Leichhardt Municipal Council Vehicle Inspection

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Details

• Vehicle Number

• Vehicle Registration

Previous inspections

• Has any previous reports been written and reviewed prior to this inspection?

  Yes

  No

  N/A

• Date of Previous report

  Date

Fire Protection

• Is inspection tests up to date for inspected fire extinguishers

  Yes

  No

  N/A

• Date of last test

  Date

• Are the fire extinguishers accessible and clear from obstruction

  Yes

  No

  N/A

Emergency Evacuation

• Communication process in place for an emergency?

  Yes

  No

  N/A

First Aid

• Are First aid kits checked on a regular basis

  Yes

  No

  N/A

• Date of last check

  Date

• Is all content in date? (check expiry dates)

  Yes

  No

  N/A

• Are emergency telephone numbers displayed?

  Yes

  No

  N/A

• Are all injuries reported and recorded (AT OFFICE)?

  Yes

  No

  N/A

• Is a sharps kit available ?

  Yes

  No

  N/A

• Add media

  Media

Electrical

• Is electrical equipment tested and tagged on a regular basis?

  Yes

  No

  N/A

• Date of next test

  Date

• Are portable safety switches (RCD's) available?

  Yes

  No

  N/A

Portable Power Tools

• Are portable power tools in good condition?

  Yes

  No

  N/A

• Are all guards in place?

  Yes

  No

  N/A

• Other Observations?

Personal Protective Equipment

• is appropriate PPE available and being maintained correctly

• Is all PPE maintained in good condition

  Yes

  No

  N/A

• If NO detail the appropriate PPE and Condition

• Ear

  Yes

  No

  N/A

• Eye

  Yes

  No

  N/A

• Hand

  Yes

  No

  N/A

• Foot

  Yes

  No

  N/A

• Respiratory

  Yes

  No

  N/A

• Chainsaw

  Yes

  No

  N/A

• Include a picture of PPE

  Media

• Are respirators stored correctly

  Yes

  No

  N/A

• Stored in plastic bags (dust Free)?

  Yes

  No

  N/A

• All disposable respirators have 2 straps

  Yes

  No

  N/A

• Are earmuffs correctly maintained?

  Yes

  No

  N/A

Hazardous Substances

• Are chemicals correctly stored?

  Yes

  No

  N/A

• Are containers well marked/labelled correctly?

  Yes

  No

  N/A

• Is there appropriate ventilation for both use and storage ?

  Yes

  No

  N/A

• Is spill kit complete and accessible?

  Yes

  No

  N/A

• Is there an MSDS register available in Vehicle?

  Yes

  No

  N/A

• Check and note hazardous substances found in vehicle and MSDS available

General Housekeeping

• Are the cab and tray areas kept clean and tidy?

  Yes

  No

  N/A

• Is Tarp/shade cloth load cover available?

  Yes

  No

  N/A

• Hazardous workplace signs ie witches hats/barrier warning tape?

  Yes

  No

  N/A

• Are all loose items secured or tied down?

  Yes

  No

  N/A

• Other Observations?

• Include photos of cab and tray

  Media

Plant/Equipment

• Are ladders in good condition?

  Yes

  No

  N/A

• Warning, reversing and headlights operating?

  Yes

  No

  N/A

General

• Are incident/injury report forms available?

  Yes

  No

  N/A

• Are out of service/danger tags available for use?

  Yes

  No

  N/A

Other hazards

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Opportunity for Improvement

• Corrective Actions

• signature of inspector

  Sign

• Signature of person involved

  Sign