Title Page
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Document No.
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Client / Site
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Conducted on
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Location
Driver
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PHOTO OF DRIVERS LICENSE AND DANDEROUS GOOD LICENSE
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PRE START CHECK DONE AND SIGNED
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DRIVER IN CORRECT PPE
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PHOTO OF DRIVER
TRUCK
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TRUCK REGISTRATION
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TRUCK FIRE EXTINGIUSHER AND IN CAB EXTINGIUSHER IN DATE AND CHECKED
PPE BAG
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FIRST AID KIT
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EYE WASH BOTTLE CHECKED AND IN DATE
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SAFTEY GLASSES
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CHEMICAL RESISTANT GLOVES
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RIGGERS GLOVES
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THERMAL GLOVES
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SAFTY GOGGLES CLEAR
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EMERDENCY ESCAPE RESPIRATOR
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CHEMICAL RESISTANT COVERALLS DISPOSABLE
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SAFTEY HELMET
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EAR MUFFS
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HELMET MOUNTED FULL FACE SHIELD
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INSTRINSICALLY SAFE TORCH WITH BATTERIES
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FULL FACE RESPIRATOR WITH FILTERS
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Boot covers
SIGN OFF
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DRIVER ; PPE bag is complete and correct and will advise my supervisor of any changes
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AUDITOR ; This bag is complete
