PWC PN Vehicle and Safety Equipment Check sheet V1.1

• Vehicle Rego #

• Vehicle Type

• Vehicle and Safety Equipment Check

• Prepared by

• Conducted on

  Date
• Location
  Address

• Section

• Vehicle Speedo

• Vehicle Scheduled Service Date/Milage

Pole Top Rescue Kit

• Check contents, condition of decent device, rope and equipment

  Yes

  No

  N/A

• Lv Gloves 'in test'

  Yes

  No

  N/A

• Side Cutters

  Yes

  No

  N/A

• Serrated Knife

  Yes

  No

  N/A

• Tool pouch attached to belt

  Yes

  No

  N/A

• Condition of yellow rescue box

  Yes

  No

  N/A
Switch Board Rescue Kits

• LV Gloves 'in test'

  Yes

  No

  N/A

• Insulated LV rescue hook in test

  Yes

  No

  N/A

• Isolation Tag

  Yes

  No

  N/A

• Stored in Rescue Kit Bag

  Yes

  No

  N/A

• Fire Blanket

  Yes

  No

  N/A

• Torch Operational

  Yes

  No

  N/A
Fire Equipment

• Fire Extinguishers Check level and test date

  Yes

  No

  N/A

• Burns Blanket BURNSHIELD in date.

  Yes

  No

  N/A
HV Sticks

• Check condition and test date

  Yes

  No

  N/A

• High Voltage Earths

  Yes

  No

  N/A

• High voltage Link Stick

  Yes

  No

  N/A

• Insulated Chainsaw

  Yes

  No

  N/A

• Operating Sticks

  Yes

  No

  N/A
LV Equipment

• LV mats

  Yes

  No

  N/A

• Check test dates where required and general condition

  Yes

  No

  N/A

• Shotgun

  Yes

  No

  N/A

• LV hoppers

  Yes

  No

  N/A

• LV earths

  Yes

  No

  N/A

• Independent Earth

  Yes

  No

  N/A

• Insulated Tools

  Yes

  No

  N/A
First Aid

• Check contents matches checklist

  Yes

  No

  N/A

• Defib - sign, pads and batteries OK?

  Yes

  No

  N/A

• Defib and First Aid kit contents in date?

  Yes

  No

  N/A
Electrical

• Electrical Testing – all portable items are tested and tagged. (e.g. power tools, extension leads, etc.)

  Yes

  No

  N/A
Chainsaws

• Record chainsaw number.

• Guards and safety features in good condition

  Yes

  No

  N/A
Chemicals/Oils/Compressed Gas

• Check condition of oxy and acetylene bottles and gauges

  Yes

  No

  N/A

• Up to date MSDS available for all chemicals in vehicle.

  Yes

  No

  N/A

• Gas bottles secured correctly

  Yes

  No

  N/A

• Chemicals and oils stored in appropriate areas

  Yes

  No

  N/A

• Hydrocarbon spill kits fully stocked.

  Yes

  No

  N/A
Ladders

• Check general condition of Ladders including condition of rungs, head rope, ladder rails and draw rope

  Yes

  No

  N/A

• Slings and Harnesses

Ropes/SWL /Rollers

• Harnesses tested and inspected in date. Slings in good condition and tested (6 month Inspection)

  Yes

  No

  N/A
Traffic Signs/Witches Hats

• Traffic Signs

  Yes

  No

  N/A

• Witches Hats

  Yes

  No

  N/A
Flammable Liquids/Fuel Handling Equipment

• Metal Fuel Cans and funnels available and in good condition.

  Yes

  No

  N/A

• Metal Fuel Cans earthing cables available.

  Yes

  No

  N/A
Administration Procedures

• VEHICLE CHECKS COMPLETED, (Monthly, Fortnightly)

  Yes

  No

  N/A

• VEHICLE CHECKS FOLLOWED-UP AND ACTIONED AS NECESSARY

  Yes

  No

  N/A

• VEHICLE CHECK LISTS RETAINED AND FILED CORRECTLY.

  Yes

  No

  N/A

Vehicles

• General Appearance - Clean and tidy inside & outside. No damage.<br>

  Yes

  No

  N/A

• Gear secured safely

  Yes

  No

  N/A

• Number plates attached & undamaged

  Yes

  No

  N/A

Lights

• Indicators working<br>

  Yes

  No

  N/A

• Headlights working

  Yes

  No

  N/A

• High-beam working

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Hand Brake working

  Yes

  No

  N/A

• Brake lights working

  Yes

  No

  N/A

Tyres

• Tread worn evenly, sufficient tread on tyres

  Yes

  No

  N/A

• Tyres not damaged

  Yes

  No

  N/A

• Tyres inflated to correct pressure

  Yes

  No

  N/A

• Spare tyre fully inflated & in good condition

  Yes

  No

  N/A

• Jack, Wheel brace/cross bar included.

  Yes

  No

  N/A

• Safety triangles in place and OK

  Yes

  No

  N/A

Windows

• No cracks on windscreen

  Yes

  No

  N/A

• Windscreen wipers & washers working

  Yes

  No

  N/A

• Blades not damaged

  Yes

  No

  N/A

Interior

• No loose items that can be thrown around

  Yes

  No

  N/A

• Interior lights working

  Yes

  No

  N/A

• Dashboard lights working

  Yes

  No

  N/A

• Instrumentation working

  Yes

  No

  N/A

Under Bonnet Checks

• Engine oil at maximum

  Yes

  No

  N/A

• Brake/clutch fluid at maximum

  Yes

  No

  N/A

• Power steering reservoir at maximum

  Yes

  No

  N/A

• Transmission fluid at maximum

  Yes

  No

  N/A

• Water/coolant at maximum

  Yes

  No

  N/A

• Windscreen washer reservoir at maximum

  Yes

  No

  N/A

• Battery clean/battery reservoirs full

  Yes

  No

  N/A

Miscellaneous

• Record in Vehicle completed and up to date

  Yes

  No

  N/A

• Car keys, Keyless remote in good condition

  Yes

  No

  N/A

• Fuel card attached to keys/in console

  Yes

  No

  N/A

• 2 way radio/comms/antennae/co-axial cable

  Yes

  No

  N/A

• EPIRB in place and OK

  Yes

  No

  N/A

• EWP LOG BOOKS - available and is used where required

  Yes

  No

  N/A