Information

  • Vehicle Registration

  • Drivers Name

  • Class of Vehicle

  • Vehicle type

  • Odometer reading

  • Date of last service

  • Conducted on

  • Prepared by

  • Location

Vehicle serviceability

  • Vehicle logbook shows correct servicing

  • Glovebox contains all required forms

  • Driver has read and understands Safer Driving Manual and completed information page

  • Wheel changing tools serviceable & driver able to use

  • Wheel chocks available

  • All equipment is correct and serviceable for vehicle type

  • Hazard lights function correctly

  • Horn working correctly

  • There is legal tread on all tyres

  • Windscreen and side windows are free of chips & cracks

  • Is the condition of the drivers seat acceptable? Not dirty or torn

  • Is the condition of the other seats acceptable? Not dirty or torn

  • Steering wheel and dash is clean

  • Reversing camera operational

  • Reversing alarm operational

  • Vehicle and canopy have no significant damage

PPE & Safety

  • Safety Handbook available SEN-HS-MN0002

  • Monthly Vehicle Checklist completed - Reviewed Basis of Safety SCI-HS-SW0158

  • Required PPE in serviceable carry bag

  • Hard hat in date (3 years)

  • Gloves in good condition

  • Ear Protection in good condition

  • Safety Boots in good condition

  • Overalls in good condition

  • Safety vest in good condition

  • Safety glasses and googles in serviceable condition

Tools & Equipment

  • Ladders are in good condition

  • Tong meter working and calibration is current

  • Multimeter is working and calibration is current

  • Torque wrench is operational and calibrated

  • Canions tester is working and current

  • Tools available as detailed on tool checklist

  • Mobile phone is operational

  • Bluetooth or hands free kit working

  • Laptop computer is working

  • Camera available $ operational

  • EPIRB is current and registered correctly

  • Tracking device is operational & driver is competent to operate

  • GPS operational

  • Safety cones, barrier tape, barrier fence and signage available

  • Distilled water available

Electrical Equipment

  • Genset serviceable and slide operational

  • All power leads test & tagged?

  • Register of T&T available & correct?

  • All leads are free from damaged and stored correctly

  • Out of Service tags available

  • All portable power tools are in good condition

Storage Design and Use

  • Shelving is in good condition

  • Canopy interior is clean and tidy

  • All items inside canopy secure

  • All items inside drivers cabin are secure

Chemical Safety

  • Material Safety Data Sheets available for all chemicals?

  • Spill kit available?

  • Battery acid cleanup material is available - caustic soda, rags, bags, water

First Aid Facilities

  • First aid kit and contents are clean and orderly

  • All contents are current and not expired

  • There is easy access to the first aid kit from the drivers seat

2.0 - Fire Prevention

  • All extinguishers are tagged and current

  • Extinguishers are easily accessible and useable

  • Driver has been trained in the correct use of a fire extinguisher

Action points

  • Vehicle photos

Sign Off

  • Vehicle operator

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.