Tyre Change Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Tyre Work Area

• Is the work area of sufficient size to conduct the task

  Yes

  No

  N/A

• Is the work area demarcated

  Yes

  No

  N/A

• Is the work area demarcated by soft or hard barriers

  Yes

  No

  N/A

• Is the work area on flat level ground

  Yes

  No

  N/A

• Does the work area have adequate drainage

  Yes

  No

  N/A

• Is the work area free of obstacles

  Yes

  No

  N/A

• Is it a concrete tyre pad

  Yes

  No

  N/A

• Is the tyre pad a metal base plate

  Yes

  No

  N/A

Work Practices

• Is the vehicle/machine chocked

  Yes

  No

  N/A

• Are the chocks adequate for the vehicle/machine size

  Yes

  No

  N/A

• Are the chocks in good condition

  Yes

  No

  N/A

• Is the vehicle/machine isolated

  Yes

  No

  N/A

• Is the vehicle/machine isolated as per site isolation procedure

  Yes

  No

  N/A

• Is the Restricted Work Zone set up

  Yes

  No

  N/A

• Are the fallback arresters being used

  Yes

  No

  N/A

• Are air line clips used

  Yes

  No

  N/A

• Are all air lines in good condition

  Yes

  No

  N/A

• Is the remote inflation hose used

  Yes

  No

  N/A

Personal Protection Equipment

• Is PPE being used

  Yes

  No

  N/A

• Is the PPE in good condition

  Yes

  No

  N/A

• Is the PPE suitable for the task

  Yes

  No

  N/A

Tooling

• Is the tooling in good condition

  Yes

  No

  N/A

• Is the tooling fit for purpose

  Yes

  No

  N/A

• Could any additional tooling be a benefit to the task

  Yes

  No

  N/A

• Are vehicle/machine stands suitably labeled with Safe Working Load

  Yes

  No

  N/A

• Has the torque gun been calibrated within 12 months

  Yes

  No

  N/A

• Has the tyre handler attachment been crack tested within 12 months

  Yes

  No

  N/A

Paperwork & Documents

• Has a Pre Start been completed on the tyre handler

  Yes

  No

  N/A

• Has a Pre Start been carried out on the tyre service truck<br>

  Yes

  No

  N/A

• Has a Take 5 been completed

  Yes

  No

  N/A

• Has a tyre change sheet been filled out completely

  Yes

  No

  N/A

• Was a JHA required for the task

  Yes

  No

  N/A

• - If so, was the JHA adequate for the task

  Yes

  No

  N/A

• Tyre Fitter Signature

  Sign

• Tyre Fitter Offsider Signature

  Sign