Fibretel Vehicle

• Vehicle registration number

• Make and Model

• Name of Driver

• Driver ID

• Conducted on

  Date

• Site location

• Prepared by (your name)

Personal Protective Equipment

• Safety helmet (3 years)

  pass

  N/A

  fail

• Year manufactured / tested

• Date put into service

• Signature

  Sign

• LV Gloves (3 years)

  pass

  N/A

  fail

• Year manufactured / tested

• Signature

  Sign

• Gas Detector (6 month calibration)

  pass

  N/A

  fail

• Year manufactured / tested

• Signature

  Sign

• Harness (10 years)

  pass

  N/A

  fail

• Manufacturer

• Serial /Batch number

• Year manufactured / tested

• Date of purchase

• Date put into service

• Signature

  Sign

• Pole Strap (10 years)

  pass

  N/A

  fail

• Manufacturer

• Serial /Batch number

• Year manufactured / tested

• Date of purchase

• Date put into service

• Signature

  Sign

Safety Equipment

• Safety helmet wide brim/neck flaps

  pass

  N/A

  fail

• Wide brim hat

  pass

  N/A

  fail

• Safety vest (hi-vis with reflective tape for night)

  pass

  N/A

  fail

• Safety footwear (Steel cap boots)

  pass

  N/A

  fail

• Long sleeve shirt (high visibility - SS logo)

  pass

  N/A

  fail

• Pole PPE (cotton trousers/shirt or overalls if applicable)

  pass

  N/A

  fail

• Safety line & safety bag to store it in

  pass

  N/A

  fail

• Insulated rubber mat - drilling into walls

  pass

  N/A

  fail

• Lock out tags

  pass

  N/A

  fail

• Safety glasses

  pass

  N/A

  fail

• Dust mask (P2 when working on ACM)

  pass

  N/A

  fail

• Ear protection

  pass

  N/A

  fail

• Riggers gloves

  pass

  N/A

  fail

• Sharps kit (container, gloves & tongs)

  pass

  N/A

  fail

• Traffic signs - retro reflective

  pass

  N/A

  fail

• Cones (9 but 5 must be reflective for night work)

  pass

  N/A

  fail

• Manhole guards - 1 FULL SET (no inspection guards)

  pass

  N/A

  fail

• Manhole Key/Manhole lid lifter/Pit key

  pass

  N/A

  fail

• Fire Extinguisher

  pass

  N/A

  fail

• Upload photo of fire extinguisher

  Media

Electrical Equipment

• 240V extension leads - tested and tagged

  pass

  N/A

  fail

• 240V power tools e.g. Drill - tested and tagged

  pass

  N/A

  fail

• Residual Current device (RCD) - tested and tagged

  pass

  N/A

  fail

• Cordless tool(s)

  pass

  N/A

  fail

• 240V Cordless tool(s) charger - tested and tagged

  pass

  N/A

  fail

First Aid Equipment

• Appropriate first aid kit

  pass

  N/A

  fail

• Adequately Stocked

  pass

  N/A

  fail

• Signage to indicate where the kit is located

  pass

  N/A

  fail

Tools and test equipment

• Step ladder - fibreglass

  pass

  N/A

  fail

• Extension ladder - Fibreglass

  pass

  N/A

  fail

• Head and base ropes (if applicable)

  pass

  N/A

  fail

• Tool bag / belt (if applicable)

  pass

  N/A

  fail

• Test phone or equivalent

  pass

  N/A

  fail

• OTDR or equivalent

  pass

  N/A

  fail

• Fibre terminating tools

  pass

  N/A

  fail

• Wooden handle crowbar or insulated crowbar

  pass

  N/A

  fail

• Wooden handle shovel

  pass

  N/A

  fail

• Cabinet / pillar / MDF / FDH keys

  pass

  N/A

  fail

Documentation

• Management plans - Safety and Environmental

  pass

  N/A

  fail

• SWMS - CCD - C - SWMS - FSD - 002

  pass

  N/A

  fail

• JSEA - CCD - C - JSEA - 001 - by exception

  pass

  N/A

  fail

• Working at heights register - CCD - C - FRM - SFD - 004 - by exception

  pass

  N/A

  fail

• Emergency response Guide CCD - C - GLD - 1605

  pass

  N/A

  fail

• Material safety data sheets (MSDS)

  pass

  N/A

  fail

• Emergency card - CCD - C - FRM - 0625

  pass

  N/A

  fail

• Traffic Control Requirement Chart - CCD - C - GLD - 0098

  pass

  N/A

  fail

Licences & Accreditation

• H&S Construction Industry Card

  pass

  N/A

  fail

• Service Stream Issued Photo ID Card

  pass

  N/A

  fail

• Drivers licence

  pass

  N/A

  fail

• Power awareness - working near power or poles (if applicable)

  pass

  N/A

  fail

• ACA Current

  pass

  N/A

  fail

• First Aid officer (At least one if 2 or more workers are on site)

  pass

  N/A

  fail

Environmental & Work Site

• Asbestos controls - cup/foam/bag

  pass

  N/A

  fail

• Worksite clean and tidy

  pass

  N/A

  fail

Vehicle Inspection

• All vehicles lights are operational

  pass

  N/A

  fail

• SS Decals fitted to each door (if applicable)

  pass

  N/A

  fail

• Vehicle jack, handle & brace

  pass

  N/A

  fail

• Vented gas storage facility

  pass

  N/A

  fail

• Exterior & interior cleanliness

  pass

  N/A

  fail

• Good condition - free of damages<br>

  pass

  N/A

  fail

• Conduit carrier with end caps fitted

  pass

  N/A

  fail

• Registration current

  pass

  N/A

  fail

• Windscreen-cracks / scratches

  pass

  N/A

  fail

• Shelving sufficient

  pass

  N/A

  fail

• Loosed / unrestrained items

  pass

  N/A

  fail

• Cargo barrier

  pass

  N/A

  fail

• Ladder straps

  pass

  N/A

  fail

• Vehicle ladder racks

  pass

  N/A

  fail

• Commercial vehicle

  pass

  N/A

  fail

Vehicle Photos

• Drivers side

  Media

• Front of vehicle

  Media

• Rear of vehicle

  Media

• Passenger side

  Media

• Odometer reading

  Media

• Inside cab

  Media

• Inside rear of vehicle

  Media

• Auditors signature

  Sign