Title Page
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Conducted on
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Prepared by
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Registration number of van being Audited
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Technician driving van
Tools
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Click here to select an Audit to complete
- Scope Audit
- Civil Audit
- FRT Audit
- Provisioning Audit
- Pole Test and Tag
- Civil/FRT Hybrid
Hand Tools
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Tri Wing Screwdriver No2
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What is the condition of the Tri Wing Screwdriver No2
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Take a photo of the condition
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Tri Wing Screwdriver No3
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What is the condition of the Tri Wing screwdriver No3?
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Take a photo of the condition
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Measuring Tape
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What is the condition of the Measuring Tape?
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Take a photo of the condition
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Multi head screwdriver
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What is the condition of the Multi head Screwdriver?
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Take a photo of the condition
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Pocket Torch
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What is the condition of the Pocket Torch?
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Take a photo of the condition
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Measuring Wheel
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What is the condition of the Measuring Wheel?
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Take a photo of the condition
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Ipad
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Take a photo of the Ipad
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What is the serial Number of the Ipad
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What is the condition of the Ipad?
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Is the Ipad in the protective cover?
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Where is the Ipad?
Health and safety
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Fire Extinguisher
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Is the Fire extinguisher mounted to the car?
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Fire Extinguisher service date
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Take a photo of the Fire extinguisher
Hand Tools
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Hammer
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What is the condition of the hammer?
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Take a photo of the hammer
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Square drive screwdriver No.2
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What is the condition of the Square drive screwdriver No.2?
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Take a photo of the condition
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Pliers
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What is the condition of the Pliers?
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Take a photo of the condition
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Long nose pliers
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What is the condition of the Long nose pliers
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Take a photo of the condition
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Side cutters (pliers)
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What is the condition of the Side cutters
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Take a photo of the condition
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Duct cutters (Conduit Cutter)
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What is the condition of the Duct cutters
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Take a photo of the condition
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Cable roller
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What is the condition of the Cable roller?
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Take a photo of the condition
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Press Master
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What is the condition of the Press Master
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Take a photo of the condition
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Fibre Cutter Festo Ribbonet (Blue handle cutter with triangle blade)
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What is the condition of the Fibre tube cutter?
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Take a photo of the condition
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Tape Measure (8m)
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What is the condition of the Tape measure?
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Take a photo of the condition
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Screwdriver set
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What is the condition of the Screwdriver set?
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Take a photo of the condition
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Tool bag
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What is the condition of the Tool bag
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Take a photo of the condition
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Water hose (heavy duty 18m)
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What is the condition of the Water hose?
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Take a photo of the condition
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Water hose Tap Adaptor (Universal)
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Water hose connector
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GERRY CAN
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Please remove the Gerry can from the vehicle
Consumables
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Masonary drill bit (5mm) Standard chuck
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Long masonry bit 10mm (Standard chuck)
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Long wood bit 10mm (Standard chuck)
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1m Dirt Drill bit
Digging Tools
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Sledge Hammer
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What is the condition of the Sledge hammer?
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Take a photo of the condition
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Crowbar (Insulated)
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What is the condition of the Crowbar
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Take a photo of the condition
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Hand Trowel
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What is the condition of the Hand Trowel
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Take a photo of the condition
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Spade
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What is the condition of the Spade
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Take a photo of the condition
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Trenching Spade
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What is the condition of the Trenching Spade?
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Take a photo of the condition
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Shovel
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What is the condition of the Shovel?
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Take a photo of the condition
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Steel rake
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What is the condition of the Steel Rake?
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Take a photo of the condition
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Grass rake
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What is the condition of the Grass Rake?
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Take a photo of the condition
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Yard Broom
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What is the condition of the Yard Broom?
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Take a photo of the condition
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Foot rammer
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What is the condition of the Foot rammer?
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Take a photo of the condition
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Slot cut compactor
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What is the condition of the Slot cut Compactor?
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Take a photo of the condition
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Grubber/Pick
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What is the condition of the Grubber/pick?
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Take a photo of the condition
Power Tools
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Cordless Hand Grinder
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Make
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Serial number
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What is the condition of the Hand Grinder?
