Safety Team Audit

• Conducted on

  Date

• Prepared by

• Vehicle Registration

• Person(s) Responsible for vehicle

• Has the drivers logbook been completed?

  Yes

  No

  N/A

• Have the Risk Assessments been completed?

  Yes

  No

  N/A

• Is the vehicle clean and tidy?

  Yes

  No

  N/A

• Are the vehicles beacons working?

  Yes

  No

  N/A

SCBA

• Are the SCBA sets clean?

  Yes

  No

  N/A

• Are the SCBA sets within their service dates?

  Yes

  No

  N/A

• Are the SCBAs stored correctly?

  Yes

  No

  N/A

• Are there spare cylinders?

  Yes

  No

  N/A

• Are the cylinders within their service dates?

  Yes

  No

  N/A

• Are all cylinder pressures in the green?

  Yes

  No

  N/A

• Are all the cylinders stored correctly?

  Yes

  No

  N/A

EBA

• Are all EBAs clean?

  Yes

  No

  N/A

• Are all EBAs packed correctly?

  Yes

  No

  N/A

• Are all EBAs within their inspection dates?

  Yes

  No

  N/A

• Are all EBAs stored correctly

  Yes

  No

  N/A

• Are all EBA cylinder pressures showing in the green?

  Yes

  No

  N/A

Rebreathers

• Are all rebreathers within their test dates?

  Yes

  No

  N/A

• Are all rebreathers clean?

  Yes

  No

  N/A

• Are all rebreathers free from damage?

  Yes

  No

  N/A

• Are all rebreathers stored correctly?

  Yes

  No

  N/A

Gas Monitors

• Are all gas monitors clean?

  Yes

  No

  N/A

• Are the gas monitors charged?

  Yes

  No

  N/A

• Are the gas monitors all within their calibration dates?

  Yes

  No

  N/A

• Are the gas monitors stored correctly?

  Yes

  No

  N/A

Torches

• Are the torches clean?

  Yes

  No

  N/A

• Are all the torches charged?

  Yes

  No

  N/A

• Are all the torches stored correctly?

  Yes

  No

  N/A

Radios

• Are all the radios charged?

  Yes

  No

  N/A

• Do all of the radios work together?

  Yes

  No

  N/A

• Are the radios missing any parts or accessories?

  Yes

  No

  N/A

• Are the radios clean?

  Yes

  No

  N/A

• Are the radios stored correctly?

  Yes

  No

  N/A

Talkbox

• Is the talk box complete?

  Yes

  No

  N/A

• Is the talk box clean?

  Yes

  No

  N/A

• Is the talk box stored correctly?

  Yes

  No

  N/A

• Are there spare batteries for the talk box?

  Yes

  No

  N/A

Rope Rescue Kit

• Has the rope equipment inspection book been completed?

  Yes

  No

  N/A

• Is the equipment clean?

  Yes

  No

  N/A

• Is the equipment stored correctly?

  Yes

  No

  N/A

• Has the rope been stored without any knots?

  Yes

  No

  N/A

R-alf

• Is the R-alf within it's inspection date?

  Yes

  No

  N/A

• Is the telescopic pole present?

  Yes

  No

  N/A

• Is the R-alf clean?

  Yes

  No

  N/A

• Has the R-alf been stored correctly?

  Yes

  No

  N/A

Arachnipod

• Is the arachnipod within it's test date?

  Yes

  No

  N/A

• Are all parts and accessories present?

  Yes

  No

  N/A

• Is the arachnipod and the accessories clean?

  Yes

  No

  N/A

• Has the arachnipod been stored correctly?

  Yes

  No

  N/A

Tripod

• Is the tripod within its test date?

  Yes

  No

  N/A

• Are all the pins present?

  Yes

  No

  N/A

• Is the tripod clean?

  Yes

  No

  N/A

• Has the tripod been stored correctly

  Yes

  No

  N/A

Fall Arrest Retrieval Winch

• Is the winch within its test date?

  Yes

  No

  N/A

• Is the winch clean?

  Yes

  No

  N/A

• Has the winch been stored correctly?

  Yes

  No

  N/A

Man Riding Winch

• Is the winch within its test date?

  Yes

  No

  N/A

• Is the winch clean?

  Yes

  No

  N/A

• Has the winch been stored correctly?

  Yes

  No

  N/A

Harnesses

• Are all harnesses within their manufactures date?

  Yes

  No

  N/A

• Are all harnesses within their inspection dates?

  Yes

  No

  N/A

• Are all harnesses clean?

  Yes

  No

  N/A

• Are all of the harnesses stored correctly?

  Yes

  No

  N/A

Medical Bag

• Is there anything missing?

  Yes

  No

• What is missing and why?

• Is all of the contents in date?

  Yes

  No

  N/A

• Is the bag and the contents clean?

  Yes

  No

  N/A

• Is the bag and contents stored correctly?

  Yes

  No

  N/A

MIBS (Stretcher)

• Is the spinal board present?

  Yes

  No

  N/A

• Is the stretcher within it's test date?

  Yes

  No

  N/A

• Is the stretcher clean?

