Title Page
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Site conducted
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Plant/Area:
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Employee/Contractor Name:
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Conducted on
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Prepared by
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Line Manager
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Location
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Task description:
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Is the driver of the vehicles declared competent, licensed or authorised to use the vehicle? Check for a valid driver’s license? (Vehicle / forklift / truck / tankers etc.)
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Does the vehicle have a valid license? Check for suitability e.g. Transportation of dangerous goods
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Is the vehicle inspected before use? (Check pre use inspection or ask the driver)
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Is the driver obeying traffic rules? (Speed, road signs and road markings etc.)
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Is the driver, driving the vehicle without using a cell phone? (Hands free kit or headset to be used)
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Is the drivers and passengers wearing their safety belts?
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Is the drivers keeping a safe distance from the vehicle in front?
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Is the driver adhering to the speed limit?
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Comments: Where deviations have been noted, indicate the corrective action taken. Also report the matter to the supervisor
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Auditors signature: