Tyre Change Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Tyre Work Area (TO BE COMPLETED BEFORE STARTING)

• Is the work area demarcated

  Yes

  No

  N/A

• STOP WORK Do not continue without the area being demarcated

• Is the work area on flat level ground

  Yes

  No

  N/A

• STOP WORK Do not continue without ensuring the work area is SAFE

• Does the work area have adequate drainage

  Yes

  No

  N/A

• Consider ground stability before continuing

• Is the work area free of obstacles

  Yes

  No

  N/A

• STOP WORK Do not continue without clearing work area of obstacles that may be a hazard

• Is the tyre pad a metal base plate

  Yes

  No

  N/A

Work Practices (TO BE COMPLETED BEFORE STARTING)

• Is the vehicle/machine chocked

  Yes

  No

  N/A

• STOP WORK Do not continue without the Vehicle/machine being correctly chocked

  Yes

  No

  N/A

• Are the chocks adequate for the vehicle/machine size

  Yes

  No

  N/A

• STOP WORK Do not continue without chocks that are adequate for the vehicle/machine size

• Is the vehicle/machine isolated

  Yes

  No

  N/A

• STOP WORK Do not continue without the vehicle/machine being correctly isolated

  Yes

  No

  N/A

• Is the Restricted Work Zone set up

  Yes

  No

  N/A

• STOP WORK Do not continue without the RESTRICTED WORK ZONE being setup

  Yes

  No

  N/A

• Are all air lines in good condition

  Yes

  No

  N/A

• STOP WORK Replace air lines

  Yes

  No

  N/A

Personal Protection Equipment (TO BE COMPLETED BEFORE STARTING)

• Is PPE being used

  Yes

  No

  N/A

• STOP WORK Do not continue without the correct PPE

  Yes

  No

  N/A

• Is the PPE in good condition

  Yes

  No

  N/A

• STOP WORK Do not continue without the correct PPE

• Is the PPE suitable for the task

  Yes

  No

  N/A

• STOP WORK Do not continue without the correct PPE

Tooling

• Is the tooling in good condition

  Yes

  No

  N/A

• Is the tooling fit for purpose

  Yes

  No

  N/A

• USE ONLY FIT FOR PURPOSE TOOLING

• Could any additional tooling be a benefit to the task

  Yes

  No

• List additional Tooling

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

  Yes

  No

  N/A

• STOP WORK Use only suitably labeled stands

  Yes

  No

  N/A

Plant Clearance

• Is the Plant clear to return to work

  Yes

  No

  N/A

• Corrective actions for a safe return to work

• Tyre Fitter

  Sign

• The Client must take responsibility of any damage or injury caused if this plant is moved before corrective actions have been completed by a trained and competent person.

• Client

  Sign

Paperwork & Documents

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

  Yes

  No

  N/A

• A Pre start inspection must be completed

• Has a Take 5 been completed

  Yes

  No

  N/A

• Stop Work and Complete a Take 5

• Was a JHA required for the task

  Yes

  No

• Has a JSA been completed?

  Yes

  No

  N/A

• STOP WORK Complete a JSA

• Are any parts required to be ordered

  Yes

  No

  N/A

• Person approving order

  Sign

• Parts Required

• Are there any tasks that fall outside the normal scope of works

  Yes

  No

• Tasks required

• Person approving variation of works

  Sign

Job Completion

• Are all tasks completed and area left safe and clean

  Yes

  No

  N/A

• Corrective actions required

• Tyre Fitter

  Sign

• Client

  Sign

• Tire Fitter

  Sign

• Client

  Sign