Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Compliance Statement Quarter

  • additional question

Review

  • Number of Mass Accredited Vehicles (Not including trailers)

  • Total number of loads completed within the Quarter above GML (43t)

  • Were there loads over the relevant mass limit?

  • Number of overloads 0-250kg

  • Number of over overloads 250-1000kg

  • Number of overloads 1000-2000kg

  • Number of Overloads over 2000kg

  • Were Incident reports raised for overloads

  • Where all axle weights recorded for NHVAS trucks on designated runsheets for this quarter?

  • Record Incident Raised for non complying runsheets

  • Were defects/infringements raised either internally or NHVR/VicPol

  • Servicing - Has servicing of truck and trailers been completed during quarter

  • Is servicing overdue for any of the NHVAS Accredited Vehciles?

  • Document incident report number raised for overdue serivicing

  • How many faults were reported for NHVAS Truck and Trailers for Quarter

  • How many faults remain open for NHVAS Truck and Trailers

Incidents/Nonconformances

  • Number of Incident reports raised for NHVAS Accredited Vehicles for the Quarter

  • Number of closed incident reports for NHVAS Accredited Vehicles for the Quarter

  • Number of Incident reports OPEN for NHVAS Accredited Vehicles for the Quarter

Completed By

  • Signature

  • Date

  • Notify Transport GM and COR Lead

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