Vehicle, Engineer and Equipment Check List

Vehicle, Engineer and Equipment Check List

• Audit month

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Engineer name

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Vehicle registration

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Vehicle make & model

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Vehicle mileage

• Location
  Address

Section 1 - VEHICLE

Section 2 - WATER JETTER

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

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 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 Yes No N/A

  • Yes
  • No
  • N/A

• 2.6 Standpipe - Check Water Authority Licence

  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 Yes No N/A

  • Yes
  • No
  • N/A

• 3.2 EMC, Medium - Make / Model / Power

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 3.3 EMC, Stand Alone - Make / Model / Battery / Power

  Select Yes No N/A

  • Yes
  • No
  • N/A

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

  Yes

  No

  N/A

• 3.5 Wet Vac 15 - 20 litres

  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

Section 4 - CCTV EQUIPMENT

• 4.1 CCTV - Make / Model / Capabilities

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 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 Yes No N/A

  • Yes
  • No
  • N/A

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

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 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 Yes No N/A

  • Yes
  • No
  • N/A

• 9.3 Engineer cards - WJA hazard / Lepto / Casualty

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 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

• Franchisee signature

  Sign