LORRY AUDIT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add media

  Media

• Select date

  Date

Health & Safety Risk Assessment + Method Statement

• Working with CCTV Unit?

  Yes

  No

  N/A

• Site specific Risk Assessment & Method Statement on Vehicle?

  Yes

  No

  N/A

• Site File containing Training Certificates and Local Emergency Locations?

  Yes

  No

  N/A

PPE

• Safety Boots (Lace ups)

  Yes

  No

  N/A

• Hard hat

  Yes

  No

  N/A

• Suitable gloves for work being carried out

  Yes

  No

  N/A

• Hi visibility vest

  Yes

  No

  N/A

• Safety Glasses, Eye protection?

  Yes

  No

  N/A

• Ear defenders, ear protection

  Yes

  No

  N/A

• General appearance of personnel on site?

Signing Lighting & Guarding - Chapter 8

• 2 Men at works signs

  Yes

  No

  N/A

• 2 road narrow signs

  Yes

  No

  N/A

• 2 Arrow signs

  Yes

  No

  N/A

• 6 Cones

  Yes

  No

  N/A

• Chapter 8 Book (small red book)

  Yes

  No

  N/A

• Barrier System with BB number clearly visible?

  Yes

  No

  N/A

Jetting Equipment

• Small Forward Facing Bomb

  Yes

  No

  N/A

• Small Rear Facing Bomb

  Yes

  No

  N/A

• Medium Rear Facing Bomb

  Yes

  No

  N/A

• Medium Spinning Bomb

  Yes

  No

  N/A

• Large Rear Facing Bomb

  Yes

  No

  N/A

• Do you have a Tiger Tale? (hose Guide)

  Yes

  No

  N/A

• undefined

Safety Equipment

• Gas Monitor & Charger?

  Yes

  No

  N/A

• Harness?

  Yes

  No

  N/A

• Safety Rope?

  Yes

  No

  N/A

• Escape set?

  Yes

  No

  N/A

Ancillary Equipment

• Standard Man Hole Keys

  Yes

  No

  N/A

• Pinch Bar

  Yes

  No

  N/A

• Crow Bar

  Yes

  No

  N/A

• 5 Foot Wrecking Bar

  Yes

  No

  N/A

• Screwdriver Set

  Yes

  No

  N/A

Miscellaneous

• First Aid Kit In Easy To Find Location

  Yes

  No

  N/A

• Fire Extinguisher, In Date + Unused

  Yes

  No

  N/A

• Does vehicle have Tax

  Yes

  No

  N/A

Questions For Operator

• Are all jets clear

  Yes

  No

  N/A

• Do the inserts in the bombs require changing?

  Yes

  No

  N/A

Comments

• undefined

• Add signature

  Sign