Schneider Electric Vehicle Checklist_DG

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Any Vehicle Damage - Please Take Photo

  Media

• Add drawing

  Drawing

Previous inspection

• Has the last inspection been reviewed ?

  Safe

  At Risk

  N/A

• Are there any outstanding actions?

  Safe

  At Risk

  N/A

General Areas

• Interior of Vehicle Kept Clean ?

  Yes

  No

  N/A

• Exterior of Vehicle Kept Clean ?

  Yes

  No

  N/A

Equipment and Ladders

• Tools not in use kept in place?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• Ladders Damaged ?

  Safe

  At Risk

  N/A

• Ladders Gel Coat in Good Condition?

  Safe

  At Risk

  N/A

• Ladders Missing Any Bolts or Rivets ?

  Safe

  At Risk

  N/A

Health And Safety - PPE Available and in a Serviceable Condition

• Safety Glasses Case

  Yes

  No

  N/A

• Foot Wear

  Yes

  No

  N/A

• Gloves (Flame Resistant)

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• High Visibility Vest

  Yes

  No

  N/A

• Respirator / Face Mask

  Yes

  No

  N/A

• Danger Tags and Out of Service Tags

  Yes

  No

  N/A

• Cargo Barrier Fitted and Correctly Stored

  Safe

  At Risk

  N/A

• Roof Racks in Good Condition and Secure

  Yes

  No

  N/A

• Suitable Roof Rack Tie Downs Available

  Safe

  At Risk

  N/A

• Fire Resistant Clothing

  Safe

  At Risk

  N/A

• Safety glasses ?

  Yes

  No

  N/A

• PPE Bag available ?

  Yes

  No

  N/A

• Are Multi Meters Calibrated ?

  Yes

  No

  N/A

• Hard Hat Less than 3 years old ?

  Yes

  No

  N/A

Temperature Meter Calibrated ?

• Reference Number -

  Yes

  No

  N/A

• Temperature Meter Working OK ?

  Yes

  No

  N/A

• Temperature Meter Calibration Date ?

  Yes

  No

  N/A

First Aid Facilities

• First Aid Kit Expiry Date ?

  Yes

  No

  N/A

• Is first aid kit and contents clean and orderly?

  Yes

  No

  N/A

• No contents past their expiry date?

  Safe

  At Risk

  N/A

• Are all employees aware of location of first aid kit?

  Yes

  No

  N/A

Multi Meter

• Multi Meter Calibrated ?

  Yes

  No

  N/A

• Multi Meter Meter Operation is ok ?

  Yes

  No

  N/A

• Multi Meter Test Probes have finger stops ?

  Yes

  No

  N/A

• Multi Meter leads and probes ok ?

  Yes

  No

  N/A

Sign Off

• Inspected By -

  Sign