Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • MAC #

  • Crew Leader

  • Supervisor

  • Rego #

  • Good - Acceptable, meets all requirements and standards.
    Fair - Satisfactory, could be improved.
    Poor - Not acceptable, does not meet requirements and standards.
    N/A - Not applicable, does not apply in this inspection.

    NOTE: All items with * are no- negotiable and are Mac Gas Minimum requirements.

Truck condition -External

  • General cleanliness of exterior

  • Condition of cabin body work

  • Condition of rear ramp

  • Is hydraulic operational

  • Are there any leaks

  • Mac Gas stickers visible

Truck Condition - Internal

  • General cleanliness

  • Pedal Condition - visual check (brake)

  • Operation or gauges (speedo)

  • Seat condition

  • Truck servicing up to date sticker check

Truck Roadworthiness

  • * Registration label and number plate visible

  • Condition of mirrors - not cracked

  • Wiper operation and blade condition

  • Windscreen condition (cracks/ chips)

  • Brake lights and head light operation

  • Blinker condition and operation

  • Hazard light operation

  • Tyre pressure and tread condition (+spare)

  • Jack availability and condition

Equipment Storage

  • Equipment stacked and secure (in place)

  • Equipment handle condition (shovels etc)

  • Shelving secure and tidy

Trailer Use

  • Paint work and body appearance

  • Tow bar and chain in working condition

  • Lights and covers

  • Towing leads for lights condition

  • Jockey wheel

  • * Registration plate and label visible

  • Tire pressure and tread condition (+spare)

Generator

  • General cleanliness and condition

  • Starting and stopping (general functionality)

  • Condition of electrical plug

  • * Servicing / inspection plate / sticker attached

Jack Hammer

  • Lubrication

  • Handle and valve

  • Hose connection

  • Safety chains, rings and clip

  • Body condition

Saw Concrete

  • Saw blade condition

  • Spare saw belt available

  • Oxy and acct kit

Air Hoses

  • Correct number of hoses

  • Connections

  • General condition of all hoses

  • Safety chains and clips

Compressor

  • Hose connection

  • Start and stopping (general functionality)

  • Absence of fuel and oil leaks

  • Operation of instruments (gauges)

  • Are gauges operational

  • Is the operation & condition good

  • No, Explain

  • Current hours reading

  • Last service

  • Due service hours

  • Servicing / inspection tag / sticker attached

Fusion Equipment

  • Stored correctly

  • Lead condition - Inspection tags

  • Condition of irons

  • Temperature setting - visual check

Pavement / Road / Rock Drill

  • Lubrication of drill and sand

  • Handle and valve condition

  • Hose connection

  • Safety chains, rings and clip

  • Drill retainer clip

  • Body bolts

  • Silencer block attached

  • Drill or star drill

Larger machinery / Equipement

  • Electrofusion machine Qty 1

  • Excavator Qty 1

  • * Grundamat and controller Qty 1

  • * Wacker Qty 1

Excavator

  • Current hours reading

  • Last service

  • Due service hours

  • Any leaks

  • Are lights operational

  • Is siren operational

  • Is lock-in pin present

  • Track condition

  • Hydraulic arm condition

  • Condition of grease nipples

Air tools

  • Air drill large Qty 1

  • Air drill small. Qty 1

  • Attachment for air bags Qty 1

  • Jackhammer points Qty min 4

  • Road Drill Qty 1

  • Road drill bits

  • Spader Qty 1

  • Tar cutter Qty 1

Traffic / Pedestrian control equipment

  • Barrier mesh / webbing

  • Gas emergency sign

  • No smoking sign

  • * Pedestrian sign Qty 2

  • Star post caps

  • Star posts

  • Stop / Slow lollipop sign

  • * Witches hats large Qty 8

  • Witches hats small

  • Witches hats green

  • * Workman ahead sign Qty 2

  • * Tiger tails Qty 5

Hand digging tools

  • Axe

  • Broom (road) Qty 1

  • Jumper bar Qty 1

  • Mattock

  • Pinch bar Qty 1

  • Pick

  • Rake Qty 1

  • Shovel round Qty 2

  • Shovel square Qty 1

  • Shovel trenching

  • Sledge Hammer Qty 1

  • Spud bar - Insulated Qty 1

  • Star post driver

Specialist tools/Misc

  • Air bags (various sizes)

