Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Technician being audited

Arrival on site

  • Did the service person park in a safe location on or near the customers site?<br>

  • Did the service person report their arrival on site and sign in?

  • Did the service person review their PDA or run sheet to assess what was being serviced?

Preparation for service

  • We're all site specifics safety Instructions followed?

  • Was the trolley safely removed from the vehicle?

  • Was the trolley checked to see if it was visually clean ready for use?

  • Was the trolley loaded correctly with the consumables needed to conduct the service?

  • Did the service trolley hit the walls, doorways ect while moving around the site

Performing the service

  • Was the route to the washroom navigated in a controlled and site friendly way?

  • Did the colleague knock on the door of the washroom/cubicle and wait before entering?

  • Were door signs used when servicing washroom?

  • Was the audit conducted within four (4) hours of the service being completed by the Service Technician?

  • Have the gloves been taken off before leaving the washroom?

Leaving site

  • Was all waste taken away from site?

  • Was the site left in a clean and tidy manner?

  • Was the customer effectively communicated with?

  • Was the PDA/run sheet signed by the customer, or was the site barcode scanned?

Safe working

  • Is the service persons vehicle clean and presentable?

  • Are there any goods equipment etc stored in the cabin of the vehicle?

  • Is all equipment stored correctly within the vehicle?

  • Is the service person working from kerb side when out on the road?

  • Are truck steps used when unloading from top level?

  • Were all spills cleaned up ?

  • Are Fire Extinguishers stored in their cradle in the back of Vehicle and in the cabin?

  • Can service person Demonstrate removal of Extinguisher and how to activate it?

  • Was the service person able to locate their first aid kit?

  • Was the service person able to locate their spill kit?

  • Was all PPE clean and stored correctly?

  • Did the service person understand how to use all PPE?

  • Is the Vehicle in a clean and safe manner inside and out?

  • Are all tools and Equipment serviceable and stored correctly?

  • Is their a Ladder present,clean and in good working condition?

  • Is a Safety Vest stored in a safe area,and can be produced when requested?

  • Are Monthly Vehicle Inspection filled out completely and correct?,and is the Service sticker affixed?

  • Custom fleet card present?

  • Street directory present and in good condition,less than 3years old?

  • Are all SWMS and MSDS Present in the Vehicle?

  • Is the PDT in good condition and the charger and pouch?

  • Is the service person able to describe Leads and Pink Alerts?

Finish

  • Please rate the level of service between 1 to 10 with 1 being poor and 10 exceeding expectations.

  • Enter agreed actions in point form based on audit findings

  • Service technician has reviewed audit with auditor and signs as confirmation.

  • Confirmation signature from Auditor

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.