Information

FRANCHISEE DETAILS

  • Franchisee

  • Date

  • Location
  • FSE Code

  • Vehicle Make & Model

  • Vehicle Rego

  • Rego Photo

  • Trailer Rego

  • Trailer Photo (No.1)

  • Trailer Photo (No.2)

  • Trailer Photo (No.3)

GENERAL

  • Fire Extinguisher

  • Expiry Date

  • Full Finger Gloves

  • Hearing Protection

  • Safety Glasses

  • First Aid Kit

  • Traffic Cones

  • Amount

  • OHS Manual

  • Up to Date?

  • Warning Signs

  • Mowing In Progress

  • Spraying In Progress

  • Rectification Date

  • Sun Screen (30+)

  • SWMS

  • Rectification Date

  • Blank Document

  • Completed Document for Listed Services

  • Blank Injury Report Form

UNIFORM

  • Hi-Vis shirt

  • Hat

  • Steel Cap Boots

SERVICES PROVIDED

  • Mowing

  • Brush Cutter Guard

  • Edger Guard

  • Cracks in Case

  • Gardening

  • Chainsaw/Pruning

  • Hard-Hat/Hearing Protection & Visor Combo

  • Chaps

  • Working Chainsaw Break

  • Gutters

  • Single Storey

  • Industrial Rated Ladder (>120Kg)

  • Ladder Lock

  • Double Storey

  • Rated Harness

  • WorkSafe Qualification (Working at Heights)

  • Expiry Date

  • Spraying

  • Commercial Spraying Licence

  • Expiry Date

  • Chemical Resistant Gloves

  • Respirator

  • Chemical Resistant Googles

EMPLOYEES

  • Does Franchisee have employees?

  • Name

  • Induction Training Record

  • PPE

  • Record of Safety Meeting

  • Jims Mowing Hi-Vis Shirt

CONCLUSION

  • Franchisee Signature

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.