Uncle Jed 4

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Vehicle / Tools (Inspection - Certification Information)

• Vehicle #

  Yes

  No

  Not Applicable

  Not Measured

• Is the stability test certification date current?

  Yes

  No

  Not Applicable

  Not Measured

• Is the trailer / chipper inspection current?

  Yes

  No

  Not Applicable

  Not Measured

• Is the barehand certification current?

  Yes

  No

  Not Applicable

  Not Measured

• Is the motor vehicle inspection current?

  Yes

  No

  Not Applicable

  Not Measured

• Is the annual hydraulic date current?

  Yes

  No

  Not Applicable

  Not Measured

• Are the hotsticks inspection date current?

  Yes

  No

  Not Applicable

  Not Measured

• Are the safety grounds inspection date current?

  Yes

  No

  Not Applicable

  Not Measured

• Are the rubber gloves inspection date current?

  Yes

  No

  Not Applicable

  Not Measured

Tailboard

• Is the tailboard completed properly?

  Yes

  No

  Not Applicable

  Not Measured

Personal Protective Equipment

• Are all employees wearing the appropriate PPE for the task being carried out?

  Yes

  No

  Not Applicable

  Not Measured

• Is the PPE (what was observed) well maintained?

  Yes

  No

  Not Applicable

  Not Measured

Pre-use Inspection

• Is the vehicle log book completed before use?

  Yes

  No

  Not Applicable

  Not Measured

• Is the fall protection equipment / components inspected? <br>(this includes harnesses, lanyards, regularly used anchor points, etc.)

  Yes

  No

  Not Applicable

  Not Measured

Vehicle Set up

• Are the fire extinguishers inspected monthly / annually?

  Yes

  No

  Not Applicable

  Not Measured

• Are there a minimum of 2 wheel chocks used?

  Yes

  No

  Not Applicable

  Not Measured

• Are the outrigger pads used?

  Yes

  No

  Not Applicable

  Not Measured

• Is the vehicle in good housekeeping order?

  Yes

  No

  Not Applicable

  Not Measured

• Does the vehicle have a secured load?

  Yes

  No

  Not Applicable

  Not Measured

Security

• Are the gates and fences in good condition?

  Yes

  No

  Not Applicable

  Not Measured

• Are the gates secured?

  Yes

  No

  Not Applicable

  Not Measured

• Is the material (copper/ tools/ equipment) kept out of sight when employees are not on site?

  Yes

  No

  Not Applicable

  Not Measured

Communication

• Is Management visible in the field on a regular basis?

  Yes

  No

  Not Applicable

  Not Measured

• Do you feel you have adequate training for your job?

  Yes

  No

  Not Applicable

  Not Measured

• Do you have any safety concerns?

  Yes

  No

  Not Applicable

  Not Measured