Title Page
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Engineer Name
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Engineer Number
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Vehicle Registration
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Date
Item - Present and in Good Order?
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1. ID Card
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Comment
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2. Volt Alert/Stick
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Comment
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3. Socket & See
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Comment
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4. Latex Gloves
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Comment
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5. Rubberised Gloves
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Comment
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6. Red Tough Gloves
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Comment
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7. Bump Cap
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Comment
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8. Safety Glasses
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Comment
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9. Safety Goggles
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Comment
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10. Full Face Visor
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Comment
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11. Ear Defenders
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Comment
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12. Fire Extinguisher
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Comment
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13. Full Protective Clothing/Boots
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Comment
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14. High Visibility Jacket
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Comment
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15. Door Barrier
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Comment
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16. Dust Masks
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Comment
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17. First Aid Kit
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Comment
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18. Eye Wash
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Comment
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19. RCD (visual inspected)
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Comment
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20. Ladders (Tagged)
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Comment
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21. Crawl Boards
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Comment
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22. Head Lamp
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Comment
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23. Continuity Bonding Clamp (TCB)
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Comment
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24. Gas Bottle Cap
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Comment
Sign off
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By signing this document I confirming that I have inspected my PPE and Safety Equipment and that it is in good working order, clean and safe. - any defects or missing items should be reported to your line manager immediately, failure to do so could result in disciplinary action.
