Information
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Project Name
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Project No.
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Audited by
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Location
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Date
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Project Manager
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Supervisor
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Score
- 1
- 2
- 3
- 4
Crew Truck
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1.1 First Aid Kit
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1.2 Fire Extinguisher
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1.3 Burns Kit
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1.4 Spill Kit
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1.5 Flashing Lights
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1.6 Reversing Alarm
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1.7 Burns Card
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1.8 Emergency Procedures
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1.9 Emulsion Tank
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1.10 Emulsion Handspray Lance / Hose
Crew Van
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2.1 First Aid Kit
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2.2 Fire Extinguisher
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2.3 Burns Kit
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2.4 Spill Kit
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2.5 Flashing Lights
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2.6 Burns Card
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2.7 Emergency Procedures
Signs Truck
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3.1 First Aid Kit
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3.2 Fire Extinguisher
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3.3 Burns Kit
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3.4 Spill Kit
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3.5 Flashing Lights
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3.6 Reversing Alarm
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3.7 Burns Card
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3.8 Emergency Procedures
Supervisors Ute
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4.1 First Aid Kit
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4.2 Fire Extinguisher
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4.3 Burns Kit
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4.4 Spill Kit
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4.5 Flashing Lights
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4.6 Burns Card
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4.7 Emergency Procedures
Car Trailer
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5.1 COF / WOF / Time Licence
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5.2 Chains / Twitches
Transport Trailer
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6.1 COF / WOF / Time Licence
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6.2 Chains / Twitches
Chip Truck
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7.1 First Aid Kit
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7.2 Fire Extinguisher
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7.3 Flashing Lights
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7.4 Reversing Alarm
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7.5 Roller Spreader
Chip Truck
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8.1 First Aid Kit
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8.2 Fire Extinguisher
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8.3 Flashing Lights
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8.4 Reversing Alarm
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8.5 Roller Spreader
Tools and Equipment
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9.1 Gas Bottles
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9.2 Signs
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9.3 Stands
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9.5 Stop / Go Paddles
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9.6 Brooms
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9.7 Leaf Blower
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9.8 Concrete Saw
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9.9 Pic's
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9.10 Shovels
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9.10 Shovels
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9.11 Leads Tagged - every 3 months
Machinery - Roller
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10.1 ROPS / / BOPS / TOPS
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10.2 Flashing Lights
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10.3 Seat Belts
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10.4 Handrails
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10.5 Reversing Alarm
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10.6 COF / WOF
Machinery - Roller
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11.1 ROPS / / BOPS / TOPS
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11.2 Flashing Lights
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11.3 Seat Belts
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11.4 Handrails
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11.5 Reversing Alarm
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11.6 COF / WOF / Time Licence
Machinery - Loader
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12.1 ROPS / / BOPS / TOPS
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12.2 Flashing Lights
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12.3 Seat Belts
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12.4 Handrails
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12.5 Reversing Alarm
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12.6 COF / WOF / Time Licence
Machinery - Broom
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13.1 ROPS / / BOPS / TOPS
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13.2 Flashing Lights
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13.3 Seat Belts
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13.4 Handrails
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13.5 Reversing Alarm
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13.6 COF / WOF / Time Licence
Machinery - Paver
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14.1 Burners
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14.2 ROPS / FOPS
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14.3 Flashing Lights
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14.4 Seat Belts
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14.5 Handrails
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14.6 Reversing Alarm
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14.7 COF / WOF / Time Licence
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14.8 First Aid
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14.9 Fire Extinguisher
Machinery - Plate Compactor
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15.1 Handrails
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15.2 Plate
Sprayer
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16.1 E2 Certificate
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16.2 Transfer Hoses
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16.3 Camlocks
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16.4 Burner Tubes
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16.4 Burner Tubes
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16.5 Handspray Lances / Hoses
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16.6 Handrails
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16.7 Fire Extinguisher
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16.8 First Aid Extinguisher
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16.9 Burns Card
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16.10 First Aid Kit
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16.11 Burns Kit
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16.12 Spill Kit
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16.13 MSD Sheet
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16.14 Emergency Plaquard / Stickers
Sprayer
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17.1 E2 Certificate
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17.2 Transfer Hoses
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17.3 Camlocks
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17.4 Burner Tubes
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17.5 Handspray Lances / Hoses
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17.6 Handrails
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17.7 Fire Extinguisher
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17.8 First Aid Extinguisher
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17.9 Burns Card
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17.10 First Aid Kit
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17.11 Burns Kit
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17.12 Spill Kit
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17.13 MSD Sheet
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17.14 Emergency Plaquard / Stickers
Bitumen Trailers
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18.1 Transfer Hoses
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18.2 Camlocks
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18.3 Handrails
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18.4 Burner Tubes
PPE
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19.1 Hard Hats
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19.2 Overalls
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19.3 Safety boots worn
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19.4 Safety Glassess
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19.5 Ear Muffs / Ear Plugs
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19.6 Day Glows
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19.7 Gloves
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19.8 Face Masks
Site Office / Yard
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20.1 First Aid Kit
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20.2 Fire Extinguisher
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20.3 First Aid Extinguisher
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20.4 Burns Card
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20.5 Safety Shower
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20.6 Safety Procedures
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Auditor Name & Signature
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Project Manager Name & Signiture
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