Vehicle, Engineer and Equipment Check List (revised)

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

  Select John Hamilton Jack Waller Dale Giles Eamonn Ryan Lester Cardy

  • John Hamilton
  • Jack Waller
  • Dale Giles
  • Eamonn Ryan
  • Lester Cardy

• Vehicle registration

  Select FY09 XRD LK53 CGX CK06 WDE SA56 XKJ SG56 XUY

  • FY09 XRD
  • LK53 CGX
  • CK06 WDE
  • SA56 XKJ
  • SG56 XUY

• Vehicle make & model

  Select Citroen Relay Ford Transit Iveco Daily

  • Citroen Relay
  • Ford Transit
  • Iveco Daily

• Vehicle mileage

• Location
  Address

• Illious ref:

• Audit prepared and carried out by

  Select Ashley Waller Carl Waller

  • Ashley Waller
  • Carl Waller

• Date & time

  Date

VEHICLE

• Any visible markings or damage to bodywork

  Yes

  No

  N/A

• Any visible marking or damage to the interior

  1 poor

  2

  3

  4

  5 good

• 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

  1 poor

  2

  3

  4

  5 good

• 1.4 Van clear and tidy - Internally Segregated clean / dirty areas

  1 poor

  2

  3

  4

  5 good

• 1.6 Engineer utilising correct PPE ?

  Yes

  No

  N/A

• 1.10 All lights in good working order ?

  Yes

  No

  N/A

• 1.11 Are all tyres in good serviceable condition ?

  Yes

  No

  N/A

EMC & ELECTRICAL EQUIPMENT

• CAT 6 Tester

  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

• 3.3 EMC, Stand Alone - 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

• Fluke Multimeter

  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

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

  Yes

  No

  N/A

• 3.6 Power Drill 110v / Battery

  Yes

  No

  N/A

• 3.7 Angle Grinder 110v

  Yes

  No

  N/A

• 3.8 Portable Appliance Testing (PAT) in date

  Yes

  No

  N/A

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

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

• 5.5 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

SAFETY EQUIPMENT

• 6.6 Spill kits - present

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• 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

• 8.10 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

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

CERTIFICATION / DOCUMENTATION

• 9.1 Risk assessments / Method statements

  Yes

  No

  N/A

• CSCS Card

  HPWJ

  Confined Space

  NRSWA

  CSCS

CLIENT COMMUNICATIONS

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

  Yes

  No

  N/A

SUMMARY, FINDINGS & COMMENTS

• Engineers comments:

• Auditors comments:

SIGN OFF - acceptance of the summary, findings & comments

• Engineer signature

  Sign