Title Page
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Site conducted
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Conducted on
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Prepared by
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Vehicle Plant Number
General
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PPE (long sleeve shirt, long pants, wide brimmed hat, safety glasses, approved footwear, gloves)
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Water bottles, hand cleaner and sunscreen
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Vehicle information pack present and up to date (Run sheets, Safety Data Sheets, Work Instructions, Monthly Vehicle checklist)
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Awareness of CCOM work instructions
Toilet and BBQ Vehicle Operation Prestart
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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)
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Log book check completed
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Fault book checked and present
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Visual inspection of vehicle
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Phone is present and charging
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Vehicle is fuelled for the shift
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Canopy / tray sides / openings are closed and/or fastened
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Reverse camera is operational, if present
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Two-way radio is turned on
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What hazards have you encountered outside of your normal operations? (events, barriers, public, weather)
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What did you do? (work around, return later, skipped)
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Toilet/BBQ Vehicle Operation Post Check
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Log book check completed
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Fault book checked and present
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Visual inspection of vehicle to confirm all items secured
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Vehicle’s fuel is at half tank minimum. Otherwise fill up
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Canopy / tray sides / openings are left in good working order
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Reverse camera is operational, if present
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Phone is present and charging
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Stock / items used are replenished
Notes (vehicle broken, workshop, accident, issues)
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Sign When Completed
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Driver’s signature
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Staff member signature
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Staff member signature