Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Name of crew, vehicle number.

Crew

  • Have all crew received a company induction?

  • Have all crew received training for this vehicle?

  • Are crew wearing correct PPE? Hi - Vis Safety Footwear Hard Hat Gloves

  • Has the pre-start vehicle check been completed?

  • Have all Defects been reported

Vehicle Cab Cleanliness and Hygiene

  • Is general housekeeping acceptable for the time of day? <br>Litter cleanliness etc

Vehicle Cab Equipment

Are the following items available and in date?

  • First Aid Kit

  • Fire Extinguisher

  • Gas Detector

  • Eyewash

  • Spill kit

  • Spare Safety Glasses

PPE

Is the following PPE available?

  • Waterproof coat

  • Waterproof trousers

  • Hi-vis vest

  • Overalls

  • Safety Boots

  • Wellies

  • Hard hat

  • Safety glasses

  • Face shield

  • Ear defenders

Tools and Equipment

Are the following items available?

  • Manhole bar

  • Sledgehammer

  • Long bar (crowbar)

  • Pry bar

  • Manhole lifting key

  • Jack up buggy

  • Disinfectant

  • Chisel

  • Barrier tape

  • Screwdrivers

  • Allen keys

  • Adjustable spanner

  • Multiple wheels<br>3 sizes available

  • Locator

  • Sonde

  • Spare batteries AA AAA

Vehicle Rear Operation

  • Is the wash down equipment working?

  • Are all beacons working

  • Traffic cones available?

  • Chapter 8 road signs available

Confined Space Equipment

Are the following items available?

  • Tripod

  • Winch

  • Escape set

  • Harness

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.