Supervisor Inspection

• Inspection Date / Time

  Date

• Conducted By

• Location
  Address

• Stand Back Assessment?

  Yes

  No

• Is vehicle parked safely?

  Select Yes No

  • Yes
  • No

• Are vehicle beacons on?

  Select Yes No

  • Yes
  • No

• Does the Signing, Lighting and Guarding appear to be in place?

  Select Yes No

  • Yes
  • No

• Does Signing, Lighting and Guarding appear to be setup correctly?

  Select Yes No

  • Yes
  • No

• What is missing/not correct?

  Yes

  No

• Do all Engineers appear to be wearing the correct PPE?

  Select Yes No

  • Yes
  • No

Site Safety Evidence

• Signing Lighting & Guarding

  Media

• Vehicle Parking

  Media
Engineer

• An image is to be taken of each engineer.

• Name

• Is the vehicle key secure?

  Yes

  No

• Where is it?

• Is the fuel card attached to the keys?

  Yes

  No

• Where is it?

• Image of Vehicle Cab

  Media

• Image of Rear Compartment

  Media

• Has Daily Check been completed?

  Yes

  No

• Reason for Non-Completion of the Daily Vehicle Check?

• A SEPERATE QUALITY INSPECTION MUST BE CONDUCTED DURING EVERY SITE VISIT