Schneider Electric Vehicle Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Any Vehicle Damage - Please Take Photo

  Media

• Add drawing

  Drawing

Vehicle Details, make model registration

• Enter Details

General vehicle condition

• Windscreen wiper condition

  Yes

  No

  N/A

• Windscreen/mirrors glass ok

  Yes

  No

  N/A

• Speedometer working

  Yes

  No

  N/A

• Exhaust condition

  Yes

  No

  N/A

• Tyres condition and wear

  Yes

  No

  N/A

• Brakes condition and operation

  Yes

  No

  N/A

• Hazard Lights

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Lamps/Indicators

  Yes

  No

  N/A

Engine Fluids -

• Brake Fluid level correct

  Yes

  No

  N/A

• Oil Levels correct

  Yes

  No

  N/A

• Windscreen Washer Level

  Yes

  No

  N/A

Health And Safety - PPE Available and in a Serviceable Condition

• Safety Glasses Case

  Yes

  No

  N/A

• Safety foot Wear

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• High Visibility Vest

  Yes

  No

  N/A

• Respirator / Face Mask

  Yes

  No

  N/A

• Fire Resistant Clothing/Coveralls

  Safe

  At Risk

  N/A

• Safety glasses ?

  Yes

  No

  N/A

• PPE Bag available ?

  Yes

  No

  N/A

• Hard Hat Less than 3 years old ?

  Yes

  No

  N/A

• Near Miss Telephone number available

  Yes

  No

  N/A

Vehicle First Aid Kit

• First Aid Kit Available in the vehicle

  Yes

  No

  N/A

• No contents past their expiry date?

  Safe

  At Risk

  N/A

• Is first aid kit and contents clean and orderly?

  Yes

  No

  N/A

Ladders in date and secure to vehicle

• Enter Details

Tools Calibrated

• Test Equipment/meters calibrated

  Yes

  No

  N/A

• Tools PAT Tested

  Yes

  No

  N/A

• Torque Wrenches Calibrated

  Yes

  No

  N/A

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• Inspected By -

  Sign