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Take a photo of the hand grinder
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Rotary Drill 18v
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Make
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Serial number
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What is the condition of the Rotary Drill
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Take a Photo of the Rotary drill
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Hammer Drill 18v
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Make
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Serial number
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What is the condition of the Hammer Drill?
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Take a photo of the hammer drill
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Impact Driver 18v
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Make
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Serial number
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What is the condition of the Impact Driver?
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Take a photo of the Impact driver
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18v Battery Charger
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Make
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Serial number
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What is the condition of the Battery Charger?
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Take a photo of the Battery charger
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Is the charger at home?
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1st 18v batteries
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Make
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Serial number
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What is the condition of the 1st Battery?
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Take a phot of the 1st battery
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2st 18v batteries
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Make
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Serial number
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What is the condition of the 2nd Battery
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Take a photo of the 2nd battery
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CAT LOCATOR
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Make
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Serial number
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What is the condition of the CAT Locator
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Calibration Date
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Has it got a current Calibration
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Take a photo of the CAT Locator
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CAT Genny
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Make
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Serial number
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What is the condition of the CAT Genny
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Calibration Date
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Has it got a current Calibration
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Take a photo of the CAT Genny
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Terrasaw
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Make
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Serial number
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What is the condition of the Terrasaw?
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Next service date
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Has it got a current service
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Take a photo of the Terrasaw
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Concrete Cutter
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Make
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Serial number
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What is the condition of the Concrete Cutter?
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Next service date
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Has it got a current service
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Take a photo of the concrete cutter
Health and Safety
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Has the van got less that 5 cones?
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Please provide this van with extra cones up to a minimum of 5 before allowing them to continue.
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What are the condition of all cones? (damages, bad reflectors)
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Please provide this van with extra cones up to a minimum of 5 before allowing them to continue.
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Has the van got less than 2 barriers?
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Please provide this van with extra Barriers up to a minimum of 2 before allowing them to continue.
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What are the condition of the barriers?
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Please provide this van with extra Barriers up to a minimum of 2 before allowing them to continue.
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SAFETY CHAPS
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FACE SHEILD HELMET
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FIRST AID KIT
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Fire Extinguisher in the van
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Take a photo of the Fire extinguisher
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Fire extinguisher service date
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Is the fire extinguisher mounted on the cage behind the passenger seat?
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SPILL KIT/SOCKS
Hand Tools
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Set of Small Allen keys
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Hammer
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Square drive screwdriver No.2
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Pliers
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Long nose pliers
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Side cutters (pliers)
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Duct cutters (Conduit Cutter)
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Tri Wing Screw Driver No2
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Press Master
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Fibre Cutter Festo Ribbonet
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Tape Measure (8m)
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Screwdriver set
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GERRY CAN
Digging Tools
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Crowbar
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Hand Trowel
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Spade
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Shovel
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Steel rake
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Grass rake
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Yard Broom
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Foot rammer
Security
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Erricson CABINET KEY
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Shape CABINET KEY
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PEDESTAL KEY
Power Tools
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Cordless Hand Grinder
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Make
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Serial Number
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Take a photo of the Hand grinder
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1st 18v batteries
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Make
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Serial Number
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Take a photo of the 1st battery
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2st 18v batteries
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Make
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Serial Number
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Take a photo of the 2nd bettery
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18v Battery Charger
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Make
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Serial Number
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Take o photo of the battery charger
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Is the Charger at home?
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Air Compressor
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Make
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Model
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Has it got a current service date
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Service Date
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Take a photo of the Air compressor
Health and Safety
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HOSE PROTECTOR ( Should have x1 )
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FIBRE BIN
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FIRST AID KIT
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FIRE EXTINGUISHER
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Take a photo of the Fire extinguisher
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Fire extinguisher service date
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Is the Fire Extinguisher mounted on the cage behind the passenger seat?
