Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Name of crew, vehicle number.
Crew
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Have all crew received a company induction?
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Have all crew received training for this vehicle?
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Are crew wearing correct PPE? Hi - Vis Safety Footwear Hard Hat Gloves
- Yes
- No
- N/A
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Has the pre-start vehicle check been completed?
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Have all Defects been reported
Vehicle Cab Cleanliness and Hygiene
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Is general housekeeping acceptable for the time of day? <br>Litter cleanliness etc
Vehicle Cab Equipment
Are the following items available and in date?
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First Aid Kit
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Fire Extinguisher
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Gas Detector
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Eyewash
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Spill kit
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Spare Safety Glasses
PPE
Is the following PPE available?
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Waterproof coat
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Waterproof trousers
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Hi-vis vest
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Overalls
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Safety Boots
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Wellies
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Hard hat
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Safety glasses
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Face shield
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Ear defenders
Tools and Equipment
Are the following items available?
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Manhole bar
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Sledgehammer
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Long bar (crowbar)
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Pry bar
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Manhole lifting key
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Jack up buggy
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Disinfectant
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Chisel
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Barrier tape
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Screwdrivers
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Allen keys
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Adjustable spanner
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Multiple wheels<br>3 sizes available
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Locator
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Sonde
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Spare batteries AA AAA
Vehicle Rear Operation
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Is the wash down equipment working?
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Are all beacons working
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Traffic cones available?
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Chapter 8 road signs available
Confined Space Equipment
Are the following items available?
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Tripod
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Winch
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Escape set
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Harness