Information

  • Document No.

  • Title

  • Area Office

  • Date

  • Conducted by

  • Location
  • Operative

Health & Safety

  • Health & Safety Inspection

Documentation

  • Health & Safety manual available?

  • COSHH Assessments available & chemicals labelled?

  • Task specific & dynamic risk assessments available?

Operative Appearance PPE & Work Wear

  • Issued uniform being worn?

  • Identification badge visible?

  • Does the operative have a valid Gas Safe card?

  • Uniform condition?

  • Appropriate PPE being worn and serviceable?

Tools, Equipment & Materials

  • Hand tools in a serviceable condition?<br>If not inform tradesman not to use and replace and record

  • PAT test date?

  • Are Power Tools electrical leads including RCD in a serviceable condition?

  • Flue Gas Analyser calibration in date?

  • Does the operative have Tightness testing / Soundness testing / Purging equipment?

  • Does the operative have temporary continuity bonds?

  • Does the operative have smoke emitters e.g. Smoke matches / pellets?

  • Does the operative have L.D.F and/or electronic detection?

  • Does the operative have electrical test equipment for ‘Safe isolation’ and ‘safe to touch’?

  • Does the operative carry appropriate fittings to ‘isolate’ appliances and /or meters / pipework eg plugs and caps?

  • Does the operative replenish essential tools and consumable items?

Safe working at height

  • All working at height equipment company issue & Registered with unique PfP serial number & accessories?

  • How is the working at height being carried out?

  • Ladder inspection form completed and up to date?

  • In use Scaffolding tag completed and attached?

Work area housekeeping including occupied premises

  • Have the risks & controls been explained to the customer?

  • Gas, Electricity & Water isolated?

  • Is the work area segregated or cordoned off?

  • Access & exit routes free from obstructions?<br>Check that external doors can be closed

  • Is the area free from slip, trip or fall hazards?

  • Have any tools and equipment been left unattended?

  • Is there floor and worktop protection in use?

Documentation

  • COSHH Assessments available & chemicals labelled?

  • Health & Safety manual available?

  • Task specific & dynamic risk assessments available?

  • Is there a task related Method Statement available?

  • Does the contractor have trade related Identity Card,<br>EG Gas Safe, Scaffolder?

  • Is the contractors work being carried out by a sub-contractor? Name of sub-contractor

Contractor Appearance PPE & Work Wear

  • Identification badge visible?

  • Work wear appearance?

  • Appropriate PPE being worn and serviceable?

Tools & Equipment

  • Hand tools in a serviceable condition?<br>If not inform tradesman not to use and replace and record

  • Are Power Tools 110v and RCD protected and appear to be in a serviceable condition?

  • Evidence of electrical equipment PAT tested?

  • Electrical isolation & Testing equipment available?

Safe working at height

  • All working at height equipment EN 131 class 2 with SWL 150kg?

  • How is the working at height being carried out?

  • Weekly ladder inspection record completed and up to date?

  • In use Scaffolding Tag completed and attached?

Work area housekeeping including occupied premises

  • Have the risks & controls been explained to the customer?

  • Gas, Electricity & Water isolated?

  • Have any tools and equipment been left unattended?

  • Is the area free from slip, trip or fall hazards?

  • Is there floor and worktop protection in use?

  • Is the work area segregated or cordoned off?

  • Access & exit routes free from obstructions, waste & materials?

Documentation

  • Health & Safety manual available?

  • Task specific & dynamic risk assessments available?

  • COSHH Assessments available & chemicals labelled?

Operative Appearance PPE & Work Wear

  • Issued uniform being worn?

  • Identification badge visible?

  • Uniform condition?

  • Appropriate PPE being worn and serviceable?

Tools & Equipment

  • Hand tools in a serviceable condition?<br>If not inform tradesman not to use and replace and record

  • Are Power Tools electrical leads including RCD in a serviceable condition?

  • PAT test date?

  • Calibrated equipment in date?

  • Electrical isolation & Testing equipment available?

Safe working at height

  • All working at height equipment company issue & Registered with unique PfP serial number & accessories?

  • How is the working at height being carried out?

  • Ladder inspection form completed and up to date?

  • In use Scaffolding tag completed and attached?

Work area housekeeping including occupied premises

  • Have the risks & controls been explained to the customer?

  • Gas, Electricity & Water isolated?

  • Is the work area segregated or cordoned off?

  • Access & exit routes free from obstructions?<br>Check that external doors can be closed

  • Is the area free from slip, trip or fall hazards?

  • Have any tools and equipment been left unattended?

  • Is there floor and worktop protection in use?

Vehicle Inspection

  • Vehicle Inspection (PfP employees only)

Vehicle Description

  • Make & Model

  • Registration

  • Mileage

Engine Compartment

  • Engine compartment fluids at correct levels?

Exterior Body and Glass (Take Photos of any noted damage)

  • Front lights & indicators?

  • Windscreen Free of Cracks and Chips?

  • Bonnet, Grill and Bumper Free of Damage?

  • Front Tyres in Good Repair with no Visible Signs of Wear or Cracking in Sidewall?

  • Left Side Free of Damage?

  • Rear of Vehicle and Bumper Free of Damage (Tailgate if included)?

  • Rear lights & indicators?

  • How's My Driving and fleet number Label Intact?

  • Rear Tyres in Good Repair with no Visible Signs of Wear or Cracking in Sidewall?

  • Adequate Spare Tyre is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall?

  • Right Side Free of Damage?

  • Roof Racks Secure including Ladder & Pipe Racks?

  • Exterior clean?

Interior

  • Mirrors Free of Damage?

  • Racking Secure

  • Interior is Clean and Free of Loose Objects?

  • Jack and Roadside Tools Present?

Safety Equipment

  • Securely mounted First Aid Kit (Ensure Completely Stocked)

  • Fire Extinguisher Charged

Required Documents

  • Tax Expiry Date

  • MOT Expiry Date

  • Valid Vehicle Insurance, Transport waste certificate & Handbook

Comments & Signatures

Comments & Signatures

  • Additional Comments

  • Inspection Type

  • Signature of Operative

  • Signature of Inspector

  • Fuel Gauge to Nearest 8th

  • Spare Keys Included

  • Alarm / Remote Included

  • Is Recorded Mileage at Handover Correct

  • Please Enter Correct Mileage

  • Delivery Agent

  • Acceptance Signature I confirm that the vehicle has been checked and found to be acceptable upon delivery

  • Fuel Gauge to Nearest 8th

  • Spare Keys Included

  • Alarm / Remote Included

  • Disclaimer
    This is a preliminary and does not constitute the final assessment. ALD reserves the right to appoint an independent assessor to inspect the vehicle upon the vehicle's return. The customer will be notified of the final assessment of the vehicle and any charge that may be payable by the customer as a result of excess fair wear and tear charges, together with a copy of the independent assessment of the vehicle to the customer in this respect.

    LESSEE
    The lessee agrees that the vehicle is as described and that the recorded mileage is correct. Lessee also acknowledges and agrees to the disclaimer.

  • Is Recorded Mileage at Handover Correct

  • Please Enter Correct Mileage

  • Lessee Signature

  • Collection Agent I confirm that the oil and water levels were checked and found to be acceptable upon collection.

ALD AUTOMOTIVE DE FLEET CENTRE

  • DE Fleet Centre:

  • Return Mileage:

  • Date:

  • Time:

  • Comments












  • Signed Name Position

  • Sponsor - G Wilson - East BU Ops Manager
    Compiled by - P Nielson
    Version Date - 17 Oct 14
    Review Date - Sep 15

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.