Information
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Document No. US20130407
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Patrol Run:
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Name Of Patrolman:
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Supervisor Name:
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Date of Audit
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Location
Inspection Information
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Start Date & Time Of Audit:
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Patrol Run: (Call Sign)
- Patrol 1 - Mayfield
- Patrol 3 - Hamilton
- Patrol 4 - Newcastle CBD
- Patrol 5 - Nelson Bay
- Patrol 8 - Maitland
- Patrol 10- R/Terrace
- Patrol 11- Cessnock
- Patrol 12- Sandgate
- Supervisor
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Registration# (Plate#)
- SPARE
- Hire Vehicle
- BA-60-LC
- BB-30-ML
- BE-27-TR
- BF-07-JP
- BP-82-LZ
- BR-87-AF
- CHI-49D
- CHI-49E
- CHX-61B
- CHI-49U
- CHI-52K
- CHI-52J
- CHI-49C
- YGQ-54A
- YWQ-484
- BQ-17-KQ
- BQ-16-KQ
Operational Items
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Mobile phone present?
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Fuel card present?
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Card#
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Probe Present:
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Key box present?
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Run sheet present?
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Alarm docket/s book present?
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Drop cards present?
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Any corrective action taken?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
WHS Items
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In-Car DVR present & on?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
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Fire extinguisher present & in date?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
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Medical kit present & complete?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
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Reflective vest present?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
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Evidence of smoking in vehicle?
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Any corrective action taken?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
Vehicle roadworthy Items
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Vehicle clean & tidy
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All lights working: (Headlights / Taillights / Allylights)
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Indicators working?
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Wipers and Washers working:
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Horn working?
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Tire Tread & Pressure OK:
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Brakes working?
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Signage OK?
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Spare Tyre Present and in good condition
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Tyre replacement kit - wheel brace, jack: All present
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Any Damage To Vehicle?
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Take photo's of any damage to vehicle:
Photo of Damage
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Take Photo Here
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Any corrective action taken?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
Officer Compliance Items
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Drivers Name:
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Is there anyone else in Vehicle
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Passenger Information
Passenger
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Name:
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Reason Why They Are In Patrol Vehicle
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Any Corrective Action Taken?
- Removed From Shift
- Issued A Written Warning
- Issued A Verbal Warning
- Advised Employee to attend home and Return compliant
- Reduce wage by ?hrs
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Security license present, active & displayed as per legislation? (Check date)
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What Corrective Action Taken?
- Removed From Shift
- Issued A Written Warning
- Issued A Verbal Warning
- Advised Employee to attend home and Return compliant
- Reduce wage by ?hrs
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First aid ID present & active (Check date)
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What Corrective Action Taken?
- Removed From Shift
- Issued A Written Warning
- Issued A Verbal Warning
- Advised Employee to attend home and Return compliant
- Reduce wage by ?hrs
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Uniform ironed & presentable?
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What Corrective Action Taken?
- Removed From Shift
- Issued A Written Warning
- Issued A Verbal Warning
- Advised Employee to attend home and Return compliant
- Reduce wage by ?hrs
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Contemporaneous notebook present?
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What Corrective Action Taken?
- Removed From Shift
- Issued A Written Warning
- Issued A Verbal Warning
- Advised Employee to attend home and Return compliant
- Reduce wage by ?hrs
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Any corrective action taken?
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What Corrective Action Taken?
- Item not required
- Replaced By Supervisor
- To Be Replaced
- To Be Fixed
- Management to Correct
AGREEMENT
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Driver Signature:
REPORT COMPLEATION
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Time report completed:
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Supervisor Signature: