Title Page

  • Conducted on

  • Prepared by

  • Operative Name

  • Location
  • ID card Present

  • Wearing NRT uniform

  • Test kit and leads in good condition - please record test kit number in notes

  • Calibration in date?

  • Lock-off Kit present and in good condition

  • Flash over kit present and in good condition

  • First Aid Kit

  • Hand Tools General Condition

PPE

  • Hard Hat

  • Ear Protection

  • Eye Protection

  • Safety Footwear

  • Acceptable condition (No steel showing; laces)

  • Overshoes being used as required

  • NRT Hi-Viz Vest

  • All Types of Gloves

  • FFP3 Mask

  • JSP Mask

  • Cleaning wipes

  • Hand sanitizer

  • Covid-19 Face masks

  • Other

Plant/Access Eqpt

  • Ladder inspection

  • Next Inspection within 3 months

  • Other access equipment (Hop-ups etc.)

  • 110V Plant

  • PAT in date?

  • Other Comments

  • Auditor signature

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.