Information

  • KARRATHA

  • PAM-CS-HSEF-5.02-A-0217

  • Registration

  • Conducted on

  • Vehicle Type

  • Odometer

  • Prepared by

  • Photograph your fuel card

Vehicle Inspection

  • Engine Bay Inspection

  • Coolant, Brake Fluid, Steering Fluid and Oil levels OK

  • Battery Terminals and Fluid Levels OK

  • Wind Screen Wiper Fluid topped up

  • BODYWORK INSPECTION

  • Wiper blades OK

  • Windows/Mirrors/Windscreen clean and free from cracks & stars

  • Indicators & Lights working and free from damage

  • Tyre Pressure and Condition if tread is below 1.5mm or wearing uneven

  • Exhaust – noise & smoke

  • Bodywork free from damage

  • Operational Checks

  • Horn + Steering Feel and Functionality

  • Handbrake & Footbrake

  • Seat Belts

  • First Aid Kit

  • Gauges & instrumentation

  • Gearbox & Transmission (smooth shifting)

  • Breakdown and Emergency Equipment

  • Serviceable Spare Tyre - Jack, Chocks, Wheel Spanner, etc.

  • Vehicle appears to be running smoothly?

  • Tow Hitch secured (bolt and locking pin in place)

  • Fire Extinguisher (date checked and charged)

  • Phone connected to bluetooth

  • If any item needs attention please get advice from your Branch Manager or Supervisor before continuing to use vehicle

Safety Gear

  • Your safety gear needs to be with your vehicle ready to go when you need it. Please ensure you are always carrying enough safety equipment

  • Safety Kit

  • 3 x Traffic Cones

  • 3 x Disposable P2 Dust Masks

  • 1 x pair of Carpenter gloves - Cut resistant

  • 1 x pair of Nitrile Gloves - Dexterity Gloves

  • 1x Clear Safety Glasses

  • 1x Facesheild

  • 20m+ of Caution Tape or Danger Tape

  • 2x Disposable Coveralls (Cat 3 Type 4 or Type 5 Asbestos Removal)

  • 10x Pair of Disposable earplugs (in packet) or 1 pair of Ear muffs

  • 1x Sealed eyewash bottle

  • 3x Asbestos removal bags (or 4m2 of plastic black sheeting and tape)

  • Health and Hygiene

  • Waterless Hand Wash dispenser stocked – 1 back up bladder if running low or sanitiser handwash

  • Sunscreen

  • Dust pan and brush

  • Roll of chux and General Purpose cleaning spray

  • Emergency

  • Water 5L minimum

  • Baked Beans or canned food

  • Photograph the front

  • Photograph the drivers side

  • Photograph the rear

  • Photograph the passenger side

  • Rate the vehicles overall condition 1 poor, 2 Good, 3 Excellent

  • Sign off inspection

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.