Title Page

  • Site conducted

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Crew Chargehand

  • Crew Operatives

  • Vehicle Registration

  • Random or Planned

Stud Installtion

  • Stick On's

  • Embedded Depressible

  • Solars

  • Embedded Non Depressible

  • Glass

  • Inserts

  • Weather Conditions

  • Surface

Quality

  • Conforming to Drawings

  • Uniformity

  • Bitumen Application

  • Vacuuming of Planings

  • Is milled depth to spec

  • Stud located in centre of gap

TM

  • TM provided by Hi-Way Services Ltd

  • TM provided by others

Vehicle Inspection

  • DRS Book

  • Vehicle Defect Book

  • Near Miss Book

  • Vehicle Crew Pack

  • Spill Kit

  • Water Container

  • Fire Extinguishers and in date

  • Condition of Cab

  • Condition of Chassis Bed

  • Spare Pics (Miller teeth)

PPE

  • Wearing Clean and Correct PPE

  • PPE Bags

  • Full High Visibility Clothing

  • Hard Hat

  • Face Visor

  • Ear Defenders

  • Eye Protection

  • Breathing Apparatus + Appropriate Filter

  • Safety Boots (Steed Toe)

  • Appropriate to Task Gloves

  • Burns Kit

  • First Aid Kit

Plant and Equipment

  • Stobes, Beacons, Working Lights

  • Vacuum

  • Compressor

  • Pre-Heater

  • Comments

  • Auditor

  • Crew Chargehand

  • Client Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.