Van safety check

• Engineer name

• Location
  Address

• Vehicle registration number

• Weight of vehicle

• Test date

  Date

• Next test date

• Completed on

  Date

Vehicle condition

• Tyre and wheel condition

  Pass

  Fail

  n/a

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

  Pass

  Fail

  n/a

• Is the spare wheel stored/secured properly

  Pass

  Fail

  n/a

• Vehicle lights functioning correct

  Pass

  Fail

  n/a

• Hazard lights functioning correct

  Pass

  Fail

  n/a

• Vehicle horn functioning correctly

  Pass

  Fail

  n/a

• Windscreen wipers functioning correctly

  Pass

  Fail

  n/a

• General cleanliness of vehicle (1-5)

Gas cylinders

• Is the enginners van exceeding the quantity of refrigerant gas on his van

  Pass

  Fail

  n/a

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

  Pass

  Fail

  n/a

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

  Pass

  Fail

  n/a

• Is the nitrogen gas bottle strapped appropriately

  Pass

  Fail

  n/a

• Is all brazing equipment stored upright ans securely strapped

  Pass

  Fail

  n/a

Environmental hazards

• Is all hazardous waste stored correctly

  Pass

  Fail

  n/a

• Chemicals/substances stored correctly

  Pass

  Fail

  n/a

Tools

• Are all hand tools adequately insulated

  Pass

  Fail

  n/a

PPE

• White coat

• White overalls

• White hat

• Gloves

• Safety glasses

• Bump hat

• Head torch

• Orange high visability vest

• Ear defenders

• Dust mask

• Does the engineer have all his required PPE

  Yes

  No