Information

  • Branch / Location

  • Auditor

  • Engineers Name

  • Vehicle registration number

  • Type of vehicle

  • Current Mileage

  • Location
  • Date

General Vehicle Condition

  • This form is the equivalent to Tyco form HSF6.2 issue 3 - Electronic Version 2.0

General Vehicle Condition

  • Is the period or mileage since last service satisfactory?

  • The recommended period between services for a vauxhall car is 24 months or 20,000 miles, a van is 25,000 or 24 months

  • Are the tyres within legal limits?

  • Are all the vehicle lights functioning correctly including indicators?

  • Is the roof rack in a serviceable condition and securely fixed to the vehicle?

  • Is the ladder rack and roller securely fixed to the roof rack?

  • Are the ladder clamps in a serviceable condition?

  • Is the vehicle loaded correctly?

  • Is the vehicle interior clean and is a no smoking sign fitted?

  • Is the exterior of the vehicle clean and free of damage?

  • Is the safety screen fitted? <br>Note: All company estate vehicles that carry company stock must have a safety screen fitted.

  • Is the vehicle livery in a reasonable condition and phone numbers visible?

  • Is the vehicle windscreen in an acceptable condition (check for bad cracks)?

  • Are the windscreen wipers in a serviceable condition and capable of clearing the windscreen?

  • Is the seat and head restraint position in line with company guidelines?

  • Are the parking sensors operating correctly?

Personal Protective Equipment and Uniform

Personal protective equipment / uniform

  • Does the engineer have a full uniform?

  • Are the employees safety shoes or boots in a satisfactory condition?

  • Is the employees Safety helmet (head protection) in a satisfactory condition?

  • Safety helmet issue date.

  • Safety helmets to be renewed every four years irrespective of condition.

  • Are the employees gloves (hand protection)in a satisfactory condition?

  • Are the employees goggles / glasses (eye protection)in a satisfactory condition?

  • Are the employees ear defenders (hearing protection)in a satisfactory condition?

  • Is the employees hi-visibility waistcoat in a satisfactory condition?

  • Is the employees dust mask (respiratory protection) in a satisfactory condition?

  • Does the employee have PPE bag or suitable PPE containment?

  • Is the employees first aid kit in a satisfactory condition?

  • First aid kit expiry date

  • Is the employees asbestos emergency kit in a satisfactory condition?

Company equipment - engineers only

Company Equipment - Engineers only

  • Does the engineer have ladders with a stabilising device fitted?

  • Are the ladders in a satisfactory condition?

  • Ladder inspection Date

  • Have the ladder feet been replaced in the last 12 months?

  • Ladder Feet Replacement date

  • Does the engineer have steps?

  • Are the steps in a satisfactory condition?

  • Steps Inspection date

  • Is the engineers harness is a satisfactory condition?

  • Harness Inspection Date

  • Does the engineer have a safety belt (working Harness)?

  • Is the Safety belt in a satisfactory condition?

  • Safety belt Inspection Date

  • Does the engineer have temporary safety barriers and tape?

  • Does the engineer have an "Engineer Working" sign?

Electrical equipment - engineers only

Electrical equipment - Engineers only

  • Does the engineer multi function tester?

  • Is the engineer's multi function tester in a satisfactory condition?

  • Calibration Date

  • Does the engineers have a 110v drill and transformer?

  • Is the engineer's 110v drill and transformer in a satisfactory condition?

  • Portable Appliance Test date

  • Does the engineers have a multimeter?

  • Is the engineer's multimeter in a satisfactory condition?

  • Calibration date

  • Does the engineers have an insulation tester?

  • Is the engineer's insulation tester in a satisfactory condition?

  • Calibration date

  • Does the engineers have a sound pressure meter?

  • Is the engineer's sound pressure meter in a satisfactory condition?

  • Calibration date

  • Does the engineers have a battery tester?

  • Is the engineers battery tester in a satisfactory condition?

  • Calibration date

  • Is the engineers Martindale voltage tester in a satisfactory condition?

  • Is the engineers Martindale proving unit in a satisfactory condition?

  • Is the engineers electrical lock off kit in a satisfactory condition?

  • Does the engineers have a 18v drill charger?

  • Is the engineers drill charger in a satisfactory condition?

  • Portable Appliance Test date

  • Does the engineers have a 24v drill charger?

  • Is the engineers drill charger in a satisfactory condition?

  • Portable Appliance Test date

  • Does the engineers have a power saw?

  • Is the engineers power saw in a satisfactory condition?

  • Portable Appliance Test date

  • Does the engineers have a pipe threading machine?

