Information

  • Engineers Name

  • Vehicle Registration Number

  • Prepared for

  • Location
  • Test Date

  • Next test date

  • Prepared by

Vehicle Condition

  • Tyre and wheel condition

  • Is the spare wheel stored in the back of the van

  • Is the spare wheel stored/secured properly

  • Vehicle lights functioning correctly

  • Hazard lights functioning correctly

  • Vehicle horn functioning correctly

  • Windscreen wipers functioning correctly

Gas cylinders

  • Gas cylinders must not exceed the following quantities: 1×R404a or other (max 13kg), 1×R134a or other (max 13kg), 1×small recovery cylinder, 1×Nitrogen bottle or oxy-acetalene porta pack (if not carrying porta pack, a small brazing set and hand held brazing torch in addition to the Nitrogen), 1 disposable flammable refrigerant (500grams)

  • Please provide cylinder serial numbers

  • Please provide the serial numbers of each cylinder

  • Is the quantity of refrigerant gas being carried acceptable

  • Are all refrigerant gas cylinders strapped to the bulk head of the van

  • Is the engineer carrying an excess quantity of Nitrogen on the van

  • Is all brazing equipment stored upright and securely strapped

Environmental hazards

  • Is all hazardous waste stored correctly

  • Has all inventory been filled out correctly

Documentation and other

  • Does the engineer know what the HSQE Policy is and able to show you where to find it

  • Does the engineer have all his RAMS

  • Does the engineer have barriers

  • Does the enginner have the correct ladders

  • Does the engineer carry a lock off kit

  • Are the engineers hand tools fit for purpose

  • Does the engineer have all his required PPE

Results & further comments

  • Has the engineer any HSQE concerns to raise with the auditor

  • Overall result of audit following actions completed

  • Auditors signature

  • Engineers signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.