  • Asbestos kit Qty 1

  • Cordless hammer drill

  • Crushers Qty 1

  • * Filter rolls Qty 6

  • Four wheel cutters

  • Gas mask atmospheric Qty 1

  • Gas mask Medi-air

  • Measuring wheel

  • Pipe locator Qty 1

  • Saddle cutter large Qty 1

  • Saddle cutter small Qty 1

  • * Spill kit Qty 1

  • Squeezers 110mm

  • Squeezers 18mm. Qty 2

  • Squeezers 32mm Qty 2

  • Squeezers 75mm Qty 2

  • Grease gun

  • * Test gauge Qty 1

  • * Air pump Qty 1

  • Gas surveyor

  • * WPNG sign Qty 1

Hand tools

  • 10 mm Allen key Qty 1

  • Allen keys imperial and metric Qty 1

  • Bursting wedge Qty 3

  • Callipers

  • Claw hammer Qty 1

  • De-Burring tool Qty 1

  • Expander set

  • Footprints large Qty 1

  • Footprints small Qty 2

  • Gas lighter Qty 1

  • Hacksaw Qty 1

  • Hand torch Qty 1

  • Hole saw arbours Qty 1

  • Lid lifter Qty 1

  • Lump hammer Qty 1

  • Mirror telescopic

  • Multi-Grips Qty 1

  • Nylon cutters

  • Nylon saw Qty 1

  • Pipe benders 3/4" Qty 1

  • Pipe cutters for CU (small) Qty 1

  • Screwdriver set Qty 1

  • Set of hole saws Qty 1

  • Shifter 10" Qty 1

  • Shifter 15" Qty 1

  • Shifter 6" Qty 1

  • Spirit level Qty 1

  • Spray bottle for snoop Qty 1

  • Stanly knife Qty 1

  • Stillsons large Qty 1

  • Tape measure Qty 1

  • Tinsnips Qty 1

  • Various taps Qty 1

  • Wire brush Qty 1

Personal Protective Equipment

  • A4 plastic for hazard alerts

  • Aerogaurd

  • Barrier cream

  • Carry bag with mac gas logo

  • Day/ Night Fluor vest Qty 1

  • Disposable overalls Qty 1

  • Dust masks Qty 1

  • Ear muffs Qty 3

  • * First aid kit large Qty 1

  • First aid kit small

  • Gum boots Qty 2

  • * Hard hat (in date) Qty 3

  • Fire hood Qty 2

  • Rigger gloves Qty 3

  • * Safety boots

  • * Safety glasses Qty 3

  • Sun hat Qty 3

  • Sunscreen

  • Saline solution Qty 6

  • Insulated gloves

Stationary / Documentation

  • Field report books

  • Hasif booklet

  • Incident report forms

  • Street directory

  • MCG-FOR -013 chemical register

Consumables

  • Adjustable straps Qty 3

  • Batteries (Various sizes)

  • CRC spray

  • Denso tape Qty 3

  • Drill bits masonry Qty 2

  • Drill bits timber

  • Drill bits twist

  • Duct tape Qty 2

  • Gloves (surgical) Qty 2

  • Grease for grease gun

  • Hacksaw blades Qty 10

  • Hand cleaner

  • Locktitle Qty 2

  • Locxeal

  • Marker tape (yellow) Qty 2

  • Nylon cutter blades Qty 2

  • Nylon glue Qty 2

  • Paint brushes 12mm -20mm Qty 3

  • Rope

  • Silicone Qty 1

  • Silver solder Qty 10

  • Silver solder flux Qty 1

  • Snoop concentrate Qty 1

  • Teflon tape Qty 2

Electrical Equipment (tagged monthly)

  • Extension lead 10/15 AMP Qty 2

  • Hammer drill Qty 1

  • Power board with safety shut off Qty 1

  • Spotlights

  • * Bonding straps Qty 2

Gas Bottles / Containers

  • Acetylene Bottle "D" size Qty 1

  • * Fire extinguishers Qty 2

  • Jerry can and funnel Qty 3

  • Medi-air bottles "C" size

  • Oxygen bottles "D" size Qty 1

  • Water container Qty 2

  • Flash back arrestor Qty 2

  • Oxy/ Accy hoses Qty 1

  • Oils and containers labelled

  • Trace wire Qty 2

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.