  • Is the engineer's pipe threading machine in a satisfactory condition?

  • Portable Appliance Test date

  • Does the engineers have a 110v extension lead?

  • Is the engineer's 110v extension lead in a satisfactory condition?

  • Portable Appliance Test date

  • Does the engineers have a vacuum cleaner?

  • Is the engineer's vacuum cleaner in a satisfactory condition?

  • Portable Appliance Test date

  • Are the engineers pipe cutters in a satisfactory condition?

  • Is the engineers soldering iron in a satisfactory condition?

  • Is the engineers gas cylinder in a satisfactory condition?

  • Does the engineers have a heat gun?

  • Is the engineer's heat gun in a satisfactory condition?

  • Portable Appliance Test date

  • is the engineers Bosch PDO 6 Cable/Pipe detector in a satisfactory condition?

Tool Kit

  • Has the engineer been issued with a company tool kit?

  • Is the 75 mm PZ type screwdriver present and in a satisfactory condition?

  • Are the X2 100 mm PZ type screwdriver present and in a satisfactory condition?

  • Is the Utility key present and in a satisfactory condition?

  • Are the VDE diagonal side cutter 160 mm present and in a satisfactory condition?f

  • Are the VDE combination pliers 180 mm present and in a satisfactory condition?

  • Are the VDE log nose pliers 160 mm present and in a satisfactory condition?

  • Are the X2 100 mm cross screwdriver present and in a satisfactory condition?

  • Are the VDE wire stripping pliers 160 mm present and in a satisfactory condition?

  • Is the 150 mm adjustable wrench present and in a satisfactory condition?

  • Is the AF Hex Key Set Ball End 12 pc present and in a satisfactory condition?

  • Is the MM Hex Key Set Ball End 9 pc present and in a satisfactory condition?

  • Is the Retractable knife present and in a satisfactory condition?

  • Is the Hex Ratchet Crimping tool present and in a satisfactory condition?

  • Is the Junior hacksaw powder coated present and in a satisfactory condition?

  • Are the X 10 Junior hacksaw blades present and in a satisfactory condition?

  • Is the Hacksaw frame 300 mm blade present and in a satisfactory condition?

  • Is the Hacksaw blades 300 X 24T present and in a satisfactory condition?

  • Is the Coax stripping tool present and in a satisfactory condition?

  • Is the 450 g claw hammer present and in a satisfactory condition?

  • Is the 1 kg club hammer present and in a satisfactory condition?

  • Is the Elect bolster & guard 60 mm bulk present and in a satisfactory condition?

  • Is the 4 pc soft grip chisel set present and in a satisfactory condition?

  • Is the Plastic hose & pipe cutter 35 mm present and in a satisfactory condition?

  • Is the 225 mm thumb turn pipe wrench present and in a satisfactory condition?

  • Is the 600 mm draper level present and in a satisfactory condition?

  • Is the 5 m X 19 mm measuring tape present and in a satisfactory condition?

  • Is the Waterproof 5 watt hand torch present and in a satisfactory condition?

  • Is the Heavy duty tool case 20 L present and in a satisfactory condition?

  • Is the Waterproof 3 watt head torch present and in a satisfactory condition?

Documentation / Eyesight test

Documentation and eyesight test

  • Does the employee have a valid identity card?

  • Expiry date

  • Does the employee hold a valid driving licence

  • Does the employee have an up to date employee EHS handbook?

  • Does the employee have up to date job spec./method statements?

  • Does the employee have up to date risk assessments?

  • Does the employee have up to date COSHH assessments?

  • Can the employee correctly read a vehicle number plate 20 metres away?

  • If an employee cannot read a number plate correctly please contact your area HR specialist for further advice.

  • Does the engineer have a Car Safety Kit?

  • Is the user / driver aware of the instructions for use of the car fire extinguisher?

Health and Safety Passports

Health and Safety Passports

  • Does the employee hold an ECS or CSCS card?<br>Note: All engineers are required to have a valid card

  • ECS is required for all engineers

  • Expiry date

  • Does the employee hold a 1b IPAF Licence?

  • IPAF 1b Expiry Date

  • Does the employee hold a 3a IPAF Licence?

  • IPAF 3a Expiry Date

  • Does the employee hold a 3b IPAF Licence?

  • IPAF 3b Expiry Date

  • Does the employee hold a SPA passport?

  • SPA Expiry

  • Does the employee hold a PASMA card?

  • PASMA Expiry

  • Does the employee hold any other cards?

Signature

  • Auditors Signature

  • Add signature

  • Engineers signature

  • Add 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.