TWE, PPE & Tools Inspection Report

• Audit Title

• Vehicle Number:

• Vehicle Mileage

• Plate Number:

• Vehicle Year/Month

• Name

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