Title Page
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Conducted on
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Prepared by
Audit Details
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Branch / Location
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Employees Name
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Inspected by
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Select date
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Vehicle Make & Model
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Registration No.
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Current Milage
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Period or Milage since last service
General Vehicle Condition
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Sub Standard Conditions
A - Hazardous condition to be attended immediately
B - To be attended before next scheduled inspection
C - No futher action required, to be checked on next scheduled inspection -
Tyres
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Tyres
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Lights (including indicators)
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Lights (including indicators)
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Ladder roller & Rack security (Where fitted)
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Ladder roller & Rack security (Where fitted)
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Ladder clamp integrity (where fitted)
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Ladder clamp integrity (where fitted)
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Roof rack integrity and fixings
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Roof rack integrity and fixings
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Is the vehicle loaded correctly
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Is the vehicle loaded correctly<br>
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Is the vehicle interior clean & is there a no smoking sign fitted
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Is the vehicle interior clean & is there a no smoking sign fitted
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Is the vehicle exterior clean and free from damage
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Is the vehicle exterior clean and free from damage
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Does the vehicle have a safety screen fitted
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Does the vehicle have a safety screen fitted
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Vehicle Livery (Sign writing in reasonable condition, phone numbers legible?)
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Vehicle Livery (Sign writing in reasonable condition, phone numbers legible?)
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Windscreen Condition (check for bad cracks etc.)
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Windscreen Condition (check for bad cracks etc.)
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Seat & Head restraint position
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Seat & Head restraint position
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Reversing Sensors
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Reversing Sensors
Personal Protective Equipment / Uniform
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Is the below PPE in satisfactory condition?
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Shoes / Boots (foot protection)
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Helmet including chin strap
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Helmet Issue Date
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Bump cap
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Gloves (hand protection) Traffi Gloves
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Goggles / Glasses (Eye protection)
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Ear Defenders (Hearing protection)
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Dust Mask (Respiratory protection)
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Hi-Visibility waistcoat
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Kevlar Sleeves
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PPE Bag or suitable PPE containment
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First Aid Kit
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First aid kit expiry date
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Full uniform (Engineer only)
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Asbestos emergency kit
Company Equipment (Engineers Only)
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Ladders with stabilising device
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last inspection date
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Step ladders
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last inspection date
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Harness (Fall restraint / Work positioning)
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last inspection date
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Safety belt (working harness)
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last inspection date
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Temporary safety barriers & tape
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'Engineer working' sign
Electrical Equipment (Engineers Only)
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Drill & Transformer (110v)
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Multimeter
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Calibration date
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Insulation tester
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Calibration date
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Sound pressure meter
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Calibration date
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Multi-function test meter
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Calibration date
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Battery tester
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Calibration date
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Martindale voltage tester
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Martindale proving unit
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Electrical isolation lock off kit
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Drill charger
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Drill charger PAT test date
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Pipe cutters
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Power Saw
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Pipe threading machine
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Gas Cylinder
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Heat Gun
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Extension leads (110v)
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Vaccum cleaner
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Vaccum cleaner PAT test date
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Bosch PDO 6 cable/pipe detector
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Smoke pole
Tool Kit (Engineers Only)
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Soldering Iron
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Set of 6 insulated screwdrivers
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75mm cross screwdriver
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X2 100mm cross screwdriver
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75mm PZ type screwdriver
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X2 100mm PZ type screwdriver
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Utility key
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VDE combination plier 180mm
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VDE diagonal side cutter 160mm
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VDE long nose plier 160mm
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VDE wire stripping plier 160mm
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150mm Adjustable wrench
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MM Hex key set ball end 9pc
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MM Hex key set ball end 12pc
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Hex ratchet crimping tool
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Retractable knife
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Junior hacksaw powder coated
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X10 junior hacksaw blades
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Hacksaw frame 300mm blade
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Hacksaw blades 300X24T
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Coax stripping tool
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450g claw hammer
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1kg club hammer
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Elect bolster & guard 60mm bulk
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4pc soft grip chisel set
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Plastic hose & pipe cutter
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225mm thumb turn pipe wrench
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600mm draper level
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5m X 19mm Measuring tape
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Waterproof 5 watt hand torch
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Waterproof 3 watt head torch
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Heavy duty tool case 20l
Documentation / Eyesight test
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Does the engineer have a company ID card
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When does it expire?
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Does the engineer have a valid driving license
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Does the engineer have a Employee EHS handbook
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Does the engineer have his safety charter card
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Does the engieer have job specs & method statements
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Does the engineer have up to date risk assessments (correct issue)
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Does the engineer have COSHH assessments
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Can the engineer read a number plate of a vehicle 20 meters away
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does the engineer have a car safety kit
H&S Passports, As appropriate
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Does the engineer have the following cards
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ECS / CSCS card
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ECS / CSCS card expiry date
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IPAF 1B
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IPAF 1B expiry date
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IPAF 3A
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IPAF 3A expiry date
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IPAF 3B
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IPAF 3B expiry date
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SPA passport (Indicate petrol, foot etc)
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SPA passport expiry date
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PASMA card
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PASMA card expiry date
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Does the employee hold any other cards? (State in comments)
Signatures
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Engineer Name
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Engineer Signature
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Select date
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Auditors Name
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Auditors Signature
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Select date
