Title Page
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Site conducted
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All sections must be completed when the van is in your possession.
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Witch Van are you using on this trip
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Date and Time of departure
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The Miles at start of your journey are
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MOBILE PHONE
Use of a mobile phone is prohibited whilst driving a works vehicle. (With or without hands free)
Should you need to make or receive a call, pull over in a safe place, turn off the engine and remove the key from the ignition. -
Are the Mirrors adjusted to the position you require
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Is the Seat position suitable for you to drive the Van
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Is there enough fuel for your journeys and is the fuel card locatable in the Van
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COVID-19 RA compliance <br>It is important that during the social distancing restrictions we have in place at St Clare’s you only use this vehicle on your own.<br>Do not take any passengers with you on your trip. <br>
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Is the first aid box and fire extinguisher in the van
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Do you have the strapping or ties you need for your work
- Yes
- I don't need any for the work I'm carrying out with the van
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At this Point you can press the CLOSE tab in the top left hand side of the screen and select SAVE CHANGES from the drop down menu. Continue with your journey and work. Once you have finished with the Van and wish to hand back the keys make sure you return to the IN PROGRESS tab in the top left hand side of the screen and complete this form .
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Date and time of return
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Miles at end journey
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Any problems or incidences with the vehicle?
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COVID-19 RA compliance During the Covid 19 pandemic we are all required to clean the regular touch points of this Van, please can you do so after you have finished using it and on returning it to the yard with disinfectant wipes or spray.
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By signing out this vehicle YOU the maintenance operative are ensuing that it is well maintained and in proper working condition, that your driving license is up to date and have understood the REGULATIONS GOVERNING THE USE OF THE ST CLARE’S OXFORD WORKS VEHICLES initials and sign
