Van Audit Neil Holt

• AUDIT TITLE

Vehicle, Engineer and Equipment Check List

• Audit month

  Select JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER

  • JANUARY
  • FEBRUARY
  • MARCH
  • APRIL
  • MAY
  • JUNE
  • JULY
  • AUGUST
  • SEPTEMBER
  • OCTOBER
  • NOVEMBER
  • DECEMBER

• Engineer Name

• Registration.

• Vehicle Make Model

• Location
  Address

• Vehicle Mileage.

• Illious ref:

• Date & time

  Date

Audit carried out by David Hargrave

Section 1 - VEHICLE

• 1.1 Van livery displayed with current contact centre number. NRSWA liveried ?<br> - Double click here to add notes / image of vehicle livery

  Yes

  No

  N/A

• 1.2 Vehicle parked safely with consideration for the safety of the general public and persons on site. Site tidy and contained as far as possible ?

  1 poor

  2

  3

  4

  5 good

• 1.3 Van clean and tidy - Externally RFL / MOT current<br> - Double click here to add notes / image of vehicle exterior

  1 poor

  2

  3

  4

  5 good

• 1.4 Van clear and tidy - Internally Segregated clean / dirty areas<br> - Double click here to add notes / image of vehicle interior

  1 poor

  2

  3

  4

  5 good

• 1.5 Engineer in MR uniform, ID, CSCS Card, Drivers Licence checked ?<br>- Double click here to add notes / image of vehicle

  Yes

  No

  N/A

• 1.6 Engineer utilising correct PPE ?

  Yes

  No

  N/A

• 1.7 Yellow dual beacon operable and visible 360 degrees ?

  Yes

  No

  N/A

• 1.8 All lights in good working order ?

  Yes

  No

  N/A

• 1.9 Are all tyres in good serviceable condition ?

  Yes

  No

  N/A

Section 2 - WATER JETTER

• 2.1 Water Jetter - Make / Model / Pressure / Flow - Double click here to add notes / image of Jetter

  Select Jetter Conversions Rioned / Wards Lombardini 3008 3000 psi 4000 psi 8 GPM 10 GPM 12 GPM

  • Jetter Conversions
  • Rioned / Wards
  • Lombardini
  • 3008
  • 3000 psi
  • 4000 psi
  • 8 GPM
  • 10 GPM
  • 12 GPM

• 2.2 Jetter condition - pressure safety devices and general condition

  1 poor

  2

  3

  4

  5 good

• 2.3 Hose condition - no core visible. Check fix to jet heads and ancillary devices. Check pressure rating ?

  1 poor

  2

  3

  4

  5 good

• 2.4 Remote / OMO / condition. Emergency stop fitted and functioning ?

  Yes

  No

  N/A

• 2.5 Jets & Ancillary Equipment

  Select Root Cutter HE Back Jet Safety Bar Spinning Jet Mini Hose & Nozzles Leader Hose Tiger Tail Venturi Pump

  • Root Cutter
  • HE Back Jet
  • Safety Bar
  • Spinning Jet
  • Mini Hose & Nozzles
  • Leader Hose
  • Tiger Tail
  • Venturi Pump

• 2.6 Standpipe and Key

  Yes

  No

  N/A

• 2.7 Has the site been made safe with appropriate signage, lighting and guarding Standpipe

  Yes

  No

  N/A

• 2.8 Is the work being carried out efficiently

  Yes

  No

  N/A

Section 3 - EMC & ELECTRICAL EQUIPMENT

• 3.1 EMC, Hand held - Make / Model / Battery / Power

  Select Spartan 1065 Spartan 300 General Sewer-rooter General Mini-rooter Spartan 700 Spartan 100 General Power-Vee Ridgid 240v 110v Battery

  • Spartan 1065
  • Spartan 300
  • General Sewer-rooter
  • General Mini-rooter
  • Spartan 700
  • Spartan 100
  • General Power-Vee
  • Ridgid
  • 240v
  • 110v
  • Battery

• Yes

  No

  N/A

• 3.2 EMC Stand alone - Make / Model

  Yes

  No

  N/A

• 3.4 Transformer / extension leads / 110v / 240v

  Yes

  No

  N/A

• 3.5 Angle grinder 110v

  Yes

  No

  N/A

• 3.6 PAT testing in date

  Yes

  No

  N/A

Section 4 - CCTV EQUIPMENT

• 4.1 CCTV - Make / Model / Capabilities

  Select Mini-Cam Camscan Rothemberger Rocam Scanprobe X-tek Looksee HD / SD car recording VHS recording

  • Mini-Cam
  • Camscan
  • Rothemberger Rocam
  • Scanprobe
  • X-tek
  • Looksee
  • HD / SD car recording
  • VHS recording

• 4.2 Power generator

  Yes

  No

  Held centrally

  Hired In

  N/A

• 4.3 Van fitted inverter

  Yes

  No

  Held centrally

  Hired In

  N/A

Section 5 - SITE & HAND TOOLS inc SAFETY SIGNS

• 5.1 Are there adequate small tools available - ie manhole keys etc for the work being undertaken and fit for purpose

