company issue & Registered with unique PfP serial number & accessories

  Safe

  At Risk

  N/A

• Inspection form completed and up to date?

  Yes

  No

  N/A

• In use Scaffolding tag completed and attached?

  Yes

  No

  N/A

Work area housekeeping including occupied premises

• Gas, Electricity & Water isolated?

  Safe

  At Risk

  N/A

• Access & exit routes free from obstructions?<br>Check that external doors can be closed

  Safe

  At Risk

  N/A

• Floor Protection coverings in use?

  Yes

  No

  N/A

Documentation

• MSDS Assessments available & chemicals labeled?

  Yes

  No

  N/A

• Health & Safety manual available?

  Yes

  No

• Task specific & dynamic risk assessments available?

  Yes

  No

• Vehicle Inspection

VEHICLE DESCRIPTION

• Make & Model

  Ford Connect

  Ford Transit

  Ford Fiesta

  Rental

• Registration

• Odometer

ENGINE COMPARTMENT

• Engine compartment fluids at correct levels

  Satisfactory

  Unsatisfactory

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Front lights & indicators

  Safe

  At Risk

  N/A

• Windscreen Free of Cracks and Chips

  Yes

  No

  N/A

• Bonnet, Grill and Bumper Free of Damage

  Yes

  No

  N/A

• Front Tyres in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Left Side Free of Damage

  Safe

  At Risk

  N/A

• Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  Safe

  At Risk

  N/A

• Rear lights & indicators

  Safe

  At Risk

  N/A

• Rear Tyres in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Adequate Spare Tyre is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• Roof Racks Secure including Ladder & Pipe Racks

  Yes

  No

  N/A

• Exterior clean

  Yes

  No

INTERIOR

• Mirrors Free of Damage

  Yes

  No

  N/A

• Racking Secure

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

• Jack and Roadside Tools Present

  Yes

  No

SAFETY EQUIPMENT

• Securely mounted First Aid Kit (Ensure Completely Stocked)

  Yes

  No

• Fire Extinguisher Charged

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• Rego expiry date

  Date

• Valid Vehicle Insurance, Transport waste certificate & Handbook

  Yes

  No

  N/A

COMMENTS & SIGNATURES

• Additional Comments

• Inspection Type

  Yes

  No

  N/A

• Fuel Gauge to Nearest 8th

• Spare Keys Included

  Yes

  No

  N/A

• Alarm / Remote Included

  Yes

  No

  N/A

• Acceptance Signature I confirm that the vehicle has been checked and found to be acceptable upon delivery

  Sign

• Fuel Gauge to Nearest 8th

• Spare Keys Included

  Yes

  No

  N/A

• Alarm / Remote Included

  Yes

  No

  N/A

• Disclaimer
  This is a preliminary and does not constitute the final assessment. ALD reserves the right to appoint an independent assessor to inspect the vehicle upon the vehicle's return. The customer will be notified of the final assessment of the vehicle and any charge that may be payable by the customer as a result of excess fair wear and tear charges, together with a copy of the independent assessment of the vehicle to the customer in this respect.
  
  LESSEE
  The lessee agrees that the vehicle is as described and that the recorded mileage is correct. Lessee also acknowledges and agrees to the disclaimer.

• Is Recorded Mileage at Handover Correct

  Yes

  No

• Please Enter Correct Mileage

• Lessee Signature

  Sign

• Collection Agent I confirm that the oil and water levels were checked and found to be acceptable upon collection.

  Sign

ALD AUTOMOTIVE DE FLEET CENTRE

• DE Fleet Centre:
  

• Return Mileage:

• Date:
  

• Time:
  

• Comments
  
  
  
  
  
  
  
  
  

• 
  
  
  
  Signed Name Position

• Ver 1 James Harrop FHL

• Signature of Inspector

  Sign

• Signature of Operative

  Sign