Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Vehicle Plant Number

General

  • PPE (long sleeve shirt, long pants, wide brimmed hat, safety glasses, approved footwear, gloves)

  • Water bottles, hand cleaner and sunscreen

  • Vehicle information pack present and up to date (Run sheets, Safety Data Sheets, Work Instructions, Monthly Vehicle checklist)

  • Awareness of CCOM work instructions

Toilet and BBQ Vehicle Operation Prestart

  • All stock, tools and equipment required for the tasks (including toilet roll tool and key, toilet paper, tap key, broom, shovel, sharps plunger, hose and traffic cones)

  • Log book check completed

  • Fault book checked and present

  • Visual inspection of vehicle

  • Phone is present and charging

  • Vehicle is fuelled for the shift

  • Canopy / tray sides / openings are closed and/or fastened

  • Reverse camera is operational, if present

  • Two-way radio is turned on

  • What hazards have you encountered outside of your normal operations? (events, barriers, public, weather)

  • What did you do? (work around, return later, skipped)

Toilet/BBQ Vehicle Operation Post Check

  • Log book check completed

  • Fault book checked and present

  • Visual inspection of vehicle to confirm all items secured

  • Vehicle’s fuel is at half tank minimum. Otherwise fill up

  • Canopy / tray sides / openings are left in good working order

  • Reverse camera is operational, if present

  • Phone is present and charging

  • Stock / items used are replenished

Notes (vehicle broken, workshop, accident, issues)

  • undefined

Sign When Completed

  • Driver’s signature

  • Staff member signature

  • Staff member signature

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.