Smart Drain Van Audit

• Driver Name:

• Conducted on

  Date

• Vehicle Year, Make, Model.

• Submitted To:

ADMINISTRATIVE

• License plate and tags are current?

  Yes

  No

  N/A

SAFETY & PROJECT MANAGEMENT

• Health & Safety Manual in the truck?

  Yes

  No

  N/A

• First Aid kit is complete and items within the expiration date?

  Yes

  No

  N/A

• Fire extinguisher mounted with current inspection tag?

  Yes

  No

  N/A

• Eye Wash

  Yes

  No

  N/A

INTERIOR OF VEHICLE

• Interior clean of trash and dirt?

  Yes

  No

  N/A

• Instrument panel is indicating properly?

  Yes

  No

  N/A

• Windshield and mirrors clean and free from cracks?

  Yes

  No

  N/A

• Please provide a photo of the interior.

  Media

EXTERIOR & MECHANICAL

• Rear lights?

  Safe

  At Risk

  N/A

• Brakes? (Pedal Pressure)

  Safe

  At Risk

  N/A

• All Fluid Levels?

  Safe

  At Risk

  N/A

• Oil

• Coolant

• Visible Fluid Leaks?

  Safe

  At Risk

  N/A

• Hazard Lights ?

  Safe

  At Risk

  N/A

• Headlights?

  Safe

  At Risk

  N/A

• Tail Lights?

  Safe

  At Risk

  N/A

• Turn Signals?

  Safe

  At Risk

  N/A

• Horn?

  Safe

  At Risk

  N/A

• Steering & Alignment?

  Safe

  At Risk

  N/A

• Tyres & Pressure?

  Safe

  At Risk

  N/A

• Windshield/Wiper Blades/Fluid?

  Safe

  At Risk

  N/A

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CARGO & EQUIPMENT (LEAN)

• All equipment is secured & adequately stored?

  Safe

  At Risk

  N/A

• Van is organised & free of excessive material?

  Safe

  At Risk

  N/A

PLEASE PROVIDE PHOTOS

• Driver's Side

  Media

• Passenger's Side

  Media

• Rear

  Media

PPE

• Hard Hat

  Yes

  No

  N/A

• Hi Vis Vest And Jacket

  Yes

  No

  N/A

• Hi Vis Trousers

  Yes

  No

  N/A

• Ear Defenders

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Suitable Gloves for relevant works

  Yes

  No

  N/A

• Dust Mask

  Yes

  No

  N/A

• Boots

  Yes

  No

  N/A

• Wellys

  Yes

  No

  N/A

• Waterproofs

  Yes

  No

  N/A

Signing and Gaurding

• 4 Fold Barriers

  Yes

  No

  N/A

• Cones

  Yes

  No

  N/A

Ancillary Equipment

• Manhole Keys

  Yes

  No

  N/A

• Wrecking Bar

  Yes

  No

  N/A

• Crow Bar

  Yes

  No

  N/A

• Dust Sheets

  Yes

  No

  N/A

• Screwdriver Set

  Yes

  No

  N/A

• Allen Key Set

  Yes

  No

  N/A

• Trowell Set

  Yes

  No

  N/A

• Shovels

  Yes

  No

  N/A

• Diesel

  Yes

  No

  N/A

• Petrol

  Yes

  No

  N/A

• Jetting Nozzles

  Yes

  No

  N/A

• Drain Rods

  Yes

  No

  N/A

• Plunger Heads

  Yes

  No

  N/A

• Drill

  Yes

  No

  N/A

• Breaker and Pins

  Yes

  No

  N/A

• Grinder

  Yes

  No

  N/A

• Transformer

  Yes

  No

  N/A

• Extension Lead

  Yes

  No

  N/A

Signature

• Add signature

  Sign