  Yes

  No

  N/A

• Is the stretcher stored correctly?

  Yes

  No

  N/A

Defib

• Is the defibs indicator green?

  Yes

  No

  N/A

• Is the batteries indicator light green?

  Yes

  No

  N/A

• Are the defib pads in date?

  Yes

  No

  N/A

• Is there a starts kit with the defib containing gloves, wipes, razor, face shield and tough cut scissors?

  Yes

  No

  N/A

• Is the defib clean?

  Yes

  No

  N/A

• Is the defib free from damage?

  Yes

  No

  N/A

• Is the defib stored correctly?

  Yes

  No

  N/A

Medical Drawers

• Are the contents in date?

  Yes

  No

  N/A

• Are the contents clean and the draw clean?

  Yes

  No

  N/A

• Is the drawer tidy?

  Yes

  No

  N/A

• Are the contents stored correctly?

  Yes

  No

  N/A

Oxygen Set 100% Medical Gas

• Is the cylinder in date?

  Yes

  No

  N/A

• Is the cylinder pressure in the green?

  Yes

  No

  N/A

• Are all parts present?

  Yes

  No

  N/A

• Is the set clean and tidy?

  Yes

  No

  N/A

• Is the set stored correctly?

  Yes

  No

  N/A

Entonox

• Is the cylinder in date?

  Yes

  No

  N/A

• Is the cylinder pressure in the green?

  Yes

  No

  N/A

• Are all parts present?

  Yes

  No

  N/A

• Is the set clean and tidy?

  Yes

  No

  N/A

• Is the set stored correctly?

  Yes

  No

  N/A

Generator

• Does the generator run?

  Yes

  No

  N/A

• Is there a fuel can with fuel in it?

  Yes

  No

  N/A

• Is the generator and fuel can stored correctly?

  Yes

  No

  N/A

• What has not been stored correctly?

  Generator

  Fuel Can

Manhole Barrier

• Are there 2 sets of barriers on the vehicle?

  Yes

  No

  N/A

• Are the barriers clean?

  Yes

  No

  N/A

• Are the barriers free from damage?

  Yes

  No

  N/A

• Are the barriers stored correctly?

  Yes

  No

  N/A

Personnel Checks

• Who is on site?

  Select Alistair Bradley Andy Cowie Colin Peck Darren Trivess Emma Pithers Grant Mercer Jay Wood Laura Savage Matty Holian Trevor Gove Wayne Goodyear Retained/associate member of staff

  • Alistair Bradley
  • Andy Cowie
  • Colin Peck
  • Darren Trivess
  • Emma Pithers
  • Grant Mercer
  • Jay Wood
  • Laura Savage
  • Matty Holian
  • Trevor Gove
  • Wayne Goodyear
  • Retained/associate member of staff

• Is Alistairs PPE Correct?

  Yes

  No

  N/A

• Is Alistairs PPE Clean?

  Yes

  No

  N/A

• Is Alistair clean shaven?

  Yes

  No

  N/A

• Is Andys PPE correct?

  Yes

  No

  N/A

• Is Andys PPE clean?

  Yes

  No

  N/A

• Is Andy clean shaven?

  Yes

  No

  N/A

• Is Colins PPE correct?

  Yes

  No

  N/A

• Is Colins PPE clean?

  Yes

  No

  N/A

• Is Colin clean shaven?

  Yes

  No

  N/A

• Is Darrens PPE correct?

  Yes

  No

  N/A

• Is Darrens PPE clean?

  Yes

  No

  N/A

• Is Darren clean shaven?

  Yes

  No

  N/A

• Is Grants PPE correct?

  Yes

  No

  N/A

• Is Grants PPE clean?

  Yes

  No

  N/A

• Is Grant clean shaven?

  Yes

  No

  N/A

• Is Emmas PPE correct?

  Yes

  No

  N/A

• Is Emmas PPE clean?

  Yes

  No

  N/A

• Is Jays PPE correct?

  Yes

  No

  N/A

• Is Jays PPE clean?

  Yes

  No

  N/A

• Is Jay clean shaven?

  Yes

  No

  N/A

• Is Lauras PPE correct?

  Yes

  No

  N/A

• Is Lauras PPE clean?

  Yes

  No

  N/A

• Is Mattys PPE correct?

  Yes

  No

  N/A

• Is Mattys PPE clean?

  Yes

  No

  N/A

• Is Matty clean shaven?

  Yes

  No

  N/A

• Is Trevors PPE correct?

  Yes

  No

  N/A

• Is Trevors PPE clean?

  Yes

  No

  N/A

• Is Trevor clean shaven?

  Yes

  No

  N/A

• Is Waynes PPE correct?

  Yes

  No

  N/A

• Is Waynes PPE clean?

  Yes

  No

  N/A

• Is Wayne clean shaven?

  Yes

  No

  N/A

• Who is on site?

• Does the member of staff have the correct PPE?

  Yes

  No

  N/A

• Is the member of staffs PPE clean?

  Yes

  No

  N/A

• Is the member of staff clean shaven?

  Yes

  No

  N/A

• Please use this space to note any comments you may have regarding the vehicle, setup of site and the team on site.