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SPILL KIT/SOCKS
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BALL BEARING CATCHER
Hand Tools
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Hammer
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Square drive screwdriver No.2
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Pliers
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Long nose pliers
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Side cutters (pliers)
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Duct cutters (Conduit Cutter)
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Tri Wing Screw Driver No2
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Tri Wing Screw Driver No3
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Gib Saw
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Cable roller
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Press Master
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A Frame Ladder (1.8-3.3m)
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Take a photo of the A frame ladder
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Step Ladder
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Head torch (250 Lumen)
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Fibre Cutter Festo Ribbonet
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Hack saw
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Tape Measure (8m)
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Scissors (210mm)
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Level
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Screwdriver set
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Chalking gun
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Tool bag
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Snake
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Rodding Rods
Provisioning Tools
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Scotch lock crimp tool
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Punch down tool multi tool
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RJ45/RJ11 Crimp tool
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Butt Phone (test phone)
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Tone circuit tracer
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Lan Tester
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stud finder
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Fibre strippers
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Splicer
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Make
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Model
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Serial number
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Current service
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Last service date
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is the Splicer charger in the van?
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Is the Charger at home?
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Take a photo of the splicer
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Cleaver
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Is it a Sumitomo Slicer/Cleaver?
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Light source
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Take a photo of the light source
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Power Meter
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Take a photo of the power meter
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Fibre scoping tool
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Take a photo of the Fibre scoping tool
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Fibre cleaning kit
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please take a photo of the Fibre Cleaning kit
Consumables
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Masonary drill bit (5mm) Standard chuck
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Long masonry bit 10mm (Standard chuck)
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Long wood bit 10mm (Standard chuck)
Digging Tools
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Hand Trowel
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Spade
Security
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Erricson CABINET KEY
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Shape CABINET KEY
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PEDESTAL KEY
Power Tools
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1st 18v batteries
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Make
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Serial number
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Take a photo of the 1st battery
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2st 18v batteries
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Make
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Serial number
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Take a photo of the 2nd battery
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18v Battery Charger
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Make
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Serial number
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Take a photo of the battery charger
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Is the Charger at home?
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Hammer Drill 18v
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Make
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Serial number
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Take a photo of the Hammer drill
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Impact Driver 18v
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Make
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Serial number
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Take a photo of the Impact driver
Health and Safety
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FIBRE BIN
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Fibre Shards container
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FIRST AID KIT
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FIRE EXTINGUSHER
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Take a photo of the Fire extinguisher
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Fire Extinguisher service date
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Is the Fire Extinguisher installed on the cage behind the passenger cage.
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Umbrella
Hand Tools
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Hammer
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40cm Ruler
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Calipers
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Pole Measuring stick (8m)
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Disto Laser measurement tool
Power Tools
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1st 18v batteries
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Make
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Serial number
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Take a photo of the 1st battery
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2st 18v batteries
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Make
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Serial number
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Take a photo of the 2nd battery
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Is the 18v Battery Charger in the van?
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Make
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Serial number
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Take a photo of the battery charger
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Is the Charger at home?
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Impact Driver 18v
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Make
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Serial number
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Take a photo of the Impact driver
Health and safety
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First Aid Kit
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Fire Extinguisher installed and current
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Take a photo of the Fire extinguisher
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Fire Extinguisher service date
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Is the fire extinguisher mounted to the cage behind the passenger seat.
Hand Tools
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Set of Small Allen keys
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Hammer
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Square drive screwdriver No.2
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Pliers
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Long nose pliers
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Side cutters (pliers)
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Duct cutters (Conduit Cutter)
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Cable roller
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Press Master
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Fibre Cutter Festo Ribbonet
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Tape Measure (8m)
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Screwdriver set
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Tool bag
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Water hose (heavy duty 18m)
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Water hose Tap Adaptor (Universal)
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Water hose connector
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GERRY CAN
Consumables
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Masonary drill bit (5mm) Standard chuck
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Long masonry bit 10mm (Standard chuck)
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Long wood bit 10mm (Standard chuck)
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1m Dirt Drill bit
Security
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Erricson CABINET KEY
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Shape CABINET KEY
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PEDESTAL KEY
Digging Tools
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Sledge Hammer
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Crowbar (Insulated)
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Hand Trowel
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Spade
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Trenching Spade
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Shovel
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Steel rake
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Grass rake
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Yard Broom
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Foot rammer
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Pick Axe
Power Tools
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Cordless Hand Grinder
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Make
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Serial number
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Take a photo of the hand grinder
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Rotary Drill 18v
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Make
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Serial number
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Take a Photo of the Rotary drill
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Hammer Drill 18v
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Make
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Serial number
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Take a photo of the hammer drill
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Impact Driver 18v
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Make
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Serial number
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Take a photo of the Impact driver
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18v Battery Charger
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Make
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Serial number
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Take a photo of the Battery charger
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Is the charger at home?
