Title Page
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Document No.
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Panda Green
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Client / Site
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Conducted on
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Prepared by
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Location
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Truck registration / fleet number
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Driver name
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Helper name 1
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Helper name 2
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Vehicle make
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Safety belts worn
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Are safe systems of work adhered to
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Single side collection when possible
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Bins left in correct position
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All crew wearing correct ppe
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Bin lift operated safely
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Bins engaged safely
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Staff stood in safe position during lift
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Correct manual handling observed
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Safety barriers at rear of vehicle used
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Staff avoid hazardous rushing
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Staff use three points of contact when on/ leaving vehicle/rear steps
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Is correct reversing procedure carried out
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Hopper not overfilled
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Good road safety observed
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Driver licence
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Cpc card
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Tacho card
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Daily checks completed
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Vehicle clean and roadworthy
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Cab clean from clutter
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Insurance disc
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Tax disc
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Cvrt disc
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Vehicle permit labelled
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Collection permit copy 13_11193 in cab
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Haulage cert and disc
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Has agency staff received training for work and correct ppe
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Safety features working and not overridden
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Is reversing avoided as far as possible
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No spillages observed
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Spill kit ,triangle, fire extinguisher on board
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Follow up action
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Add signature
