Traffic Management Australia P/L ( FORM-OP-WHS-011 )

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Truck

• Inspection Date/Time

  Date

• Truck

• Driver

• Truck Rego

• Odometer

physical

• Vehicle serviced according to schedule

  Yes

  No

  N/A

• Engine in good working condition

  Yes

  No

  N/A

• Water Level

  Yes

  No

  N/A

• Oil Level

  Yes

  No

  N/A

• Any Apparent Leaks

  Yes

  No

  N/A

• Turn signals operational

  Yes

  No

  N/A

• Break lights operational

  Yes

  No

  N/A

• Head Lights

  Yes

  No

  N/A

• Tail Lights

  Yes

  No

  N/A

• Reversing Lights

  Yes

  No

  N/A

• Reverse Quacker

  Yes

  No

  N/A

• Flashing Lights

  Yes

  No

  N/A

• Arrow Board

  Yes

  No

  N/A

• Reversing Cameras

  Yes

  No

  N/A

• Vehicle body in good condition

  Yes

  No

  N/A

• Tyres in good condition

  Yes

  No

  N/A

• Truck bed and cab clean and organized

  Yes

  No

  N/A

Documentation

• R.M.S. Manual

  Yes

  No

  N/A

• Incident Report

  Yes

  No

  N/A

• Job Docket Book

  Yes

  No

  N/A

• T.C.P.

  Yes

  No

  N/A

• Q.A. Paper Work

  Yes

  No

  N/A

• Yes

  No

  N/A

Other Safety Items

• Fire extinguisher charged and inspected

  Yes

  No

  N/A

• Spill kit complete

  Yes

  No

  N/A

• First aid kit stocked and up to date

  Yes

  No

  N/A

Signs & Equipment

• Safety Harness

  Yes

  No

  N/A

• Emergency Stop Buttons

  Yes

  No

  N/A

• C.B. Radios

  Yes

  No

  N/A

• Hazard cones available and in good condition

  Yes

  No

  N/A

List any other action items that need to be corrected

• Enter/list issues here.

Sigatures

• Employee

  Sign

• Select date

  Date

• Manager

  Sign

• Select date

  Date