Technician Quarterly Check With-out Car

• Technical Quarterly Checklist

• Technician Name

• Conducted on

  Date
• Location
  Address

PPE Kit

• Do you have a PPE kit

  Yes

  No

  N/A

• Please contact the store person to organise a PPE kit

Do you have the following items in your PPE kit

• Safety glasses clear lens

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Glasses case

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Goggles

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Eyewash Bottle

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Hard hat

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Protective sun hat (Brim, Mesh, Safari)

  Yes

  No

  N/A

• Face Protection

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Safety/High visibility vest

  Yes

  No

  N/A

• Ear muffs

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Ear plugs - Uncorded

  Yes

  No

  N/A

• Respirators

  Yes

  No

  N/A

• Type of Respirators

  Select Disposable Respirator Disposable Respirator (P2) Full Mask Respirator Half Mask Respirator

  • Disposable Respirator
  • Disposable Respirator (P2)
  • Full Mask Respirator
  • Half Mask Respirator

Disposable respirators

• Is it kept in a sealed bag

  Yes

  No

  N/A

Disposable respirators (P2)

• Is it kept in a sealed bag

  Yes

  No

  N/A

Full Mask Respirator

• Is it kept in a lock tight bag

  Yes

  No

  N/A

• Is the mask cleaned after each use

  Yes

  No

  N/A

• Are the filters marked with the date the filter was fitted to the mask

  Yes

  No

  N/A

Half Mask Respirator

• Is it kept in a lock tight bag

  Yes

  No

  N/A

• Is the mask cleaned after each use

  Yes

  No

  N/A

• Are the filters marked with the date the filter was fitted to the mask

  Yes

  No

  N/A

• Sunscreen

  Yes

  No

  N/A

• Expiry Date

  Date

• Danger Tags - 'Do Not Operate' (Cardboard/Polyprop)

  Yes

  No

  N/A

• Lockout Kit

  Yes

  No

  N/A

• Gloves - Cotton

  Yes

  No

  N/A

• Are they in good condition

  Yes

  No

  N/A

• Barrier Tape

  Yes

  No

  N/A

• Bag

  Yes

  No

  N/A

• Disposable Overalls

  Yes

  No

  N/A

• Rigger Gloves

  Yes

  No

  N/A

• Are they in good condition

  Yes

  No

  N/A

• Waterproof Coat

  Yes

  No

  N/A

• Are they in good condition

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Are they in Date

  Yes

  No

  N/A

• If you have answered no to any of the above PPE questions. Do you require any of this equipment

  Yes

  No

• Please contact store person to organise replacement PPE gear

Electrical

• Are all items used for work purposes tested and tagged and is the tag in date?

  Yes

  No

  N/A

Testing Equipment

• Do you have any Testing equipment? e.g. Multi Meter

  Yes

  No

  N/A
Equipment

• Make

• Model

• Meter Class

• Has this been calibrated or tested in the last 6 months?

  Yes

  No

  N/A

• Contact the store person and take the equipment back to the warehouse to be calibrated or tested