Title Page
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Site conducted
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Conducted on
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Manager / Supervisors name
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Technicians Name
VOC Sign Off
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Required VOCs
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SWMS to be read and signed by Technician
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SWMS Signed and returned to Manager / Supervisor
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What is the minimum PPE required in the Service Workshop
- Safety Glasses
- Steel cap boots
- Long sleeve high visibility short
- Long pants
- Hard Hat
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Can you operate a Forklift without a license
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Can you use the grinder with just safety glasses?
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How do you control loud noises in the workshop?
- Hearing Protection
- Double Eye Protection
- Alternative Tools or Equipment
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Can you test a diesel machine, including diesel burner inside the workshop?
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Was required PPE utilised as per the SWMS?
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Did the Technician follow safety process as per the SWMS?
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Competent / Not Yet Competent
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Manager / Supervisor Signature
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Technicians Signature
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SWMS to be read and signed by Technician
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SWMS Signed and returned to Manager / Supervisor
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What extra PPE is Required when using the hose crimper?
- Face Shield
- Hearing Protection
- Dust mask
- Gloves
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Did the Technician follow safety process as per the SWMS?
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Supervisor / Managers Signature
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Technicians Signature
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SWMS to be read and signed by Technician
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SWMS Signed and returned to Manager / Supervisor
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What extra PPE is Required when using the drop saw?
- Face Shield
- Hearing Protection
- Dust mask
- Gloves
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Was required PPE utilised as per the SWMS?
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Did the Technician follow safety process as per the SWMS?
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Supervisor / Managers Signature
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Technicians Signature
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Provide Photo of Licence
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High Risk Licence Number
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Do not proceed until Licence number is received along with photo.
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SWMS to be read and signed by Technician
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SWMS Signed and returned to Manager / Supervisor
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When do you sound your horn?
- Leaving a building
- Entering a building
- Going around a blind corner
- Passing another vehicle
- Picking up a pallet
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What action do you take if the seatbelt is faulty?
- Stop
- Tag out Forklift
- Report it to your Supervisor / Manager
- Continue driving
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When is a Pre-Start completed?
- Every day
- Start of shift
- Middle of shift
- Once per week
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Did the Trainee demonstrate an adequate Pre-Start?
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Was the forklift operated in a safe manner?
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Was the load safely picked up, transported and put down?
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Competent / Not Yet Competent
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Manager / Supervisor Signature
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Technicians Signature
