Southbris Enterprises Pty Ltd Vehicle & Site Internal Audit

• Audit Title

• Conducted on

  Date
• Location
  Address

Audit info

Serviceable Equipment is equipment in good, safe working order & able to perform

• Date & time:

  Date

• Location:

  depot

  on site
• Lance Road, Greenbank Q 4124
  Address

• Random Audit OR Scheduled Depot Vehicle & Equipment Audit?

  Random

  Scheduled

• Vehicle Registration

• Is the registration current?

• Does the above vehicle tow a trailer at the time of the audit?<br>

  yes

  no

• Trailer registration

• Is this trailer registration current?

• Does the above vehicle contain a quad bike at the time of the audit?<br>

  yes

  no

• Quad registration

• Is the quad bike registration current?

• Are any of the registrations associated with this vehicle audit, EXPIRED or not current?

  yes

  no

• Detail of vehicle/trailer/quad and date of expiration of the registration

• Gang administrator / employee responsible for vehicle

• GA / Driver responsible for vehicle at time of audit, signature:

  Sign

• Are there any other employee's other than you, the auditor, present at the time of the audit? (include Brushcutter numbers where brushcutters are in use at time of audit)

  yes

  no

• All employee names on site at time of audit, including Brushcutter number where brushcutters are in use:

• Job performance notes:

• Add drawing

  Drawing

• Add media

  Media

• Site Inspection Notes:

• Add drawing

  Drawing

• Add media

  Media

• Does any section of the site inspected require reworking of vegetation control?

  yes

  no

• List details & notify relevant staff of work to be redone. List date work will be completed, ensuring confirmation of completed reworked vegetation is provided via a follow up on site audit of the area. Notify management if required.

• Add media

  Media

• Add drawing

  Drawing

• Is there any non compliances in the above audit section?

  yes

  no

Vehicle Audit - ALL items MUST be serviceable. If not serviceable at time of audit, replace item/s & list below.

Vehicle Interior Condition

• Organised

  yes

  no

• Detail follow up action:

• Sanitary / Cleanliness

  yes

  no

• Detail follow up action:

• Seat belts & seats in good condition & functional

  yes

  no

• Detail follow up action & complete a CAR.

• Is there any non compliances in the above audit section?

  yes

  no

Vehicle Interior Items - ALL items MUST be serviceable. If not serviceable at time of audit, replace item/s & list below.

Fire Extinguisher GREEN symbol showing = Safe to use RED symbol = Replacement Fire Extinguisher Required IMMEDIATELY advise management

• Fire Extinguisher - displaying GREEN safe for use symbol?

  yes

  no

• Fire Extinguisher in safe location in vehicle?

  yes

  no

• Truck tyre air pump

  Yes

  No

  N/A

• Motor pass card

  Yes

  No

  N/A

• Water

  Yes

  No

  N/A

• Sunscreen

  yes

  no

• Spare PPE

  Yes

  No

  N/A

• Ear protection

• Gloves

• Face mask

• Protection glasses

• Spill kit

  yes

  no

• First Aide Kit

  yes

  no

• Were any items required to be replaced or refilled?

  yes

  no

• List Items that were replaced/refilled by the auditor & quantity. If an item was missing for a specific reason, please explain.

• Is there any non compliances in the above audit section?

  yes

  no

PPE Personal Protection Equipment on personnel (being worn & serviceable at time of audit) - ALL items MUST be serviceable. If not serviceable at time of audit, replace item/s & list below.

• Are there employees on site, to be audited for PPE compliance?

  yes

  no

• Gloves

  Yes

  No

  N/A

• Helmets / Wide Brimmed Safety Hat

  yes

  no

• Long sleeve full orange safety shirts

  yes

  no

• Shin guards

  Yes

  No

  N/A

• Protective Safety Glasses

  yes

  no

• Ear Plugs / Ear protection

  Yes

  No

  N/A

• Disposable Masks

  Yes

  No

  N/A

• Harness Equipment

  Yes

  No

  N/A

• Are all compulsory PPE items worn by ALL employees, at time of audit?<br>If NO, please list who was non compliant & why?

  yes

  no

• List employee name, PPE that was not worn & possible reason. (Where compulsory PPE is not worn, a CAR must be processed.)

• Were any PPE items issued by the auditor to any employees at time of audit?

  yes

  no

• List PPE Items that were issued by the auditor, name of employee requiring item, reason for PPE non-compliance & any other relevant details. If employee has been warned of Failure to wear compulsory PPE prior to this incident, a CAR official warning MUST be raised.

