Snowmobile Audit - November 2013

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Photo of Snowmobile

  Media

• Operator

• Owner

  Rental

  GWR

  Personal

  Contractor

• Plate and/or unit number

• Make and Model

• Registration Information

• Insurance Information

PPE, Safety & Emergency

• Emergency Response Plan

  Yes

  No

  N/A

• Site Map

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Weather Appropriate Footwear

  Safe

  At Risk

  N/A

• Weather Appropriate Clothing

  Safe

  At Risk

  N/A

• High Visibility Vest/Outerwear

  Yes

  No

  N/A

• CSA or DOT Approved Helmet

  Yes

  No

  N/A

• First Aid Kit. If Yes, what type and location?

  Yes

  No

  N/A

• GPS Unit

  Yes

  No

  N/A

Visual Inspection

• Oil Condition and Level

  Safe

  At Risk

  N/A

• Battery

  Working

  Out of Order

  N/A

• Ski assembly and runners

  Safe

  At Risk

  N/A

• Drive Belt

  Safe

  At Risk

  N/A

• Spare Belt

  Yes

  No

  N/A

• Handlebars

  Safe

  At Risk

  N/A

• General visual condition

  Safe

  At Risk

  N/A

• Front Lights High/Low

  Working

  Out of Order

  N/A

• Rear Lights

  Working

  Out of Order

  N/A

• Brake Lights

  Working

  Out of Order

  N/A

• Suspension Front/Back

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Controls and switches

  Working

  Out of Order

  N/A

• Throttle and cables

  Working

  Out of Order

  N/A

• Emergency Kill Switch

  Working

  Out of Order

  N/A

Accessories

• Vehicle Manual

  Yes

  No

  N/A

• 2 Way Radio

  Yes

  No

  N/A

• Supply Box & Racks

  Yes

  No

  N/A

• Inspector/Auditor

  Sign