TWE Inspection - Monthly General
Insurance Forms (correct dates & originals)
Checked Ok
Action Required
Not Applicable
Vehicle Owner/CVOR/ C of A Document
Checked Ok
Action Required
Not Applicable
Vehicle Credit Card (ARI)
Checked Ok
Action Required
Not Applicable
Log Book Entries ( Daily Circle Check Performed) - Drivers Log
Checked Ok
Action Required
Not Applicable
Vehicle Yearly Inspection (Date Last Completed)
Checked Ok
Action Required
Not Applicable
Credit Card Slips Sent In Monthly - T51 Kenderry Fleet
Checked Ok
Action Required
Not Applicable
Information
Emergency Phone Numbers (Vehicle Emergency Binder)
Checked Ok
Action Required
Not Applicable
Employee Package - WSIB Reporting Package (employee)<br>Major Medical Absence Report (Blue)
Checked Ok
Action Required
Not Applicable
WHIMIS Labels On Controlled Products
Checked Ok
Action Required
Not Applicable
Safety Equipment
First Aid Box (Inspection Card Signed and Kit Sealed)
Checked Ok
Action Required
Not Applicable
Artificial Resuscitation Face Shield
Checked Ok
Action Required
Not Applicable
Fire Extinguisher (Tag/Card Signed)
Checked Ok
Action Required
Not Applicable
Traffic Safety Triangles
Checked Ok
Action Required
Not Applicable
Winter Emergency Kit
Checked Ok
Action Required
Not Applicable
Flashlight
Checked Ok
Action Required
Not Applicable
PPE Inspection - Monthly
Hard Hat ( Shell and Liner)
Checked Ok
Action Required
Not Applicable
High Visibility (Traffic Control Vest)
Checked Ok
Action Required
Not Applicable
Hearing Protection (Muffs or Plugs)
Checked Ok
Action Required
Not Applicable
Safety Glasses (Lenses Flash Approved and Frames)
Checked Ok
Action Required
Not Applicable
Safety Boots (Dielectric and Green Patch and Condition)
Checked Ok
Action Required
Not Applicable
FR Clothing- Rips/Tears/Wear Spots
Checked Ok
Action Required
Not Applicable
Leather/Rubber Gloves
Checked Ok
Action Required
Not Applicable
Anti-Slip Footwear
Checked Ok
Action Required
Not Applicable
Eye Wash
Checked Ok
Action Required
Not Applicable
Employee Signature:
Sign
Date:
Date
Supervisors Signature:
Sign
Date:
Date
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Hydro One
TWE, PPE & Tools Inspection Report
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