Title Page

  • Document No.

  • Panda Green

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Truck registration / fleet number

  • Driver name

  • Helper name 1

  • Helper name 2

  • Vehicle make

  • Safety belts worn

  • Are safe systems of work adhered to

  • Single side collection when possible

  • Bins left in correct position

  • All crew wearing correct ppe

  • Bin lift operated safely

  • Bins engaged safely

  • Staff stood in safe position during lift

  • Correct manual handling observed

  • Safety barriers at rear of vehicle used

  • Staff avoid hazardous rushing

  • Staff use three points of contact when on/ leaving vehicle/rear steps

  • Is correct reversing procedure carried out

  • Hopper not overfilled

  • Good road safety observed

  • Driver licence

  • Cpc card

  • Tacho card

  • Daily checks completed

  • Vehicle clean and roadworthy

  • Cab clean from clutter

  • Insurance disc

  • Tax disc

  • Cvrt disc

  • Vehicle permit labelled

  • Collection permit copy 13_11193 in cab

  • Haulage cert and disc

  • Has agency staff received training for work and correct ppe

  • Safety features working and not overridden

  • Is reversing avoided as far as possible

  • No spillages observed

  • Spill kit ,triangle, fire extinguisher on board

  • Follow up action

  • Add signature

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