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1st 18v batteries
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Make
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Serial number
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Take a phot of the 1st battery
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2st 18v batteries
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Make
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Serial number
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take o photo of the 2nd battery
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CAT LOCATOR
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Make
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Serial number
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Calibration Date
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Has it got a current Calibration
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Take a photo of the CAT Locator
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Terrasaw
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Make
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Serial number
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Next service date
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Has it got a current service
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Take a photo of the Terrasaw
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SAFETY CHAPS
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FACE SHEILD HELMET
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Concrete Cutter
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Make
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Serial number
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Next service date
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Has it got a current service
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Take a photo of the concrete cutter
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FACE SHEILD HELMET
Health and Safety
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HOSE PROTECTOR ( Should have x1 )
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Fibre Bin
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FIRST AID KIT
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Fire Extinguisher in the van
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Take a photo of the Fire extinguisher
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Fire extinguisher service date
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Is the fire extinguisher mounted on the cage behind the passenger seat?
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SPILL KIT/SOCKS
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BALL BEARING CATCHER
Additional Comments
Fuel Card
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Does this van have a fuel card?
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Please take a photo of the front of the fuel card
Additional Tools
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Please list any additional tools this van has here.
Documentation
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Does the Van have the documentation folder?
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Take a photo of the documentation folder
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What type of work is this van set up for? Do they have the required SWMS?
- Scope
- Civils
- Blow
- Install
- Pole Testing
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UT-SWMS-1007 Field Investigations and Inspections
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What is the Expiry date of UT-SWMS-1007 Field Investigations and Inspections
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UT-SWMS-1001 - Hard Surface Cutting using a Concrete Saw
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What is the Expiry date of UT-SWMS-1001 - Hard Surface Cutting using a Concrete Saw
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UT-SWMS-1008 - Using 5" Grinder with Cutting Blade
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What is the Expiry date of UT-SWMS-1008 - Using 5" Grinder with Cutting Blade
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UT-SWMS-1009 - Excavation using Non-conductive Hand Tools
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What is the Expiry date of UT-SWMS-1009 - Excavation using Non-conductive Hand Tools
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TC-SWMS-0036 - Excavation Using Terrasaw
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What is the Expiry date of TC-SWMS-0036 - Excavation Using Terrasaw
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TC-SWMS-0034 - Blowing Fibre into 5mm Microducts
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What is the Expiry date of TC-SWMS-0034 - Blowing Fibre into 5mm Microducts
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TC-SWMS-0017 - Multiduct Integrity Testing Using Ball Bearings
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What is the Expiry date of TC-SWMS-0017 - Multiduct Integrity Testing Using Ball Bearings
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UT-SWMS-1010 - Drilling into Walls/Floors/Ceilings
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What is the Expiry date of UT-SWMS-1010 - Drilling into Walls/Floors/Ceilings
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UT-SWMS-1013 - MEWP for Height Access Work (non-Electrical Structure)
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What is the Expiry date of UT-SWMS-1013 - MEWP for Height Access Work (non-Electrical Structure)
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TC-SWMS-0013 - Fibre Splicing in Customers Premises
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What is the Expiry date of TC-SWMS-0013 - Fibre Splicing in Customers Premises
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TC-SWMS-0018 - Fibre Splicing and Optical Safety
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What is the Expiry date of TC-SWMS-0018 - Fibre Splicing and Optical Safety
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UT-SWMS-1011 - Working in the Presence of Foil Insulation
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What is the Expiry date of UT-SWMS-1011 - Working in the Presence of Foil Insulation
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UT-SWMS-1002 - Working on a Ladder against a building
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What is the Expiry date of UT-SWMS-1002 - Working on a Ladder against a building
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TC-SWMS-0019 - Chorus Pole Test and Tag
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What is the Expiry date of TC-SWMS-0019 - Chorus Pole Test and Tag
Additional Comment
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Please write any additional comments about the van or driver that you think are relevant to this Audit
Signiture
Auditor
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Auditors name
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Auditors Signature
Lead Technician
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Lead Technician name
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Lead Technician Signature
Second Technician
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Second Technician name
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Second Technician Signature
