FLUSHER TRUCK - DAILY WHS CHECKLIST PRESTART AND POST CHECK

• Conducted on

  Date

• Name

• Payroll

• Vehicle Plant Number

General

• PPE (long sleeve shirt, long pants, wide brimmed hat, safety glasses, approved footwear, gloves)

  Yes

  No

  N/A

• Water bottles, hand cleaner and sunscreen

  Yes

  No

  N/A

• Tools specific to the task are present (broom, shovel, standpipe and high-pressure water-cleaning wand)

  Yes

  No

  N/A

• Vehicle information pack present and up to date (Run sheets, Safety Data Sheets, Work Instructions, Monthly Vehicle checklist)

  Yes

  No

  N/A

• Awareness of CCOM work instructions

  Yes

  No

  N/A

Flusher Truck Operation Pre Start

• All stock, tools and equipment required for the tasks (including toilet roll tool and key, toilet paper, tap key, broom, shovel, sharps plunger, hose and traffic cones)

  Yes

  No

  N/A

• Log book check completed

  Yes

  No

  N/A

• Fault book checked and present

  Yes

  No

  N/A

• Drivers fatigue diary present and up to date

  Yes

  No

  N/A

• Visual inspection of vehicle

  Yes

  No

  N/A

• Water tank is filled

  Yes

  No

  N/A

• Vehicle is fuelled for the shift

  Yes

  No

  N/A

• PTO engages, confirming pump operations are working

  Yes

  No

  N/A

• All hoses are in good operation

  Yes

  No

  N/A

• All water horns are in good operation

  Yes

  No

  N/A

• Reverse camera is operational, if present

  Yes

  No

  N/A

• Spare key/remote locking fob is present and working

  Yes

  No

  N/A

• Phone is present and charging

  Yes

  No

  N/A

• Two-way radio is turned on

  Yes

  No

  N/A

• What hazards have you encountered outside of your normal operations? (events, barriers, public, weather)

• What did you do? (work around, return later, skipped)

Toilet/BBQ Vehicle Operation Post Check

• Log book check completed

  Yes

  No

  N/A

• Fault book checked and present

  Yes

  No

  N/A

• Visual inspection of vehicle to confirm all items secured

  Yes

  No

  N/A

• Truck is fueled up following shift

  Yes

  No

  N/A

• Water tank is full

  Yes

  No

  N/A

• Hoses / Horns are adequate for operation

  Yes

  No

  N/A

• Reverse camera is operational, if present

  Yes

  No

  N/A

• Phone is present and charging

  Yes

  No

  N/A

Notes (vehicle broken, workshop, accident, issues)

• undefined

Sign When Completed

• Driver’s signature

  Sign

• Staff member signature

  Sign

• Staff member signature

  Sign