Information
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MCG-FOR-003K v.2
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Monthly Vehicle Inspection - Field Crew
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Mac #
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Crew Leader
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Date & Time
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Kilometres
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Rego
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Service Due
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Pass (P) Acceptable, meets all requirements and standards. A Pass may have identified concerns such as new minor damage but does not require an action. These are to be noted in the comments column and photographic evidence attached. Action (A) Requires an action to be completed to meet requirements Immediate Action (IA) Requires an immediate action to be completed to meet requirements, has been removed from service Not Applicable NA Not applicable, does not apply for this vehicle Note: All items which impacts the safety of persons or safe operation of (tyres, warning lights, seat belts, excessive leaks, service overdue in excess of 2000km or 2 hours) are to be given the rating of Immediate Action This tool is to be used for all Plumbing field vehicles.
Truck - External
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a) General presentation of the exterior (sign writing, cleanliness etc.)
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b) Security and condition of body work (no loose items, visible damage etc.)
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d) Glass, Mirrors, blinkers and lights are free from damage and functioning correctly (Windscreens, windows are free of vision impairing cracks or damage, headlights – Low & High Beam, Blinkers, hazard and warning lights, Brake lights)
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e) Tyre pressure and tread condition – visual inspection (+spare)
Truck Condition- Internal
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a) General presentation of the exterior (free of loose objects, cleanliness etc.)
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b) Seat condition
Storage
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a) Equipment stacked and secure (in place)
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b) Shelving secure and tidy
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*c) Oxy bottles secured and plugged<br>
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d) Containers clearly labelled<br>
Safety, PPE & Compliance
Fire Extinguishers (2):
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a) Free of obvious damage or leaks and the safety pin is in place
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b) Extinguishers are charged with a current inspection tag (6 mths)
First Aid Kit:
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a) Present appears stocked
Documentation:
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a) Quote, Department of commerce, SDS and compliance folders are in place
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b) Pre Operational inspections completed
Portable Ladders (all ladders to be inspected)
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Ladder numbers readable (document all numbers inspected in comments):
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Feet/end caps fitted and in good condition
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Ladder is in suitable working order (e.g. Free from rusted, corrosion sharp edges/burrs or splinters Rungs, treads, braces, hinges, bolts and rivets are present not damages and are secure.)
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Ladder is stable (free from twists and bends)
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Safety warning labels/stickers are in good condition
Extension Ladders Only
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Locks/latching device are present, working/seating properly when ladder is extended
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Rope pulleys and cords/ropes are working and in good condition (not worn, broken, frayed, rotten or badly deteriorated)
PPE Kit:
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Ear Muffs
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Hi Vis Vest
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Hard Hat(in date)
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Gloves (Riggers x2, Insulated x1)
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Safety Glasses
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Sun Hat
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Dust Masks
Tools and Equipment:
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Hand trolley
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Hole saw kit
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SDS drill set
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Metal drill set
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Alan Keys
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A Key
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Gate Key
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Access Keys x 12
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30m extension lead
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20m extension lead
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Bosch SDS hammer drill
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Jig saw
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Cordless charger
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Makita hammer drill
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Power board with safety shut off
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5” angle grinder
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4” angle grinder
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Bonding straps (2)
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Bar
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Sledge Hammer
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Shovel x 2
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Square mouth shovel
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Trenching shovel
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Extension ladder
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Manometer
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Mapp gas torch
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Locator
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18mm squeezers
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32mm squeezers
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50mm squeezers
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75mm squeezers
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100mm squeezers
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3/4” benders
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½” benders
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*LPG test gauge
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*250KPa test gauge
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*400KPa test gauge
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*Bubble tester
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*Pete’s plug probe
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½” – 1” expanders
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Pyramid expanders
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4” tube cutters
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4 wheel cutters
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Branch forming tool
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Flaring tool
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24” stilsons x 2
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Large socket set
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Small socket set
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G-clamps x 2
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Cavity drill
Gas Bottles/ Containers
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Acetylene Bottle “D” Size (x2)
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Oxygen Bottles “D” Size (x2)
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Flash Back Arrestor (x4)
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Regulators (x2)
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Oxy/Acet Hoses