  Select Hacksaw Socket set Shovel Brush Trowel Stilson grips Buckets Dust sheets Tool box Cold chisels Screw drivers Crow bar Wrecking bar Sledge hammer Lump hammer Guide tube Adjustable wrench Allen keys Manhole keys Gulley grabs Torch Drain dye Overshoes Cables ties

  • Hacksaw
  • Socket set
  • Shovel
  • Brush
  • Trowel
  • Stilson grips
  • Buckets
  • Dust sheets
  • Tool box
  • Cold chisels
  • Screw drivers
  • Crow bar
  • Wrecking bar
  • Sledge hammer
  • Lump hammer
  • Guide tube
  • Adjustable wrench
  • Allen keys
  • Manhole keys
  • Gulley grabs
  • Torch
  • Drain dye
  • Overshoes
  • Cables ties

• 5.2 Are there adequate safety signs for the work being undertaken - eg jetting / open manhole / barriers

  Select Road Cones 24" Barrier Set (4 gated) Open Manhole sign HPWJ sign Barrier tape Keep R/L traffic sign Keep R/L pedestrian sign

  • Road Cones 24"
  • Barrier Set (4 gated)
  • Open Manhole sign
  • HPWJ sign
  • Barrier tape
  • Keep R/L traffic sign
  • Keep R/L pedestrian sign

• 5.3 Kenetic Ram or equivalent

  Yes

  No

  N/A

• 5.4 Drain Rods

  Yes

  No

  N/A

• 5.5 First Aid kit - in date

  Yes

  No

  N/A

• 5.6 Fire Extinguisher - in date

  Yes

  No

  N/A

• 5.7 Hand Wash / Hygiene facility on board

  Yes

  No

  N/A

Section 6 - SAFETY EQUIPMENT

• 6.1 Gas monitors - in calibration

  Yes

  No

  Held centrally

  Hired In

  N/A

• 6.2 Tripod / Escape set

  Yes

  No

  Held centrally

  Hired In

  N/A

• 6.3 Drain tracer / Sonde

  Yes

  No

  Held centrally

  Hired In

  N/A

• 6.4 Heavy duty manhole cover lifter - Hydraulic / Magnetic / Manual

  Yes

  No

  Held centrally

  Hired In

  N/A

• 6.5 Liquids - COSHH & Diesel - Bunded

  Yes

  No

  N/A

• 6.6 Spill kits - present

  Yes

  No

  N/A

Section 8 - PERSONAL PROTECTIVE EQUIPMENT (PPE)

• 8.1 Overalls - blue / polycotton - including spare set

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.2 Safety Helmet - Full size - EN397

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.3 Goggles - EN166

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.4 Visor - EN166

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.5 Ear defenders - Cup type - EN352

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.6 Boots - Steel toe cap

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.7 Wellington boots - Steel toe cap

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.8 Gloves - 24" - Arm length

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.9 Gloves / Gauntlet PVC granular armoured

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.10 Gloves - Medical

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.11 High visibility coat - EN471

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.12 High visibility waist coat

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.13 Wet suit - EN343

  Yes

  No

  N/A

  2 sets / boxes

  3 sets / boxes

• 8.14 Safety torch

  Yes

  No

  N/A

• 8.15 Safety harness

  Yes

  No

  Held centrally

  Hired In

  N/A

Section 9 - CERTIFICATION / DOCUMENTATION

• 9.1 Risk assessments / Method statements

  Yes

  No

  N/A

• 9.2 Engineer training certificates - High Pressure Water Jetting / Confined Space / NRSWA / CSCS

  Select HPWJ Confined Space NRSWA CSCS

  • HPWJ
  • Confined Space
  • NRSWA
  • CSCS

• 9.3 Engineer cards - WJA hazard / Lepto / Casualty

  Select WJA hazard card Lepto card Casualty card

  • WJA hazard card
  • Lepto card
  • Casualty card

• 9.4 PUWER - maintenance records for vehicle and jetter

  Yes

  No

  N/A

• 9.5 Waste transfer records

  Yes

  No

  N/A

Section 10 - H&S AWARENESS

• 10.1 Does the engineer understand his responsibilities regarding Health & Safety

  Yes

  No

  N/A

• 10.2 Does the engineer demonstrate a good understand of Health & Safety procedures and current regulations

  Yes

  No

  N/A

• What was the last Tool Box Talk delivered to the engineer

• 10.4 Has the engineer seen copies of safety bulletins

  Yes

  No

  N/A

• 10.5 Was the engineer observed working safely and judged to be competent at their job tasks

  Yes

  No

  N/A

Section 11 - CLIENT COMMUNICATIONS

• 11.1 Did the engineer give advice on how to prevent further blockages

  Yes

  No

  N/A

• 11.2 Has the engineer made further recommendations based on his findings

  Yes

  No

  N/A

• 11.3 Has the engineer explained any guarantee

  Yes

  No

  N/A

SUMMARY, FINDINGS & COMMENTS

• Engineers comments:

• Auditors comments:

SIGN OFF - acceptance of the summary, findings & comments

• Engineer signature

  Sign

• Auditor's signature

  Yes

  No

  N/A

• Add drawing

  Drawing