• Is there any non compliances in the above audit section?

  yes

  no

Information Bag in vehicle - MUST contain all items below:

• Maps

• MSDS

• SWMS

• Info folder with Procedures etc

• Notes

• Were any items required to be replaced or refilled by the auditor?

  yes

  no

• List Items that were replaced/refilled by the auditor & quantity, & reason for not being in the vehicle

• Is there any non compliances in the above audit section?

  yes

  no

Forms - vehicle MUST contain all items below:

• Timesheets

• CAR (corrective Action Report 1)

• QR contractor forms & any other QR forms where applicable eg: SW61

• DPI form

• Change of details forms

• PreDelivery Checklist forms

• Emergency Evacuation Record

• Fatigue Management Assessment Checklist

• Notes

• Were any items required to be replaced or refilled by the auditor?

  yes

  no

• List Items that were replaced/refilled by the auditor.

• Is there any non compliances in the above audit section?

  yes

  no

Vehicle Equipment - ALL items MUST be serviceable. If not serviceable at time of audit, replace item/s & list below.

Serviceable Equipment is equipment in good, safe working order & able to perform

• Does the vehicle contain brush cutters?

  yes

  no

• Quantity of Brush Cutters?

• Are all brushcutters serviceable?

  yes

  no

• List non serviceable brush cutter numbers here & despatch Brushcutter/s to mechanic for repairs. Replace with a serviceable brush cutter.

• Does the vehicle contain ride on mowers?

  yes

  no

• Quantity of ride on mowers in vehicle

• Are all Ride on Mowers serviceable?

  yes

  no

• List non serviceable ride on mowers registration numbers here & despatch Ride on mower to mechanic for repairs. Replace with a serviceable ride on mower.

• Does the vehicle contain push mowers?

  yes

  no

• Quantity of push mowers in vehicle/trailer

• Are all Push Mowers serviceable?

  yes

  no

• List non serviceable push mower details here & despatch Push mower to mechanic for repairs. Replace with a serviceable push mower.

• Does the vehicle contain blowers?

  yes

  no

• Quantity of blowers in vehicle/trailer

• Are all Blowers serviceable?

  yes

  no

• List non serviceable blower numbers & details here & despatch Blower to mechanic for repairs. Replace with a serviceable blower.

• Does the vehicle contain chainsaw/s?

  yes

  no

• Quantity of chainsaws in vehicle/trailer

• Are all Chainsaws serviceable?

  yes

  no

• List non serviceable chainsaw/s numbers here & despatch chain saw/s to mechanic for repairs. Replace with a serviceable chain saw/s.

• Does the vehicle contain chainsaw/s sharpening kit?

  yes

  no

• Quantity of chainsaw sharpening kits in vehicle/trailer

• Are all Chainsaw sharpening kits serviceable?

  yes

  no

• List problem with chainsaw sharpening kit here and despatch the kit to mechanic for repairs. Replace with a serviceable chain saw sharpening kit.

• Other Notes

• Were any other items replaced or refilled by the auditor, that have not yet been listed?

  yes

  no

• List Items that were replaced/refilled, quantity & reason for the refill?

• Is there any non compliances in the above audit section?

  yes

  no

Trailer items - ALL items MUST be serviceable. If not serviceable at time of audit, replace item/s & list below.

• Rake - Quantity

• Broom - Quantity

• Spade - Quantity

• Machete - Quantity

• Brush Hooks - Quantity

• Jack / Handle - Quantity

• Jumper Leads - Quantity

• Rubbish Sticks - Quantity

• Fuel 10 litre can - Quantity

• ID tags on fuel can?

  yes

  no

• If NO, issue appropriate fuel tag & note

• Fuel 20 litre can - Quantity

• ID tags on fuel can?

  yes

  no

• If NO, issue appropriate fuel tag & note

• Herbicide Spray Pack - Quantity

• Were any items required to be replaced or refilled by the auditor?

  yes

  no

• List Items that were replaced/refilled by the auditor, quantity & reason for refill?

• Is there any non compliances in the above audit section?

  yes

  no

Herbicide Spray Vehicles - ALL items MUST be serviceable. If not serviceable at time of audit, replace item/s & list below.

• Was the audited vehicle a herbicide spray operator vehicle?

  yes

  no

• Quad Bike

  Yes

  No

  N/A

• Tyre Pump

  Yes

  No

  N/A

• Quantity

• Herbicide Hand Guns

  Yes

  No

  N/A

• Quantity

• Notes

• Were any items required to be replaced or refilled by the auditor?

  yes

  no

• List Items that were replaced/refilled by the auditor, quantity & reason for the refill.

• Is there any non compliances in the above audit section?

  yes

  no

Auditors details

• Name

• Signature

  Sign

• Position

• Date & time audit complete

  Date

Southbris Office Use Only

• Sighted By:

• Position

  Director

  Manager

  Supervisor

  Administration

  Office Manager

• Signature

  Sign

• Date audit sighted

  Date

• Does the Audit require follow up action by Management?

  yes

  no

• Follow up Action Required by Management:

• Follow up Action to be performed by:

• Position:

  Director

  Manager

  Supervisor

  Administration

  Office Manager

• Date & Time of Followup Action:

  Date

• Any related meetings/other will be saved in the Southbris Enterprises Pty Ltd database - please see the Southbris Enterprises Pty Ltd digital records database for the above date of the related meetings/other