Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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, Hygiene and COVID

  • 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

Vehicle Equipment

Are the following items available?

  • Stand pipe (in bag)

  • Turn keys (in bag)

  • Hydrant fill hose (in bag)

  • Chlorine tablets

  • Manhole bar

  • Sledgehammer

  • Long bar (crowbar)

  • Pry bar

  • Manhole lifting key

  • Disinfectant

  • Hand lance

  • Pencil or fan jet

  • Chisel

  • Barrier tape

Other Equipment

Is the following equipment available?

  • Jetting heads front 1/2 inch

  • Jetting heads rear 1/2 inch

  • Desilt bomb

  • Nozzle cleaning tools

  • Screwdrivers

  • Allen keys

  • Adjustable spanner

  • Stilson

  • Remote (clean)

Vehicle Rear Operation

  • Are pressure gauges displaying an accurate reading?

  • Is 1/2 inch hose in good condition?<br>Check 10-15 metres of hose and blue leader hose

  • Are all switches clean with clear labels

  • Are all beacons working

  • Traffic cones available?

  • Chapter 8 road signs available

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.